Causes of black spots in stool and determining the type of pathology

Causes of blackheads in stool

But first, about the etiology of black spots in stool, because the latter can tell about many processes occurring in the digestive canal and in the body as a whole.

There are many reasons for this fairly common situation. Among them, there are both natural and those resulting from pathology. The latter require clarification of the diagnosis and the appointment of adequate treatment.

Preventive measures

The first thing every person needs to pay attention to is their diet. To ensure your digestive system functions properly, eat only fresh and healthy foods. Try to avoid heavy fried and fatty foods, eat as many vegetables, fruits, cereals, as well as lean meat and fish. Do not forget that you need to eat small portions every two to three hours. Only in this case will food be digested correctly.

Blackheads are not always a dangerous pathology. However, this problem should definitely not be ignored. Of course, if they arose one-time after eating certain types of foods, then there is nothing wrong with that. In other cases, it is necessary to go to the hospital to establish a diagnosis and select optimal treatment methods. Take care of yourself and your health will take care of you.

Undigested leftover food

The most common causes of this symptom include undigested residues, for example:

• persimmons with black dots resembling poppy seeds;
• banana with a large number of round or thread-like inclusions, reminiscent of evenly distributed worms;
• kiwi with tiny black specks;
• pears and apples with black strings.

The above fruits are normally not completely digested and are excreted from the intestines without any special changes. This is especially true for foods high in iron. It oxidizes in the stomach, which turns the stool black. Dark veins appear after eating apples, beets, blood sausage, as well as dishes prepared from animal entrails.

Medicines

Some medications can also cause an alarming symptom, in particular:

• drug Vikalin;
• some antibacterial agents;
• Ibuprofen;
• Paracetamol;
• iron-containing compounds, for example, Sorbifer;
• De-nol and other bismuth-containing medications;
• complexes of vitamins and minerals;
• activated carbon, etc.

Instructions for the listed medications, as a rule, contain information about this effect, which disappears upon completion of the treatment course.

Bleeding

Dark spots in feces also appear as a result of bleeding in the internal organs. The iron contained in the hemoglobin of red blood cells is oxidized by microorganisms with the participation of enzymes and turns black. This is how droplets of oxidized blood appear in the stool in the form of black inclusions.

Blood loss is accompanied by iron deficiency and anemia.

As a result, the patient develops other symptoms:

• atrophy of the mucous membrane of the digestive canal;
• fainting;
• fatigue and weakness;
• deterioration in general health.

Internal bleeding can be caused by serious pathologies:

• diverticulitis (protrusions in the large intestine);
• Crohn's disease (inflammatory process in the mucosa and submucosa of the digestive canal);
• hemorrhoids;
• peptic ulcer;
• gastritis.

These diseases are dangerous in themselves. Their complications can also be severe, even fatal.

That is why poor health and black spots in the stool of an adult are a reason to contact a specialist.

Physiological reasons

Small black specks or impurities in stool may be the result of natural processes in the digestive tract. This change in stool occurs when eating plant foods, especially those with a large number of grains, seeds and dense peels. Apples, pears, persimmons or blueberries are not completely digested in the gastrointestinal tract. Particles of undigested skin come out in the form of dark inclusions and specks.

Black spots in the stool of a small child (newborn or infant) are a common occurrence. Due to imperfect digestion, a child’s body cannot fully digest a fairly large amount of food. Dark grains and streaks in a baby's stool appear after eating kiwi, bananas, and pears. Black dots in feces can be poppy seeds from buns, which are not digested in the body in children. The appearance of black spots in a child’s stool should not be regarded by parents as a pathology if it was preceded by the intake of the above products and the child’s condition remains stable.

Black or dark gray spots in stool can occur when eating large amounts of iron-rich foods. These include beets, liver, red meats, offal (lungs, heart). During the digestion process, the iron contained in them undergoes an oxidation process. As a result, the stool changes its color.

There is no need to worry about changes in the color of feces due to the consumption of certain foods. The color of the stool will return to normal after they are eliminated from the diet (although this should not be done).

Certain medications also cause changes in the color of feces. Black dots, inclusions or streaks in stool are the result of taking the following medications:

• activated carbon or its analogues (Sorbex, Carbolect);
• iron preparations (Ferumlek, Sorbifer);
• bismuth-containing medications (De-Nol, Vis-Nol, Vikair);
• vitamin and mineral complexes with a high iron content (Fenuls, Complivit Iron);
• certain antimicrobial drugs (they provoke the accumulation of dead leukocytes and their excretion in the feces).

All medications that cause changes in the color of stool indicate this feature. Therefore, there is no reason for alarm. The color of feces returns to normal after stopping these medications.

Infections and infestations

The presence of infectious agents in the body can also cause black spots in the stool, the latter having a foul odor and a greenish color. This condition may be accompanied by paroxysmal pain in the epigastric region, nausea and vomiting, elevated temperature and fever.

Black dots in the stool can also indicate helminthic infestations and represent particles of helminth bodies or their eggs.

Digestive pathologies

Black spots in stool may be accompanied by other symptoms such as heartburn, nausea, epigastric pain, etc. Consultation with a gastroenterologist will be useful even in the absence of the above symptoms. After examining the patient and conducting a series of laboratory tests of feces for helminthiases, giardiasis, dysbacteriosis, and a blood test, the doctor will be able to make an accurate diagnosis and prescribe appropriate treatment. Instrumental diagnostic methods may also be needed, in particular, colonoscopy or ultrasound examination of the abdominal cavity.

The reason for this symptom may be functional disorders of the digestive canal, in particular, problems with the motility of the biliary tract, which impedes the flow of bile into the duodenum and, accordingly, disrupts the processes of food digestion.

Black spots can be the result of severe pathologies of the pancreas and liver, for example, cirrhosis and hepatitis. They can appear due to constant nervous overload, lack of sleep, and stress that disrupts digestion.

Diagnostics

Over time, the color of the feces normalizes, and the black spots disappear. Their persistent presence in feces may be a sign of helminthic infestations.

To clarify the diagnosis of helminthiasis, the following studies will be needed:

• feces for the presence of worm eggs;
• coprogram;
• scraping to determine enterobiasis.

The doctor may order a blood test to determine the species of helminth.

Most parasitic worms are flesh-colored. But when parasites disrupt the digestive processes, the worms end up in dark stool along with colored food fibers, and at the same time they themselves turn black.

The feces for analysis are placed in a clean, dry container. The material is examined no later than 1 hour from the moment of collection. All analyzes are carried out repeatedly to obtain reliable results.

This symptom can also develop as a result of dysbiosis, which, in turn, also disrupts the digestive processes.

Carrying out diagnostics

As you can see, there can be many reasons for blackheads in stool. Of course, it does not happen that stool has the same color for a long time, because we eat food of different colors and consistencies. However, if blackheads are present for quite a long period, then this is a serious reason to think about your health.

To understand the reason for this phenomenon, you need to urgently go to the hospital. Experts will be able to give you the correct diagnosis only after conducting diagnostics, which will include scraping, coprogram, and also determining the presence of worm larvae in the feces. If worm eggs were found, the patient will also have to take a blood test to determine their type.

It is very important to get a stool test done correctly. It must be placed in a completely clean and dried container. In this case, the analysis should be carried out no later than an hour and a half after delivery. Only in this case is there a possibility of the most accurate diagnosis. Moreover, all tests will be carried out more than once so that the doctor can confirm the presence of the disease, as well as monitor its course and treatment.

Treatment

To treat the underlying disease, the symptom of which is black spots in the stool, medications are used that normalize the state of the intestinal microflora. They contain bifidobacteria, which destroy harmful microbes and improve digestion and bowel movements. There is no doubt about the safety of bifidobacteria. Adults take these medications 3 times a day, 2 capsules.

Preventing the appearance of blackheads in stool

Diet No. 5 will help correct the situation in adults, according to which fried, fatty and other foods that are difficult to digest are prohibited. The menu should include steamed dishes made from lean meat or fish, as well as vegetables, fruits and cereals.

Adults are recommended to eat 6 meals a day so that all the food has time to be digested and no grains of undigested food remain in the stool.

The problem of black spots in the stool in adults is not a reason to panic. It is easily corrected and does not pose a danger to humans, but it should not be ignored either. The alarming symptom will quickly disappear if you consult a specialist in time to clarify the situation and receive adequate treatment.

We don't often pay attention to the characteristics of feces, but sometimes we have to do it. Sometimes you notice black dots in the stool that look like grains or strings. This phenomenon is cause for concern, especially if it occurs in a child. This situation is quite common and has a number of reasons. Some of them are completely natural, others speak of pathologies and require treatment for a child or an adult.

Which doctor should I contact?

If you have impurities in your stool, contact your gastroenterologist. If this is not possible, the primary diagnosis will be carried out by a general practitioner or family doctor. After clarifying the diagnosis, the patient may be scheduled for an examination by a proctologist, oncologist, surgeon, hematologist, or infectious disease specialist. For diagnosis, the qualifications of the endoscopist and the equipment he uses are very important.

Video version of the article:

Watch the video on the topic: analysis of feces in a child, rules for collecting and storing biomaterial.

https://youtu.be/QXJw_Gun254

Many people do not pay attention to the composition of their stool. But sometimes it is simply necessary in order to notice disturbances in the functioning of the gastrointestinal tract in time and take the necessary measures.

Causes of blackheads in stool

Of course, the condition of stool can tell a lot about the health of the gastrointestinal tract and the body as a whole. For this reason, when any deviations from the norm occur, this is a reason to think about possible pathologies of the gastrointestinal tract.

Young parents are often scared if they see black spots in their child’s stool, but adults also sometimes notice this phenomenon in themselves. To understand whether to sound the alarm, you need to analyze the general condition of the body, diet and other factors.

Among the possible reasons for changes in the character of feces, the following factors are noted:

• Ingestion of undigested food particles into the stool. The grains of berries and fruits often leave the intestines practically unprocessed. This is a normal phenomenon, relevant for both adults and children.
• Disturbance of intestinal microflora. Recently, dysbiosis has been considered a dubious diagnosis and in many European countries it is not diagnosed. However, imbalance of bacteria in the gut is common. It leads to digestive disorders, so some foods are excreted partially undigested - black dots or dark-colored strings can be seen in the stool.
• The presence of parasites in the body. With helminthic infestation, black dots in the stool are fragments of worms or their eggs.
• Permanent nervous disorders. Many people have this problem, regardless of gender and age. Prolonged stress, nervous overstrain, lack of sleep - all this affects the organs of the digestive tract. They respond with poor digestion of food and dark inclusions of consumed food in the stool.
• Functional digestive disorders. Most often we are talking about biliary dyskinesia. This disease consists in the fact that the motility of the bile ducts is disrupted and bile improperly enters the duodenum, which leads to difficulties in digesting food.

In cases where black dots or thread-like inclusions in the stool are associated with any pathologies, the patient also has other symptoms: abdominal pain, nausea, heartburn and others.

However, even in the absence of accompanying symptoms, it is advisable to consult a doctor to identify the cause of the problem. This is especially true for children, since diseases are easier to prevent or cure at an early age.

A gastroenterologist deals with the treatment of digestive disorders, so if pathological inclusions appear in the stool, you should contact him. To make a correct diagnosis, the doctor will need to examine and interview the patient, as well as conduct a series of examinations: blood tests, stool tests for dysbacteriosis, Giardia and worm eggs.

Safe causes of inclusions

Due to certain foods

Most often, this phenomenon is observed in infants. Even one small dark spot causes parents to panic, and they begin to turn to specialists.

In the overwhelming majority of cases, adults think that black spots in the stool of young children are a consequence of diseases of the internal organs or a manifestation of the presence of worms in the child. However, we hasten to reassure you: black helminths do not exist in nature. Their usual color is white or slightly yellowish. Therefore, in children, stool with black dots in most cases occurs due to diet. It should be adjusted a little, as the stool returns to normal and the color of the stool becomes completely normal.

Bananas are the most common cause of black spots and strings in children's stool.

Foods that contain large amounts of iron can completely or partially stain stool. These include black currants, blueberries and bananas. The iron in their composition is oxidized as a result of interaction with gastric juice, which leads to a change in the color of the entire contents of the stomach and, as a result, stool.

In children, especially infants, the stomach and intestines are not yet fully developed, and therefore they cannot always immediately digest all the incoming food. Apart from milk, a certain part of the food comes out during bowel movements unchanged, usually in a light form. And the black dots against this background look like oxidized, unabsorbed iron.

Based on the same feature of the gastrointestinal tract of the child’s body, the solid parts of fruits and berries, namely seeds and peels, remain undigested. These can be pieces of persimmon, kiwi, currant seeds, raspberries, grapes or poppy seeds. That is why the dots are a one-time occurrence (unless, of course, these fruits and berries are included in the child’s daily diet).

In adults, the cause of the appearance of black spots in the stool can be the consumption of large quantities of apples or pears. The effect of these fruits is the same as that of bananas - in this case, many dark streaks are observed in the feces. Also, a lot of black spots are observed after eating beets, blood sausage and internal organs of animals, for example, the heart, kidneys or liver. Their manifestations usually disappear on their own after a couple, maximum 4-5 days. Over this period of time, this food will be completely digested and absorbed in the body, and the feces will return to their normal color.

Due to drug use

Another cause of dots in adults may be medications taken to relieve any sign of the disease. These include:

• Activated carbon;
• Vikalin;
• Ibuprofen;
• Paracetamol;
• some types of antibiotics.

Activated charcoal is more likely than all other agents to change the color of stool

The instructions included with each drug often indicate that, among other side effects, there may be darkening of the color of the stool and the presence of a certain number of blackheads. This should be taken into account if there is concern about changes in stool color. After completing the course of taking these medications, the effect usually goes away immediately.

Drug therapy for blackheads in stool

As a rule, to get rid of dark spots in stool that are not associated with diseases, it is recommended to change the diet and eliminate difficult-to-digest foods. However, in some cases this is not enough, so pharmaceutical drugs are required to normalize the digestion process:

• To normalize the intestinal microflora, drugs such as Linex Forte or Acipol are recommended. They contain beneficial bifidobacteria, which destroy pathogenic microflora in the intestines, promote digestion and normal bowel movements. They are safe and can be used for children from an early age (1 capsule 2-3 times a day), as well as for adults (2 capsules 3-4 times a day);

• In addition, medications that promote normal bile secretion may be required. Among natural herbal medicines, Chophytol or Artichoke are distinguished. Ursosan capsules are popular among doctors and their patients. They can also be used to treat infants, but for them the contents of the capsule must be divided into 3 parts and given 1/3 2 times a day. Adults can take the whole dose 2-3 times a day;

• In the presence of parasitic infections, antihelminthic drugs are prescribed: Pirantel, Vormil and the like. They are quite toxic and are only sold with a doctor's prescription. The doctor will advise a safe dosage and treatment regimen;
• Today, almost everyone needs sedatives. Of course, infants and their mothers can hold off on taking such medications, but schoolchildren and adults who often experience stress can choose herbal-based medications for themselves. They will gently relieve feelings of increased anxiety, help cope with digestive disorders and get rid of black spots in stool.

Features of treatment

If you see dark spots or black sand in the stool, you need to begin treatment procedures. Medicines that stabilize digestion and normalize metabolism are immediately prescribed. This means that you will have to think about taking probiotics, which contain a special group of bacteria that improve intestinal microflora and destroy pathogenic parasites. Such drugs do not cause harm to the body, and are even considered beneficial. In case of digestive problems, it is recommended to take these drugs up to three times a day for two weeks.

It is important to stabilize the drainage of bile, but such a task is considered difficult. You will have to take Hofitol or Ursosan and other drugs.

In cases where blackness in the stool is caused by a digestive disorder associated with the outflow of bile, one should not hope for surgical treatment. As a rule, everything cannot be done in one course; the drugs are taken according to special regimens, with short breaks.

If the presence of helminths is detected in the body, you should not hesitate - the therapeutic course begins immediately. To get rid of parasites, doctors in most cases advise taking Pirantel, Vormil, Albendazole and other medicinal compounds.

When difficulties with digesting food arise due to nervousness, sedative drugs help. Preparations based on plants work best. They create a weak effect on the central nervous system, calm, and normalize night rest.

Therapeutic diet

Dietary nutrition is aimed not only at restoring normal functioning of the gastrointestinal tract, but also to determine the cause:

• For example, it is recommended to eliminate from the menu for the coming days foods that can turn stool dark. These include: beets, prunes, red grapes, bananas;
• You should stop taking medications and vitamin complexes containing iron during this time;
• If within 5-7 days after changing the diet and stopping the medications, the black spots disappear, then the cause of the symptoms is natural and there is no need to worry about this;
• After some time, symptoms may return. This usually means that there are undigested food particles in the stool. Therefore, it is necessary to undergo drug treatment aimed at improving the functionality of the gastrointestinal tract.

Traditional medicine against blackheads in stool

Traditionally, traditional medicine recommends treating problems with bowel movements using herbal remedies:

• Take 5 g of mint and steam it with a glass of boiling water for 15 minutes. The finished infusion is filtered. Drink instead of tea;
• A tablespoon of chamomile inflorescences is brewed in a glass of boiling water. After cooling, filter. During the day, drink 100 ml 3-4 times a day;
• Take a tablespoon of sage per glass of boiling water. Filter after 30-40 minutes. Take 50 ml before each meal;
• A teaspoon of yarrow is steamed in a glass of boiling water and heated over low heat for 10 minutes, after which the decoction is drained. Take a quarter glass three times a day;
• 10 g of immortelle are steamed in a glass of boiling water and kept in a steam bath for half an hour. The finished product is filtered and the volume is adjusted to 200 ml by adding boiled water. Drink 50 ml 20 minutes before meals 3-4 times a day.

The use of traditional recipes is indicated only with the permission of a doctor.

Prevention measures

The appearance of black dots and strings in the stool of an adult or infant is a reason to visit a number of doctors. However, it is easier to prevent a problem than to treat it. Preventive measures involve a review of the diet. It is advisable to start feeding infants with foods that are common in the region of residence, and it is better to leave exotic fruits and vegetables for an older age. In addition, all products need to be ground in a blender or coffee grinder, and if this is not possible, buy ready-made baby purees.

Adults in this situation are recommended to adhere to therapeutic diet No. 5, which involves excluding fatty, fried and other heavy foods. In this case, the menu should contain cereals, steamed fruits and vegetables, lean poultry, and white fish. Starting from childhood, you should get used to fractional meals. If you eat small portions 5-6 times a day, the digestive system will be better able to process food, and there will be no blackheads or grains in the stool.

What to do?

It is necessary to consult a gastroenterologist . Depending on the examination and complaints of the patient, he will refer you for a specific examination to identify the cause of the appearance of black spots in the stool and, if necessary, prescribe treatment.

If such a symptom is not associated with an internal disease, you need to reconsider your diet. Reduce or eliminate the consumption of difficult-to-digest foods (mushrooms, nuts, seeds, lamb, pork, beef, spicy seasonings).

To suppress pathogenic microflora in the intestines, taking probiotics will help. They contain live bifidobacteria and lactobacilli that improve the digestion process: Bifiform , Narine , Linex , Atsipol , Hilak .

If necessary, to normalize bile secretion, take herbal preparations from field artichoke leaves, sandy immortelle flowers, rose hips: Hofitol , Flamin , Holosas . If the pancreas malfunctions, enzymatic preparations will help: Pancreatin , Festal , Mezim , Enzistal .

You should not self-medicate, as you can follow the “wrong trail” and waste time. It is necessary to improve the diet with healthy, freshly prepared food: all kinds of cereals, soups, salads. Fish and meat are best taken boiled or steamed. Minimum salt and spices. It is preferable to eat meals in small portions so that the gastrointestinal tract can digest the food taken.

Most people miss such an event as black spots in stool due to the fact that many simply do not have the habit of carefully examining their stool. But such a phenomenon, especially if it is repeated, should be a cause for concern.

What do the white balls indicate?

Feces may contain white specks for the following reasons:

• inflammatory process occurring in the intestines;
• the presence of parasites that have already laid eggs;
• intestinal candidiasis;
• taking medications whose remains have not yet left the body;
• erosion of the large intestine.

The course of the inflammatory process of the intestines can be recognized by the appearance of white lumps in the stool, which appear steadily over several days. If such lumps have a heterogeneous structure, then we can talk about an open focus of inflammation. In this case, a person may feel painful cramps in the stomach area throughout the day.

If the cause of the appearance of white balls in the stool is the vital activity of parasites, then this phenomenon occurs once, or for two days, but no more. After a certain time, it may arise again, but there is no permanence in such a violation. With helminthiasis, a person may notice a lack of appetite, pale skin, allergic rashes all over the body, frequent headaches and nausea. A laboratory analysis of stool can make an accurate diagnosis. In this case, the type of parasite is determined and the doctor prescribes appropriate treatment.

Another reason why white spots in the form of balls can be found in stool is candidiasis. This disease refers to fungal infections that are sexually transmitted. With this disease, the surface of the intestinal mucosa becomes covered with a white coating. Intestinal thrush can be recognized by the following symptoms:

• white particles in stool;
• itching and burning when visiting the toilet in the anorectal area;
• irritation of the skin surface near the anus;
• stomach twists;
• lack of appetite;
• unpleasant cramps in the lower abdomen;
• Rumbling in the stomach not associated with food intake.

It is important to pay attention to such signs in time and be sure to visit a doctor. Otherwise, a person may face serious complications.

Black balls in stool

Black balls in stool may be associated with a safe factor such as excessive consumption of pears, bananas or apples. All these fruits lead to dark streaks appearing in the stool. Black inclusions can also be associated with foods such as beets, liver, and blood sausage. And if this phenomenon goes away on its own after a few days, and the person does not observe any other disturbances in his well-being and body, then there is no need to worry. The food is completely digested, and the stool returns to its previous color.

Sometimes the cause of black balls in the stool can be taking certain medications. Most often this applies to activated carbon, Ibuprofen, Paracetamol, Vikalin. This reason is also considered quite safe.

Sometimes pathologies affecting the gastric and intestinal tract can cause black balls in the stool. This phenomenon is caused by bleeding, which can begin inside the body. In addition to black spots in the stool, a person may experience frequent dizziness. He may be bothered by physical weakness, he may notice paleness of the skin. Blood pressure will also decrease, and the heartbeat, on the contrary, will increase. In this case, you should immediately consult a doctor. Black balls in the stool may indicate diseases such as:

1. Haemorrhoids.
2. Gastritis, diverticulitis, gastric ulcer.
3. Crohn's disease.
4. Inflammation of the gastric mucosa.
5. The presence of a malignant tumor in one of the upper parts of the intestinal and gastric tract.

If the cause of this phenomenon is an intestinal infection, then the feces themselves turn greenish, emitting a fetid and pungent odor. At such a moment, a person complains of attacks of nausea and vomiting, his temperature rises, and the feverish state is replaced by chills.

Doctor Komarovsky's opinion

Dr. Komarovsky, who is perhaps the main authority in the field of pediatrics for all mothers, believes that when examining a child under one year old, a pediatrician should definitely inquire about his stool, since the characteristics of the stool are a very informative indicator of the baby’s health.

Changing the nature of stool, according to Dr. Komarovsky, is a completely natural process, and it begins from the moment of birth. First of all, meconium comes out of the newborn’s body, and then the characteristics of feces are determined by the type of feeding - breast or artificial.

In general, normal stool in infants is a flexible concept, since each baby may have its own norm. It is important to carefully monitor both the child as a whole and his stool. Based on its appearance, certain conclusions can be drawn:

• The appearance of a large number of white cheesy lumps indicates overeating - an excess of breast milk or formula that the digestive system does not have time to process.
• The presence of mucus in the stool of infants, according to Dr. Komarovsky, is normal, but he recommends monitoring the frequency of mucus and its volume and carefully monitoring the child’s general condition.
• If the feces have turned black, Dr. Komarovsky recommends urgently consulting a doctor. This color may be a consequence of taking certain medications, for example, antibiotics or activated carbon, but if the child did not take them, then the pediatrician must figure out the reason.

When complementary foods are introduced, changes in stool patterns occur again. During the period of adaptation of the digestive system, that is, getting used to new types of food, lumps of undigested food, mucus and even bloody streaks may be observed in the stool of infants.

This usually frightens mothers very much, but they should pay attention to the baby’s behavior: if he feels well, eats well, sleeps soundly, and is active during periods of wakefulness, then everything is fine, and changes in stool are not caused by any disease.

If such stool is accompanied by fever, nausea and vomiting, diarrhea or constipation, skin rashes, sleep and appetite disturbances, restless behavior and weight loss, then this requires immediate consultation with a doctor.

Perhaps the child is allergic to certain foods, or his body does not digest them well or does not tolerate them at all, or some errors were made in feeding - your pediatrician will help you figure out why this is happening.

By the way, Dr. Komarovsky names specific foods, frequent consumption of which can cause the appearance of dark spots in the stool, and not only in infants. These are eggs, liver and other offal. Adjust the child’s menu, reduce the amount of these products, and everything will return to normal.