Digestive Issues: Causes of Frequent Bowel Movements and Oil in Stool - Gastroenterology and Hepatology

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Bowel and gastrointestinal issues?


Hello Doctor: Previously, I experienced some gastrointestinal discomfort.
My bowel movement frequency changed from once every 2 to 3 days to 2 to 3 times a day, occurring mostly in the morning to noon.
I often noticed floating oil.
After visiting the doctor and taking medication, although the discomfort has improved, my daily bowel movement frequency remains the same.
The stools are small and thin, with a mushy surface, and there is no floating oil anymore.
Today, one stool was thicker, about 3 to 4 centimeters long, while the others remained the same.
During my second trip to the restroom, the stool was loose and sank to the bottom with floating oil again.
Could this be related to the oily lunch I had on Wednesday? Also, I would like to ask if this is gastroenteritis or irritable bowel syndrome.

Rem, 10~19 year old female. Ask Date: 2016/08/07

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: It is recommended to pay attention to your diet and avoid consuming high-fat foods.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2016/08/07

More Info


The presence of oil in your stool and changes in your bowel habits can indeed be concerning, and it's understandable that you're seeking clarity on these symptoms. Based on the information provided, there are several potential causes for your symptoms, which can range from dietary factors to underlying gastrointestinal issues.

Firstly, the appearance of oil in your stool, especially after consuming a greasy meal, can often be attributed to malabsorption. This means that your body is not effectively absorbing fats from the food you eat, leading to excess fat being excreted in your stool. This can occur due to various reasons, including pancreatic insufficiency, where the pancreas does not produce enough digestive enzymes, or conditions affecting the small intestine, such as celiac disease or Crohn's disease.
In your case, since you mentioned that your stool has been softer and more frequent, it could suggest a functional gastrointestinal disorder, such as irritable bowel syndrome (IBS) or gastroenteritis. IBS is characterized by a combination of symptoms, including abdominal pain, bloating, and changes in bowel habits, which can include diarrhea or constipation. Gastroenteritis, on the other hand, often presents with diarrhea, abdominal cramps, and sometimes vomiting, typically following an infection or foodborne illness.

The fact that you have experienced an increase in bowel movements from every 2-3 days to 2-3 times a day, along with the presence of oil, could indicate that your digestive system is reacting to something, possibly an infection or a dietary change. If you recently consumed a particularly oily meal, it could have exacerbated the situation, leading to the oily appearance of your stool.
It's also worth noting that stress and anxiety can significantly impact gastrointestinal function. If you've been under stress, this could contribute to symptoms of IBS, which can manifest as increased bowel frequency and changes in stool consistency.
Given that you've already consulted a doctor and received medication, it's essential to continue monitoring your symptoms. If the changes in your bowel habits persist or worsen, or if you experience additional symptoms such as significant abdominal pain, weight loss, or blood in your stool, it would be prudent to seek further evaluation. This may include stool tests to check for infections, imaging studies to assess the pancreas and intestines, or even a referral to a gastroenterologist for more specialized care.

In summary, while dietary factors, particularly high-fat meals, can contribute to the presence of oil in your stool, it's crucial to consider other potential underlying conditions. Keeping a food diary to track what you eat and how it correlates with your symptoms can be beneficial. Additionally, maintaining a balanced diet rich in fiber, staying hydrated, and managing stress can help improve your digestive health. If symptoms persist, further medical evaluation will be necessary to rule out any serious conditions and to tailor an appropriate treatment plan.

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