Is Sudden Change to Regular Bowel Movements a Cause for Concern?

Sudden improvement in bowel movements?

I have had difficulty with bowel movements since childhood; there were times when I could go a week without a bowel movement.
However, just before I turned 30, my bowel movements suddenly became regular.
Earlier this year, I underwent hemorrhoidectomy at Tri-Service General Hospital in Neihu, and the doctor advised me to have a colonoscopy afterward.
The surgery was successful, and the doctor did not inform me about the results of the colonoscopy.
Recently, I came across a case of a middle-aged man, around 50 years old, who also experienced a sudden improvement in bowel movements, which then became increasingly narrow, along with a poor appetite.
He was later diagnosed with stage III colorectal cancer after going to the hospital for an examination.
Therefore, I would like to ask the doctor if a sudden improvement in bowel movements is normal.

jack fun, 30~39 year old female. Ask Date: 2016/10/24

Dr. Chen Qifeng reply Gastroenterology and Hepatology

The key symptoms in your case are the increasingly narrow stools and loss of appetite, rather than a change from constipation to regular bowel movements.
Additionally, you have undergone a colonoscopy this year with no issues (if there were any problems, the physician would have informed you), so there is no need for concern.

Reply Date: 2016/10/24

More Info

Sudden changes in bowel habits can indeed be a cause for concern, particularly when there is a notable shift from a history of constipation to more regular bowel movements. While many factors can contribute to changes in bowel habits, including dietary changes, increased physical activity, stress, and medical conditions, it is essential to approach these changes with caution, especially given your history of bowel issues and recent surgical intervention.

In your case, the transition from infrequent bowel movements to more regular ones could be attributed to several factors. For instance, after undergoing a hemorrhoidectomy, it is common for individuals to experience changes in bowel habits due to alterations in diet, pain management, and the body's healing process. The surgery may have alleviated some of the discomfort associated with bowel movements, allowing for a more regular schedule. Additionally, if you have made any lifestyle changes, such as increasing fiber intake or physical activity, these could also contribute to improved bowel regularity.

However, the concern arises when changes in bowel habits are accompanied by other symptoms. In the case you mentioned about the 50-year-old man, the combination of increased frequency of bowel movements, changes in stool caliber (becoming thinner), and decreased appetite are red flags that warrant further investigation. These symptoms can be indicative of underlying conditions, including colorectal cancer, particularly if there is a history of constipation followed by a sudden change in bowel habits.

The Bristol Stool Scale can be a helpful tool in assessing stool consistency and shape. Normal stool is typically classified as types 3 and 4, which are sausage-shaped and smooth. If your stools have become consistently thinner or if you notice any changes in color, consistency, or the presence of blood or mucus, these are significant indicators that should prompt further evaluation.

Given your concerns and the potential risk factors associated with colorectal cancer, it would be prudent to consult with a gastroenterologist for a thorough evaluation. This may include a colonoscopy, which is the gold standard for detecting abnormalities in the colon, including polyps or tumors. Additionally, discussing your family history and any other symptoms you may be experiencing will provide your healthcare provider with valuable information to guide their assessment.

In summary, while a sudden change to more regular bowel movements can be a positive development, it is essential to remain vigilant about any accompanying symptoms. Regular monitoring of your bowel habits, maintaining a healthy diet, and seeking medical advice when changes occur are crucial steps in ensuring your gastrointestinal health. If you have any concerns or experience new symptoms, do not hesitate to reach out to your healthcare provider for further evaluation and peace of mind.

Similar Q&A

Unexpected Changes in Bowel Habits: What Does It Mean?

I have had irritable bowel syndrome since I was 15, often alternating between diarrhea and constipation, sometimes going a week without a bowel movement. Two months ago, after recovering from viral gastroenteritis, my bowel movements have become more regular, occurring two times ...

Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: If the changes lead to a more normal state, there should be no need for excessive concern. It is important to maintain normalcy, which may require paying more attention to diet and lifestyle, ensuring adequate hydration, fiber intake, exercise, and appropriately managing s...

Understanding Sudden Changes in Bowel Movements: What to Know

Hello: Recently, I experienced two embarrassing incidents where I suddenly felt the urge to pass gas, but when I exerted pressure, it turned out to be watery stool instead. I had a similar situation last month as well. On those days, I did not have any abdominal pain or diarrhea....

Dr. Lü Shaoren reply Gastroenterology and Hepatology
Hello, Xiao Zhuang: This is an incidental situation. Upon evaluation, the anal sphincter appears to be functioning normally. You may continue to monitor the situation or visit a nearby medical facility to have a more thorough assessment by a gastroenterologist. Sincerely, Directo...

Understanding Sudden Changes in Bowel Habits: Causes and Concerns

Hello, doctor. I originally had a habit of constipation, and my stools were hard. However, a few days ago, I suddenly started experiencing intermittent abdominal pain without any urge to have a bowel movement until I went to the bathroom and strained, which resulted in some soft,...

Dr. Chen Zhiping reply Gastroenterology and Hepatology
Hello, sometimes hard stools can become impacted in the rectum, leading to the passage of watery stools instead. I recommend that you visit a hospital for an abdominal X-ray. If necessary, the physician may also arrange for a colon examination. Sincerely, Dr. Chen Zhi-Ping, Inter...

Sudden Changes in Bowel Habits: When to Seek Medical Attention

Hello Doctor: I used to have regular bowel movements, at least once a day, but for about a week now, I have hardly had any bowel movements. I have been drinking water and eating fruits, but I just don't feel the urge to have a bowel movement at all. Recently, I have also sud...

Dr. Ke Fangxu reply Surgery
It is common for bowel movements to decrease when food intake is reduced. Prolonged reduction in food intake can lead to the body adapting, resulting in a lack of hunger. However, maintaining a normal diet and regular routine is essential for sustaining health. Seeking medical at...