- With Mayo Clinic gastroenterologist
Michael Picco, M.D.
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Michael Picco, M.D.
Michael Picco, M.D.
Dr. Michael F. Picco has been with Mayo Clinic since 1999. He is board certified in internal medicine and gastroenterology. Dr. Picco is an assistant professor of medicine at Mayo Clinic College of Medicine and a consultant in gastroenterology at Mayo Clinic in Florida.
He has authored numerous publications in the area of gastroenterology, including original research, editorials and textbook chapters. He works with a team of gastroenterologists that takes care of complex gastrointestinal conditions and has a particular interest in diarrheal illnesses and inflammatory bowel diseases (ulcerative colitis and Crohn's disease). He is also active in medical education in training new gastroenterologist and internists.
"MayoClinic.com is an invaluable resource for patients and their families," Dr. Picco said. "Informed patients are better able to participate in their own health care. A patient's participation is vital to the treatment of his or her disease. I hope to assist in helping patients understand their digestive problems and current treatments that are offered. This will allow for better communication between patients, their physicians and other health care professionals."
Dr. Picco serves as a reviewer of new research for several medical journals in the area of gastroenterology and is an active member of the American Gastroenterological Association, American College of Gastroenterology and the Crohn's & Colitis Foundation of America. He serves on numerous committees that address physician training, research and clinical practice in gastroenterology, both at Mayo Clinic and at the national level.
"Patients need to know about their disease, what to expect, the latest treatments and side effects so that they can make informed decisions about their health care. Gastrointestinal disease affects not only patients but also their families. My goal is to assure that our Web site provides accurate, reliable information and resources for patients. We must always provide the latest, most cutting-edge information to assist patients in dealing with their medical problems," Dr. Picco said.
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Question
White stool: Should I be concerned?
What would cause a 16-month-old to have chalky, white stool?
Answer
from Michael Picco, M.D.
White stool at any age is not normal and should be evaluated promptly by a doctor. White stool is caused by a lack of bile, which may indicate a serious underlying problem in the liver, gallbladder or small intestine.
Bile is a digestive fluid produced by the liver and stored in the gallbladder. Stool gets its normal brownish color from bile, which is excreted from the liver into the small intestine during the digestive process. If the liver doesn't produce bile or if bile is obstructed from leaving the liver, stool will be white.
Medical conditions that may cause light-colored or white stool include:
- Liver infections, such as hepatitis
- Biliary cirrhosis
- Gallstones
- Anatomic abnormalities of the intestines or bile ducts present at birth (congenital)
- Inborn errors of metabolism
- Sclerosing cholangitis
- Narrowing (strictures) of bile ducts
- Cysts
- Tumors
- A side effect of certain medications, such as some antibiotics, antifungal drugs and antacids
- Bluth MH, et al. Laboratory diagnosis of liver and pancreatic disorders. In: McPherson, RA et al., eds. Henry's Clinical Diagnosis and Management by Laboratory Methods. 21st ed. Philadelphia, Pa.: W.B. Saunders; 2006. http://www.mdconsult.com/das/book/body/169258741-6/0/1393/151.html?tocnode=51749002&fromURL=151.html#4-u1.0-B1-4160-0287-1..50026-4_1083. Accessed Nov. 5, 2009.
