Doctors Note Logo

Published on: 2/10/2026

Why Is My Poop Green? Causes and When to Worry (Women 65+)

Green poop in women 65+ is usually from leafy greens or food dyes, iron or multivitamins, or medications like antibiotics, metformin, or laxatives that speed digestion. It often resolves within a day or two when linked to diet or supplements. There are several factors to consider, and you should speak to a doctor promptly if you have persistent diarrhea, blood or black stools, severe abdominal pain, fever, dehydration, weight loss, confusion, or a week of green stools without a clear cause; see below for important details that can guide your next steps.

answer background

Explanation

Why Is My Poop Green? Causes and When to Worry (Women 65+)

Seeing poop green can be surprising, especially if it's new. For women age 65 and older, changes in stool color often have simple explanations—but sometimes they deserve attention. This guide explains common causes, what's normal, and when it's important to speak to a doctor.

First, what makes stool brown?

Stool is usually brown because of bile, a digestive fluid made by the liver and stored in the gallbladder. As bile moves through the intestines, it changes color. If stool moves too quickly—or if bile processing changes—poop can look green.


Common, Often Harmless Reasons for Green Poop

1. Diet (the most common cause)

What you eat matters.

  • Leafy green vegetables (spinach, kale, collards) contain chlorophyll, which can turn poop green.
  • Green smoothies or vegetable juices can do the same.
  • Foods with green coloring (even small amounts) may change stool color.

If your poop green started after dietary changes and you feel well otherwise, this is usually harmless.

2. Iron supplements and multivitamins

Many women over 65 take iron for anemia or multivitamins for bone and overall health.

  • Iron can make stool dark green or black-green.
  • This is common and expected, especially when starting a supplement or increasing the dose.

If you're unsure whether a supplement is responsible, check the label or ask your pharmacist.

3. Faster digestion

When food moves through your gut faster than usual, bile doesn't have time to change from green to brown.

Possible reasons include:

  • Mild diarrhea
  • Stress
  • Changes in routine or diet
  • Some medications (see below)

Occasional faster digestion is common and not dangerous by itself.


Medication-Related Causes (Important for Women 65+)

Many medications can affect stool color or speed.

  • Antibiotics can alter gut bacteria and speed digestion, leading to green poop.
  • Metformin (for diabetes) can cause diarrhea and color changes.
  • Laxatives may shorten transit time.
  • Nonsteroidal anti-inflammatory drugs (NSAIDs) can irritate the gut in some people.

Never stop a prescribed medication without speaking to a doctor. If poop green starts after a new medication, it's reasonable to ask whether it could be related.


Digestive and Medical Causes to Consider

1. Infections

Certain stomach or intestinal infections can cause green stool, often with:

  • Diarrhea
  • Cramping
  • Fever
  • Nausea

In older adults, infections can become serious more quickly. Persistent symptoms should be checked.

2. Gallbladder or bile flow issues

Problems that affect bile—such as gallbladder disease—can change stool color.

Possible clues:

  • Pale or clay-colored stools alternating with green
  • Right upper abdominal pain
  • Nausea after fatty meals

3. Liver conditions

The liver plays a key role in bile production. Liver problems can sometimes affect stool color, though green poop alone is not a classic sign.

4. Malabsorption conditions

Conditions that prevent nutrients from being absorbed properly may speed digestion and change stool color. These are less common but important to evaluate if symptoms persist.


When Green Poop Is More Concerning

Green stool once in a while is usually not a problem. You should speak to a doctor promptly if poop green is accompanied by any of the following:

  • Persistent diarrhea lasting more than a few days
  • Blood or black, tarry stool
  • Severe abdominal pain
  • Unexplained weight loss
  • Fever or chills
  • Signs of dehydration (dry mouth, dizziness, low urine output)
  • New confusion or weakness
  • A sudden change from your usual bowel pattern that doesn't improve

For women 65+, these symptoms can signal conditions that need treatment sooner rather than later.


How Long Is "Too Long"?

As a general rule:

  • 1–2 days of green poop after a dietary change or new supplement is usually fine.
  • More than a week, especially without a clear reason, deserves medical advice.
  • Any severe or worsening symptoms should be evaluated right away.

What You Can Do at Home (If You Feel Well)

If you're otherwise feeling okay, these steps may help:

  • Review your diet from the past few days (especially greens and supplements).
  • Check medications started or adjusted recently.
  • Stay hydrated, especially if stools are loose.
  • Monitor stool color and symptoms for a short period.

If you're concerned and want personalized guidance, try Ubie's free AI-powered Green stool Symptom Checker to get a better understanding of your symptoms and whether you should seek medical attention.


Special Considerations for Women 65+

As we age, our bodies respond differently.

  • Medication sensitivity increases, making side effects more likely.
  • Chronic conditions (diabetes, thyroid disease) can affect digestion.
  • Dehydration happens more easily and can worsen bowel changes.
  • Immune response may be weaker, making infections more serious.

Because of this, it's reasonable to be a bit more cautious and proactive about changes like poop green.


Frequently Asked Questions

Is green poop ever an emergency?
Green stool alone is rarely an emergency. It becomes urgent when paired with red-flag symptoms like severe pain, blood, high fever, or signs of dehydration. In those cases, seek medical care promptly.

Can stress cause green poop?
Yes. Stress can speed digestion, which may lead to green stool.

Does green poop mean cancer?
Green stool by itself is not a typical sign of cancer. Persistent changes in bowel habits, blood in stool, or unexplained weight loss should be discussed with a doctor.


Bottom Line

For most women 65 and older, poop green is caused by diet, supplements, medications, or faster digestion—and it often resolves on its own. Still, your age and overall health matter. Pay attention to how long it lasts and whether other symptoms appear.

If anything feels severe, unusual, or life-threatening—or if you're simply unsure—speak to a doctor. Getting clear guidance can bring peace of mind and, when needed, timely treatment.

(References)

  • * Chaudhury, A., Dhaliwal, K., Singh, S. A., & Singh, S. (2022). What's in the pot: A comprehensive review of stool studies for primary care providers. *Digestive Diseases and Sciences*, *67*(11), 5094-5103.

  • * Ramos, S., Alwan, L. A., & DeMarco, J. A. (2022). Physiology of Normal Stool and the Management of Abnormal Stool in Older Adults. *Current Geriatrics Reports*, *13*(2), 57-65.

  • * Hadjihambi, O. R., & Srirajaskanthan, R. (2023). Fecal Color: What You Need to Know. *Diseases*, *11*(2), 52.

  • * Wald, A. (2014). Physiology of normal defaecation and its disorders. *Best Practice & Research Clinical Gastroenterology*, *28*(4), 571-578.

  • * Shreiner, A. B., & Wischmeyer, P. E. (2022). Impact of Chronic Drug Use on Gut Microbiome in Older Adults. *Current Nutrition Reports*, *11*(3), 517-526.

Thinking about asking ChatGPT?Ask me instead

Tell your friends about us.

We would love to help them too.

smily Shiba-inu looking

For First Time Users

What is Ubie’s Doctor’s Note?

We provide a database of explanations from real doctors on a range of medical topics. Get started by exploring our library of questions and topics you want to learn more about.

Learn more about symptoms

Green stool

Was this page helpful?

Purpose and positioning of servicesUbie Doctor's Note is a service for informational purposes. The provision of information by physicians, medical professionals, etc. is not a medical treatment. If medical treatment is required, please consult your doctor or medical institution. We strive to provide reliable and accurate information, but we do not guarantee the completeness of the content. If you find any errors in the information, please contact us.