Table of ContentsView AllTable of ContentsPoop ColorOther CausesOther SymptomsFrequently Asked Questions
Table of ContentsView All
View All
Table of Contents
Poop Color
Other Causes
Other Symptoms
Frequently Asked Questions
Appendicitis can cause poop color changes, but this is not a common sign. There have been rare reports ofappendicitiscausing red/reddish-black stool.Since an inflamed appendix is often associated with hardened stool, dark brown to black poop is more likely.
Still, poop color changes are not telltales of the condition. More reliable symptoms and signs of appendicitis include severe and worsening abdominal pain, fever, and vomiting blood. These should prompt you to seek immediate medical attention, regardless of the color of your stools.
This article discusses how appendicitis might affect poop color, other possible—and more likely—causes of these changes, additional signs of appendicitis, and how a healthcare practitioner can confirm your diagnosis.
Boonchai Wedmakawand / Getty Images

How Appendicitis May Change Poop Color
Constipation can be a symptom of appendicitis. This tends to occur after the pain sets in. The hardened stools you eventually pass could appear much darker than usual. This is not because they contain blood—a possible reason for dark stools—because they are dehydrated and concentrated.
There have been a few older case reports of dark or black poop occurring as a symptom of appendicitis itself, but these are uncommon.And when this does occur, it is more likely because appendicitis occurs alongside another condition, such as bleeding in the GI tract or appendiceal endometriosis (when tissue similar to the lining of the uterus grows on the appendix).
Dark stools are not a typical symptom of appendicitis and should not be used as a way of distinguishing it from another condition.
Other Causes of Poop Color Changes
Some of these other conditions include:

Other Symptoms of Appendicitis
Paying attention to these signs of appendicitis, rather than your stool color, is much more important in helping you identify a possible inflamed appendix early so you can get the urgent treatment you need:
Waiting to get treatment for appendicitis increases the chances that yourappendix will rupture.
The late signs of appendicitis appear only after rupture has occurred. At first, you may feel better because you no longer have pressure in your appendix. However, bacteria begins to spread throughout your abdominal cavity, which can cause a dangerous condition called peritonitis.
Symptoms of peritonitis include:
9 Signs That Your Stomach Issues May Not Be IBS
Summary
Red, red-black, dark brown, and black poop color changes could occur with appendicitis, but abdominal pain, fever, vomiting blood, and other symptoms are far more common. Possible appendicitis requires immediate medical attention.
Stool color changes are more likely to be related to bleeding in the gastrointestinal tract, such as from a peptic ulcer.
Does Appendicitis Always Require Surgery?
Frequently Asked QuestionsYes. In fact, research shows people with IBS are twice as likely to have an unnecessary appendectomy based on symptoms.Possibly, but maybe not. One of the symptoms of appendicitis is constipation, though diarrhea is also possible. Being able to poop does not rule out appendicitis.Trapped gas and appendicitis can have similar symptoms. Typically, appendicitis pain either travels from the navel to the right lower quadrant of the abdomen or is only felt in the lower right abdomen. Gas pain can also migrate, however, it tends to be felt in different parts of the abdomen.Sudden pain in the lower right quadrant of the abdomen is usually the first sign of appendicitis. The pain may also begin near the navel and travel to the lower right side. The pain often worsens if you cough, walk, or make other quick movements. Other symptoms of appendicitis include nausea, vomiting, loss of appetite, low-grade fever, constipation, diarrhea, abdominal bloating, and gas.Learn MoreEarly Signs of AppendicitisAn infected appendix can rupture in as little as 48 to 72 hours. If you experience symptoms of appendicitis, seek immediate medical treatment.
Yes. In fact, research shows people with IBS are twice as likely to have an unnecessary appendectomy based on symptoms.
Possibly, but maybe not. One of the symptoms of appendicitis is constipation, though diarrhea is also possible. Being able to poop does not rule out appendicitis.
Trapped gas and appendicitis can have similar symptoms. Typically, appendicitis pain either travels from the navel to the right lower quadrant of the abdomen or is only felt in the lower right abdomen. Gas pain can also migrate, however, it tends to be felt in different parts of the abdomen.
Sudden pain in the lower right quadrant of the abdomen is usually the first sign of appendicitis. The pain may also begin near the navel and travel to the lower right side. The pain often worsens if you cough, walk, or make other quick movements. Other symptoms of appendicitis include nausea, vomiting, loss of appetite, low-grade fever, constipation, diarrhea, abdominal bloating, and gas.Learn MoreEarly Signs of Appendicitis
Sudden pain in the lower right quadrant of the abdomen is usually the first sign of appendicitis. The pain may also begin near the navel and travel to the lower right side. The pain often worsens if you cough, walk, or make other quick movements. Other symptoms of appendicitis include nausea, vomiting, loss of appetite, low-grade fever, constipation, diarrhea, abdominal bloating, and gas.
Learn MoreEarly Signs of Appendicitis
An infected appendix can rupture in as little as 48 to 72 hours. If you experience symptoms of appendicitis, seek immediate medical treatment.
9 SourcesVerywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.Chen W, Qiu H, Yang X, Zhang J.Appendix bleeding with painless bloody diarrhea: a case report and literature review.Open Med (Wars). 2019;14:735-739. doi:10.1515/med-2019-0084Mount Sinai.Bloody or tarry stools.Hori K, Uchino R, Hanada N, Kusano S, Hayashida Y, Sakashita N.A case of appendicitis with repeating melena.J Jpn Surg Assoc.2007;68(4):900-903. doi:10.3919/jjsa.68.900Adeboye A, Ologun GO, Njoku D, Miner J.Endometriosis of the vermiform appendix presenting as acute appendicitis.Cureus. 2019;11(10). doi:10.7759/cureus.5816National Library of Medicine.Black or tarry stools.Mayo Clinic.Rectal bleeding: When to see a doctor.Lu CL, Liu CC, Fuh JL, et al.Irritable bowel syndrome and negative appendectomy: a prospective multivariable investigation.Gut. 2007;56(5):655–60. doi:10.1136/gut.2006.112672Johns Hopkins Medicine.Appendicitis.Mayo Clinic.Appendicitis.
9 Sources
Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.Chen W, Qiu H, Yang X, Zhang J.Appendix bleeding with painless bloody diarrhea: a case report and literature review.Open Med (Wars). 2019;14:735-739. doi:10.1515/med-2019-0084Mount Sinai.Bloody or tarry stools.Hori K, Uchino R, Hanada N, Kusano S, Hayashida Y, Sakashita N.A case of appendicitis with repeating melena.J Jpn Surg Assoc.2007;68(4):900-903. doi:10.3919/jjsa.68.900Adeboye A, Ologun GO, Njoku D, Miner J.Endometriosis of the vermiform appendix presenting as acute appendicitis.Cureus. 2019;11(10). doi:10.7759/cureus.5816National Library of Medicine.Black or tarry stools.Mayo Clinic.Rectal bleeding: When to see a doctor.Lu CL, Liu CC, Fuh JL, et al.Irritable bowel syndrome and negative appendectomy: a prospective multivariable investigation.Gut. 2007;56(5):655–60. doi:10.1136/gut.2006.112672Johns Hopkins Medicine.Appendicitis.Mayo Clinic.Appendicitis.
Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
Chen W, Qiu H, Yang X, Zhang J.Appendix bleeding with painless bloody diarrhea: a case report and literature review.Open Med (Wars). 2019;14:735-739. doi:10.1515/med-2019-0084Mount Sinai.Bloody or tarry stools.Hori K, Uchino R, Hanada N, Kusano S, Hayashida Y, Sakashita N.A case of appendicitis with repeating melena.J Jpn Surg Assoc.2007;68(4):900-903. doi:10.3919/jjsa.68.900Adeboye A, Ologun GO, Njoku D, Miner J.Endometriosis of the vermiform appendix presenting as acute appendicitis.Cureus. 2019;11(10). doi:10.7759/cureus.5816National Library of Medicine.Black or tarry stools.Mayo Clinic.Rectal bleeding: When to see a doctor.Lu CL, Liu CC, Fuh JL, et al.Irritable bowel syndrome and negative appendectomy: a prospective multivariable investigation.Gut. 2007;56(5):655–60. doi:10.1136/gut.2006.112672Johns Hopkins Medicine.Appendicitis.Mayo Clinic.Appendicitis.
Chen W, Qiu H, Yang X, Zhang J.Appendix bleeding with painless bloody diarrhea: a case report and literature review.Open Med (Wars). 2019;14:735-739. doi:10.1515/med-2019-0084
Mount Sinai.Bloody or tarry stools.
Hori K, Uchino R, Hanada N, Kusano S, Hayashida Y, Sakashita N.A case of appendicitis with repeating melena.J Jpn Surg Assoc.2007;68(4):900-903. doi:10.3919/jjsa.68.900
Adeboye A, Ologun GO, Njoku D, Miner J.Endometriosis of the vermiform appendix presenting as acute appendicitis.Cureus. 2019;11(10). doi:10.7759/cureus.5816
National Library of Medicine.Black or tarry stools.
Mayo Clinic.Rectal bleeding: When to see a doctor.
Lu CL, Liu CC, Fuh JL, et al.Irritable bowel syndrome and negative appendectomy: a prospective multivariable investigation.Gut. 2007;56(5):655–60. doi:10.1136/gut.2006.112672
Johns Hopkins Medicine.Appendicitis.
Mayo Clinic.Appendicitis.
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