Stool Color & Texture Follow-Up Guide

Understanding Stool Color & Texture 

What is it? Your child’s poop can tell us a lot about their health! While color and texture changes are often normal, sometimes they can signal something more serious. Knowing what’s typical and what’s not can help you decide when to relax and when to reach out.

COLOR

  • Yellow -normal: especially in infants who are breastfeeding
  • Green - normal: common in infant to toddler age, also can be more green during stomach bug illnesses when stool is moving through the tract faster (i.e. diarrhea)
  • Brown -normal: especially once child is eating solid foods 
  • Red - abnormal: can mean a sign of bleeding or from food/medication: 
    • Foods: 
      • Beets, red dye (kool aid/jello, etc)
      • Less likely but possible if child ate a large amount of the food - tomatoes, cranberries, rhubarb, red peppers can make the stool look more red
    • Medications: Cefdinir
  • Black - abnormal: can be a sign of bleeding as well. 
    • Some foods such as licorice or grape juice in large quantities are thought to cause a darker color change 
    • Stool can also sometimes look close to black if your child is on iron supplements or taking Pepto-bismol 
  • White / light grey: abnormal: can be a sign of liver disease

TEXTURE

  • Seedy: breastfed babies 
  • Soft / mushy: common in all infants / many toddlers 
  • Watery with chunks:  when transit time is fast like during a stomach illness or diarrhea
  • Constipation: Type 1 being most constipated and Type 7 being diarrhea. 

When to Manage at Home

  You can manage at home when:

  • Stool is yellow, green, or brown
  • Your child is feeding/eating well and acting like themselves
  • You see an occasional change linked to a new food or mild stomach bug

When to Contact Poppins 

📱 Contact us when:

  • Your child has red stool not linked to food/medicine
  • You see ongoing diarrhea, constipation, or mucus in stool
  • You’re unsure if stool changes are normal
  • You notice new abdominal pain, vomiting, or low energy

When to Visit Your Pediatrician 

🩺 Go to an in-person appointment when:

  • Black stools not linked to foods, iron, or Pepto-Bismol
  • White or grey stools (especially in infants)
  • Ongoing weight loss, poor growth, or feeding difficulties
  • Recurrent abdominal pain or fevers with stool changes

When to Go to the ER

🚨 Seek immediate emergency care if your child is: 

  • Bloody stools that are heavy, persistent, or not linked to foods/medicine
  • Severe dehydration (very little urine, dry mouth, sunken eyes)
  • Persistent vomiting with stool changes
  • Severe belly pain, extreme sleepiness, or if your gut tells you something is wrong

If your gut tells you something is wrong, don't hesitate to reach out. Need help? Reconnect with our on-demand team of medical staff available 24/7

Need more support? Help is just a text message away.