Silver Stool

The New England Journal of Medicine recently reported on a case of a woman whose poop turned silver. Or, at least, silver-colored.

She wasn’t drinking silver, which would have been an easy solution to the mystery. Instead, the doctors offered this explanation:

The physical examination was notable for jaundice, hepatomegaly, and a diffusely tender abdomen. The rectal examination showed silver-colored stool (Panel A)… The appearance of silver stool results from a combination of white stool associated with obstructive jaundice and black stool of melena. After a discussion of treatment options with the patient, a decision was made to focus on her comfort. She was discharged home with hospice care.

In light of this case, the website should be updated to include silver.

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