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Human feces



 
 
Human Feces (also faeces — see spelling differences), also known as stools, is the waste product of the human digestive system and varies significantly in appearance, depending on the state of the whole digestive system, influenced by diet
Diet (nutrition)

In nutrition, the diet is the sum of food consumed by a person or other organism. Dietary habits are the habitual decisions an individual or culture makes when choosing what foods to eat....
 and health
Health

In 1948, the World Health Organisation defined health as ?a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity.? ...
. Normally stools are semisolid, with a mucus coating.






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Bristol Stool Chart
Human Feces
Human Feces (also faeces — see spelling differences), also known as stools, is the waste product of the human digestive system and varies significantly in appearance, depending on the state of the whole digestive system, influenced by diet
Diet (nutrition)

In nutrition, the diet is the sum of food consumed by a person or other organism. Dietary habits are the habitual decisions an individual or culture makes when choosing what foods to eat....
 and health
Health

In 1948, the World Health Organisation defined health as ?a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity.? ...
. Normally stools are semisolid, with a mucus coating. Small pieces of harder, less moist feces can sometimes be seen impacted on the distal (leading) end. This is a normal occurrence when a prior bowel movement is incomplete; and feces
Feces

Feces, faeces, or f?ces is a waste product from an animal's gastrointestinal tract expelled through the anus during defecation....
 are returned from the rectum
Rectum

The rectum is the final straight portion of the large intestine in some mammals, and the Gastrointestinal tract in others, terminating in the anus....
 to the intestine
Intestine

In anatomy, the intestine is the segment of the Gastrointestinal tract extending from the stomach to the anus and, in humans and other mammals, consists of two segments, the small intestine and the large intestine....
, where water is absorbed.

Meconium
Meconium

Meconium is the earliest Human feces of an infant. Unlike later feces, meconium is composed of materials ingested during the time the infant spends in the uterus: intestinal epithelial cells, lanugo, mucus, amniotic fluid, bile, and water....
 (sometimes erroneously spelled merconium) is a newborn baby's first feces. Human feces are a defining subject of toilet humor.

Fecal management


The management of feces is an issue of hygiene
Hygiene

Hygiene refers to practices associated with ensuring good health and cleanliness. Such practices vary widely and what is considered acceptable in one culture may be unacceptable in another....
, since feces contribute to spreading of diseases and intestinal parasite
Intestinal parasite

Intestinal parasites are parasites that populate the gastro-intestinal tract in humans. They can live throughout the body, but most prefer the intestinal wall....
s. The problem of efficient management of feces has existed since the times when people started to live in permanent settlements, primarily for the reasons of cleanliness and odour. Toilets were known in ancient India
India

India, officially the Republic of India , is a country in South Asia. It is the List of countries and outlying territories by total area country by geographical area, the List of countries by population country, and the most populous liberal democracy in the world....
 (dated as early as 2,500 BC), in Ancient Rome
Ancient Rome

Ancient Rome was a civilization that grew out of a small agricultural community founded on the Italian Peninsula as early as the 10th century BC....
, Egypt
Egypt

Egypt is a country mainly in North Africa, with the Sinai Peninsula forming a land bridge in Western Asia. Covering an area of about , Egypt borders the Mediterranean Sea to the north, the Gaza Strip and Israel to the northeast, the Red Sea to the east, Sudan to the south and Libya to the west....
 and China
China

China is a Culture of China, an ancient civilization, and, depending on perspective, a national or multinational entity extending over a large area in East Asia....
, although the contemporary flush toilet originated in 19th century Victorian England.

Until the end of the 19th century, the primary concern of sewage collection and disposal
Sewage collection and disposal

Urban area areas require some methods for collection and disposal of sewage....
 in the Western world was to remove waste away from inhabited places, and it was common to use waterflows and larger bodies of water as a destination of sewage, where waste could be naturally dissipated and neutralized. With the increased population density this is no longer a viable solution, and special processing of sewage is required. The lack of the latter is a grave sanitary and public health problem in developing countries.

It is thought one human's annual excrement is the equivalent of of commercially produced 20:10:10 NPK fertiliser.

Tourism

Nature reserve
Nature reserve

A nature reserve is a protected area of importance for wildlife, flora , fauna or features of geological or other special interest, which is reserved and managed for Conservation ethic and to provide special opportunities for study or research....
 organizations, parks, and tourist agencies often issue regulations for tourists aimed at the prevention of the pollution of nature. In particular, catholes (cat holes), i.e., pits for feces, must be located at a reasonable distance (at least ) from water sources (rivers, lakes, etc.), to avoid possible bacterial contamination of water via precipitation
Precipitation (meteorology)

File:MeanMonthlyP.gifIn meteorology, precipitation is any product of the condensation of Atmosphere water vapor that is deposited on the earth's surface....
, as well as away from trails. For faster feces decomposition, organic soil is preferred over sandy mineral soil. It is also recommended to avoid concentration of catholes around campsites. Filled catholes must be covered with a reasonably thick layer of soil, to prevent access by animals, some of which are coprophagous.

Some areas require special instructions of human waste disposal. In rocky places, with the absence of soil, it is advised to spread feces thinly by smearing over rocks with good sun access for faster sterilization by UV radiation and drying. In larger snow fields, a larger distance (e.g., ) from trails and campsites may be mandated, if the waste is being disposed under snow.

Laboratory testing of feces


Feces will sometimes be required for microbiological
Microbiology

Microbiology is the study of microorganisms, which are unicellular or cell-cluster microscopic organisms. This includes eukaryote such as fungi and protists, and prokaryotes, which are bacteria and archaea....
 testing, looking for an intestinal
Intestine

In anatomy, the intestine is the segment of the Gastrointestinal tract extending from the stomach to the anus and, in humans and other mammals, consists of two segments, the small intestine and the large intestine....
 pathogen
Pathogen

A pathogen , infectious agent, or germ, is a biological agent that causes disease or illness to its Host .There are several substrates and pathways whereby pathogens can invade a host; the principal pathways have different episodic time frames, but soil contamination has the longest or most persistent potential for harboring...
 or other parasite or disease.

Biochemical tests done on feces include fecal elastase
Fecal elastase

Fecal elastase refers to the testing of the concentration of the Pancreas elastase-1 enzyme found in feces with an enzyme-linked immunosorbent assay ....
 and fecal fat
Fecal fat

In medicine, the fecal fat test is a diagnostic test for fat malabsorption conditions, which lead to excess fat in the faeces .Background...
 measurements, as well as tests for fecal occult blood.

It is recommended that the clinician correlate the symptoms and submit specimens according to laboratory guidelines to obtain results that are clinically significant. Formed stools often do not give satisfactory results and suggest little of actual pathological conditions.

Three main types of microbiological tests are commonly done on feces:
  • Antibody-antigen type tests, that look for a specific virus (e.g. rotavirus
    Rotavirus

    Rotavirus is a genus of double-stranded RNA virus in the family Reoviridae. It is the leading single cause of Diarrhea among infants and young children....
    ).
  • Microscopic examination for intestinal parasite
    Intestinal parasite

    Intestinal parasites are parasites that populate the gastro-intestinal tract in humans. They can live throughout the body, but most prefer the intestinal wall....
    s and their ova
    Ovum

    An ovum is a haploid female reproductive cell or gamete. Both animals and embryophytes have ova. The term ovule is used for the young ovum of an animal, as well as the plant structure that carries the female gametophyte and egg cell and develops into a seed after fertilization....
     (eggs).
  • Routine culture.


Routine culture involves streaking the sample onto agar plate
Agar plate

An agar plate is a sterile Petri dish that contains a growth medium used to Microbiological culture microorganisms or small plants like the moss Physcomitrella patens....
s containing special additives, such as MacConkey agar
MacConkey agar

MacConkey agar is a Microbiological culture Selective medium designed to grow Gram-negative bacteria and staining them for lactose industrial fermentation....
, that will inhibit the growth of Gram-positive, thick membranes organisms and will selectively allow enteric
Enteric

Enteric can refer to:* A general term for the intestines** Microorganisms that inhabit the intestines are commonly known as enteric bacteria* Enteric nervous system...
 pathogens to grow, and incubating them for a period, and observing the bacterial colonies that have grown.

Color variations of feces


Yellowing of feces can be caused by an infection known as Giardiasis
Giardiasis

IntroductionGiardiasis in humans is caused by the infection of the small bowel by a single-celled organism called Giardia lamblia. Giardiasis occurs worldwide with a prevalence of 20-30% in developing countries....
, which derives its name from Giardia
Giardia

Giardia is a genus of anaerobic flagellated protozoan parasites that colonise and reproduce in the small intestines of several vertebrates, causing giardiasis....
, a tiny parasitic organism. If Giardia infects the intestines it can cause severe yellow diarrhea
Diarrhea

In medicine, diarrhea, also spelled diarrhoea , is characterized by frequent loose or liquid bowel movements. The spelling of "diarrhea" is an appropriation of the Greek "diarrhoia" meaning "a flowing through." ....
. This is a dangerous communicable infection and must be reported. Another cause of yellowing is a condition known as Gilbert's Syndrome
Gilbert's syndrome

Gilbert's syndrome, pronounced 'zheel-BAYR', often shortened to GS, also called Gilbert-Meulengrachts syndrome, is the most common hereditary cause of increased bilirubin, and is found in up to 5% of the population ....
. This condition is characterized by jaundice
Jaundice

Jaundice, also known as icterus , is a yellowish discoloration of the skin, the conjunctival membranes over the sclera , and other mucous membranes caused by hyperbilirubinemia ....
 and hyperbilirubinemia. Hyperbilirubinemia occurs when too much bilirubin
Bilirubin

Bilirubin is the yellow breakdown product of normal heme catabolism. Heme is formed from hemoglobin, a principal component of red blood cells. Bilirubin is excreted in bile, and its levels are elevated in certain diseases....
 is present in the circulating blood.

Feces can be black due to the presence of blood that has been in the intestines long enough to be broken down by digestive enzymes. This is known as melena
Melena

In medicine, melena or melaena refers to the black, "tarry" feces that are associated with gastrointestinal hemorrhage. The black color is caused by oxidation of the iron in hemoglobin during its passage through the ileum and colon ....
, and is typically due to bleeding
Bleeding

Bleeding, technically known as hemorrhaging or haemorrhaging is the loss of blood from the circulatory system. Bleeding can occur internally, where blood leaks from blood vessels inside the body or externally, either through a natural opening such as the vagina, Mouth , nose, or anus, or through a break in the skin....
 in the upper digestive tract, such as from a bleeding peptic ulcer
Peptic ulcer

A peptic ulcer, also known as ulcus pepticum, PUD or peptic ulcer disease, is an ulcer of an area of the gastrointestinal tract that is usually acidic and thus extremely painful....
. The same color change (albeit harmless) can be observed after consuming foods that contain substantial proportion of animal bloods, such as Black pudding or Ti?t canh
Ti?t canh

Ti?t canh is a traditional dish of blood in Vietnamese cuisine.Ti?t canh is made from raw blood, usually duck, put in a shallow dish along with finely chopped cooked duck innards , sprinkled with crushed peanuts and chopped herbs such as Vietnamese coriander, Mentha, etc....
. The black color is caused by oxidation of the iron
Iron

Iron is a chemical element with the symbol Fe and atomic number 26. Iron is a Group 8 element and period 4 element. Iron is lustrous and silvery in color....
 in the blood's hemoglobin
Hemoglobin

Hemoglobin is the iron-containing oxygen-transport metalloprotein in the red blood cells of vertebrates, and the tissues of some invertebrates....
. Black feces can also be caused by a number of medications, such as bismuth subsalicylate
Bismuth subsalicylate

Bismuth subsalicylate, with a chemical formula C7H5BiO4, is a drug used to treat nausea, heartburn, indigestion, diarrhea, and other temporary discomforts of the stomach and gastrointestinal tract....
, and dietary iron supplements
Iron supplements

Iron supplements are supplements that can be prescribed by a doctor for a medical reason. Iron can also be a dietary supplement, which can be purchased in supermarkets etc....
. Because liquorice is high in iron, this may also cause the feces to become black. Hematochezia
Hematochezia

Hematochezia is the passage of bright red, bloody feces from the rectum. It is also known as "bright red blood per rectum" and abbreviated BRBPR....
 is similarly the passage of feces that are bright red due to the presence of undigested blood, either from lower in the digestive tract, or from a more active source in the upper digestive tract.

In children with certain illnesses, feces can be blue or green. Eating green or leafy food can turn feces green. Babies when digesting solid food for the first time also produce feces which tend to be green and of unusual consistency because of the presence of cells discarded during development of the digestive tract. Food with large amounts of food color can cause feces to be colored. An example is FDA Blue #5, which turns feces green when it reacts with bile
Bile

Bile or gall is a bitter yellow or green fluid secreted by hepatocytes from the liver of most vertebrates. In many species, bile is stored in the gallbladder between meals and upon eating is discharged into the duodenum where the bile aids the process of digestion of lipids....
 in the intestine. The effect is considered harmless, and there have been no reports of ill effects. After a barium meal
Barium meal

A barium meal, also known as an upper gastrointestinal series is a procedure in which X-ray of the esophagus, stomach and duodenum are taken after barium sulfate is ingested by a patient....
, the subsequent stool should be white.

Fecal contamination


A quick test for fecal contamination of water sources or soil is a check for the presence of E. coli bacteria
Bacteria

The Bacteria are a large group of unicellular microorganisms. Typically a few micrometres in length, bacteria have a wide range of shapes, ranging from spheres to rods and spirals....
 performed with the help of MacConkey agar
MacConkey agar

MacConkey agar is a Microbiological culture Selective medium designed to grow Gram-negative bacteria and staining them for lactose industrial fermentation....
 plates or Petri dish
Petri dish

A Petri dish is a shallow glass or plastic cylindrical lidded dish that microbiologists use to microbiological culture cell s. It was named after Germany bacteriologist Julius Richard Petri, who invented it when working as an assistant to Robert Koch....
es. E. coli bacteria uniquely develop red colonies at temperature of approximately overnight. While most strains of E. coli are harmless, their presence is indicative of more serious fecal contamination, and hence a high possibility of more dangerous organisms.

Fecal contamination of water sources is highly prevalent worldwide, accounting for the majority of unsafe drinking water
Drinking water

Drinking water is water that is of sufficiently high quality so that it can be consumed or utilized without risk of immediate or long term harm....
, which is the only water available to 1.1 billion people. In developing countries most sewage is discharged without treatment. Even in developed countries events of sanitary sewer overflow
Sanitary sewer overflow

Sanitary sewer overflow is a condition whereby untreated sewage is discharged into the environment prior to reaching treatment facilities thereby escaping wastewater treatment....
 are not uncommon and regularly pollute the Seine River (France
France

France , officially the French Republic , is a country whose Metropolitan France is located in Western Europe and that also comprises various Overseas departments and territories of France....
) and the River Thames
River Thames

The Thames is a major river flowing through southern England. While best known because its lower reaches flow through central London, the river flows through several other towns and cities, including Oxford, Reading, Berkshire and Windsor, Berkshire....
 (England
England

native_name =|conventional_long_name = England|common_name = England|image_flag = Flag of England.svg|image_coat = England COA.svg|symbol_type = Royal Coat of Arms...
), for example.

The main pathogens that are commonly looked for in feces include:
  • Salmonella
    Salmonella

    Salmonella is a genus of rod-shaped Gram-negative enterobacteriaceae that causes typhoid fever, paratyphoid fever, and the foodborne illness salmonellosis....
     and Shigella
    Shigella

    Shigella is a genus of Gram-negative, Endospore rod-shaped bacterium closely related to Escherichia coli and Salmonella. The causative agent of human shigellosis, Shigella cause disease in primates, but not in other mammals....
  • Yersinia
    Yersinia

    Yersinia is a genus of bacterium in the family Enterobacteriaceae. Yersinia are Gram-negative rod shaped bacteria, a few micrometers long and fractions of a micrometer in diameter, and are facultative anaerobes....
     tends to be incubated at , which is cooler than usual
  • Campylobacter
    Campylobacter

    The genus Campylobacter, first discovered in 1963, describes Gram-negative, spiral, microaerophilic bacterium. Motile, with either uni- or bi-polar flagella, the organisms have a characteristic spiral/corkscrew appearance and are oxidase-positive....
     incubated at , in a special environment
  • Aeromonas
    Aeromonas

    Aeromonas is a gram-negative, Facultative anaerobic organism that morphologically resembles members of the family Enterobacteriaceae. Fourteen species of Aeromonas have been described, most of which have been associated with human diseases....
  • Candida
    Candida (genus)

    Candida is a genus of yeasts. Many species of this genus are endosymbionts of animal hosts including humans. While usually living as Commensalisms, some Candida species have the potential to cause disease....
     if the person is immunosuppressed e.g. cancer treatment
  • E. coli O157 if blood is visible in the stool sample
  • Cryptosporidium
  • Entamoeba histolytica
    Entamoeba histolytica

    For the infection and disease caused by this parasite, refer to Amoebiasis.Entamoeba histolytica is an anaerobic organism parasitic protozoan, part of the genus Entamoeba....


Utilisation


See also

  • Feces
    Feces

    Feces, faeces, or f?ces is a waste product from an animal's gastrointestinal tract expelled through the anus during defecation....
  • Bristol Stool Chart
  • Composting toilet
    Composting toilet

    A composting toilet is a closed unit, not connected to a sewage system or septic tank, used to receive, contain, and Composting human waste via aerobic biodegradation....
  • Coprophilia
    Coprophilia

    Coprophilia , also called scat, is the paraphilia involving sexual arousal from feces. In the Diagnostic and Statistical Manual of the American Psychiatric Association , it is classified under 302.9 Paraphilia Not Otherwise Specified and has no diagnostic criteria other than a general statement about paraphilias that says "the diagnosi...
  • Constipation
    Constipation

    Constipation, costiveness, or irregularity, is a condition of the digestive system in which a person experiences hard feces that are difficult to expel....
  • Defecation
    Defecation

    Defecation is the final act of digestion by which organisms eliminate solid, semisolid or liquid waste material from the digestive tract via the anus....
  • Diarrhea
    Diarrhea

    In medicine, diarrhea, also spelled diarrhoea , is characterized by frequent loose or liquid bowel movements. The spelling of "diarrhea" is an appropriation of the Greek "diarrhoia" meaning "a flowing through." ....
  • Ecological sanitation
    Ecological sanitation

    Ecological sanitation, also known as ecosan or eco-san, is a new paradigm in sanitation that recognises human excreta and household wastewater not as waste but as resources that can and are recovered, treated , and reused....
  • Humanure
    Humanure

    "Humanure" is a neologism designating human excrement that is recycling via composting for agriculture or other purposes. The term was popularized by a 1994 book by Joseph Jenkins that advocates the use of this organic material soil amendment....
  • Meconium
    Meconium

    Meconium is the earliest Human feces of an infant. Unlike later feces, meconium is composed of materials ingested during the time the infant spends in the uterus: intestinal epithelial cells, lanugo, mucus, amniotic fluid, bile, and water....
  • Night soil
    Night soil

    Night soil is a euphemism for human feces. "Night soil" is produced as a result of a waste management system in areas without community infrastructure such as a sewage system, or individual septic tank....
  • Outhouse
    Outhouse

    The term outhouse usually refers to a type of toilet in a small structure separate from the main building which does not have a Flush toilet and is not attached to a Sanitary sewer....
  • Scatology
    Scatology

    In medicine and biology, scatology or coprology is the study of feces. Scatological studies allow one to determine a wide range of biological information about a creature, including its diet , healthiness, and diseases such as tapeworms....
  • Shit
    Shit

    Shit in its literal meaning is usually considered a vulgarity and profanity in English language. As a noun it refers to feces matter and as a verb it means to defecation or defecate in; in the plural it means diarrhea....