Changes in bowel habits
I usually have regular bowel movements 1-2 times a day, primarily in the morning to noon.
However, in the past five days, the frequency has increased to 4-5 times a day.
The first two or three times are still concentrated in the morning, with a reasonable amount and a relatively smooth passage, although it takes longer than usual.
The stools are soft, sticky, and brown in color.
Sometimes they are complete cylindrical shapes with a diameter of 2-3 cm, while other times they are fragmented.
There have also been occurrences of larger, ragged-edged loose stools.
There are no watery stools or blood in the stool, nor have I experienced large hard stools.
Afterward, I often feel the urge to defecate, averaging 2-3 additional trips to the restroom, but I either pass only a small amount after releasing gas or cannot pass stool despite feeling the need (there should be stool present, as some stool liquid is expelled).
Occasionally, I feel like I haven't fully emptied my bowels.
For the past 7-8 months, I have experienced bloating and acid reflux (a doctor at Cathay General Hospital believes I have a psychosomatic disorder).
I was treated for Helicobacter pylori last October, and in the past month, I have had mild dizziness.
Currently, my symptoms, aside from the abnormal bowel movements, include occasional feelings of heaviness and churn in my abdomen, along with a sensation of needing to have diarrhea (though I have not actually had diarrhea).
When my abdomen feels heavy, I experience low mood and fatigue (but no actual diarrhea).
I also have a constant feeling of tightness around the anus (possibly due to frequent restroom visits), and I experience occasional mild, intermittent pain in various locations (sometimes in the lower right abdomen, sometimes in the lower left abdomen, sometimes near the appendix, and occasionally even pelvic pain).
After using the restroom or passing gas, I feel somewhat better, and my symptoms are less pronounced from night until morning.
I would appreciate Dr.
Tsai's insights on the possible causes of these symptoms.
Ke Xiansheng, 50~59 year old female. Ask Date: 2016/10/27
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: I am not sure if you have undergone gastroscopy or colonoscopy.
Your symptoms may indicate rapid gastric motility.
It is advisable to avoid irritant foods, smoking, alcohol, tea, and caffeine.
You should consult a gastroenterologist for a detailed diagnosis.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.
Reply Date: 2016/10/27
More Info
Understanding changes in bowel habits can be quite complex, as they can be influenced by a variety of factors including diet, stress, physical activity, and underlying medical conditions. In your case, the increase in bowel movements from a regular 1-2 times a day to 4-5 times over the past five days, along with the changes in stool consistency and the sensation of incomplete evacuation, warrants a closer look.
Firstly, it is important to note that changes in bowel habits can often be benign and related to lifestyle factors. For instance, dietary changes, such as increased fiber intake from fruits and vegetables, can lead to more frequent bowel movements and softer stools. If you have recently altered your diet or increased your intake of certain foods, this could explain the changes you are experiencing. Additionally, hydration levels play a crucial role in stool consistency; increased fluid intake can lead to softer stools.
Stress and anxiety can also significantly impact gastrointestinal function. The gut-brain axis is a well-established concept in medicine, indicating that psychological factors can influence gut motility and function. Your mention of a history of "精神官能症" (psychoneurosis) suggests that stress may be a contributing factor to your symptoms. Stress can lead to increased bowel activity, resulting in more frequent trips to the bathroom and changes in stool consistency.
The presence of abdominal bloating and discomfort, along with the sensation of incomplete evacuation, may indicate a condition known as irritable bowel syndrome (IBS). IBS is characterized by a combination of symptoms including altered bowel habits, abdominal pain, and bloating, often exacerbated by stress or dietary factors. It is essential to consider whether your symptoms align with this diagnosis, especially since you have a history of gastrointestinal issues.
The fact that you have not experienced any blood in your stool, nor have you had watery diarrhea, is reassuring. However, the sensation of incomplete evacuation and the presence of abdominal discomfort should not be overlooked. These symptoms can sometimes be associated with more serious conditions, including inflammatory bowel disease (IBD) or even colorectal cancer, although these are less likely given your age and the absence of alarming symptoms such as weight loss or significant changes in appetite.
Given your history of Helicobacter pylori infection and the recent onset of dizziness, it may be beneficial to follow up with a healthcare provider for a thorough evaluation. They may recommend further testing, such as blood tests, stool tests, or imaging studies, to rule out any underlying conditions. Additionally, keeping a symptom diary that tracks your bowel habits, dietary intake, and stress levels can provide valuable information for your healthcare provider.
In conclusion, while changes in bowel habits can often be attributed to benign factors such as diet and stress, it is essential to monitor your symptoms closely. If your symptoms persist or worsen, seeking medical advice is crucial to ensure that any potential underlying issues are addressed. Maintaining a balanced diet, managing stress, and staying hydrated can also help in managing your symptoms effectively.
Similar Q&A
Understanding Changes in Bowel Habits: When to Seek Medical Advice
Hello Doctor: My usual bowel movement frequency is once a day, but for the past two weeks, I've experienced an increase to twice a day on about half of those days. Additionally, it seems that my flatulence frequency has also increased. However, the shape of my stool has not ...
Dr. Chen Shidian reply Gastroenterology and Hepatology
It is likely influenced by diet and lifestyle, and further observation is recommended.[Read More] Understanding Changes in Bowel Habits: When to Seek Medical Advice
Understanding Changes in Bowel Habits: Causes and Solutions
Hello Dr. Lin, In recent months, I have noticed a change in my bowel habits. At the beginning of each bowel movement, it goes relatively smoothly, but after passing some stool, I have to exert a lot of effort for a long time to pass a little more, resulting in the stool coming ...
Dr. Lin Minghui reply Gastroenterology and Hepatology
It is recommended to increase fluid and fiber intake (not just from fruits), engage in moderate exercise, maintain a positive mood, and ensure adequate sleep. Given your age, you may be more susceptible to irritable bowel syndrome. However, if you experience long-term changes in ...[Read More] Understanding Changes in Bowel Habits: Causes and Solutions
Changes in Bowel Habits: Understanding Gastrointestinal Concerns
Hello doctor, after the Lunar New Year in mid-February, I suddenly had diarrhea and experienced abdominal discomfort. I went to see a doctor who diagnosed me with gastroenteritis. Now, in the past couple of days, I've had a few instances of very small stools, and I used to g...
Dr. Xu Kaixi reply Surgery
Although changes in gastrointestinal function and bowel habits are considered abnormal, since a colonoscopy was performed a year and a half ago with no abnormalities found except for hemorrhoids, the current symptoms are likely related to gastroenteritis rather than gastrointesti...[Read More] Changes in Bowel Habits: Understanding Gastrointestinal Concerns
Understanding Changes in Bowel Habits: When to Seek Medical Advice
Hello Doctor: I have had gastrointestinal issues since childhood, often experiencing abdominal pain. I usually have a bowel movement after breakfast every day. However, about a year ago, my bowel habits changed from after breakfast to after lunch. In the past four months, my bowe...
Dr. Yu Mingchang reply Surgery
Please return to the colorectal clinic.[Read More] Understanding Changes in Bowel Habits: When to Seek Medical Advice
Related FAQ
Bowel Movement
(Gastroenterology and Hepatology)
Stool(Gastroenterology and Hepatology)
Constipation(Gastroenterology and Hepatology)
Bowel-Related(Gastroenterology and Hepatology)
Obesity(Gastroenterology and Hepatology)
Bowel Sounds(Gastroenterology and Hepatology)
Diet(Gastroenterology and Hepatology)
Cecum(Gastroenterology and Hepatology)
Irritable Bowel Syndrome(Gastroenterology and Hepatology)
Hemorrhoids(Gastroenterology and Hepatology)