Mucus in Stool During Pregnancy: When to Seek Help - Gastroenterology and Hepatology

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Mucous stools during pregnancy?


Hello Doctor: I am currently 21 weeks pregnant.
I have been experiencing constipation during my pregnancy, with stool resembling sheep feces, and there has been some rectal bleeding.
I have bowel movements 2-3 times a week.
Until week 20, I noticed that when I woke up in the morning and passed gas, I would also expel mucus that was pinkish in color, without any abdominal pain, and this lasted for two days.
After that, the symptoms disappeared, but the amount of stool passed is very small, in little pieces, and there has been no rectal bleeding.
I am still having bowel movements about 2-3 times a week.
Should I see a gastroenterologist for further evaluation, or should I wait and observe for a while?

Yuan Yuan, 20~29 year old female. Ask Date: 2017/03/19

Dr. Cai Jinji reply Gastroenterology and Hepatology


It is recommended to first visit a colorectal surgeon to check for hemorrhoids or to determine if further examination is needed.

Reply Date: 2017/03/19

More Info


During pregnancy, experiencing changes in bowel habits and stool consistency can be concerning, especially when accompanied by symptoms such as mucus in the stool or rectal bleeding. Given your situation, where you are currently 21 weeks pregnant and have been dealing with constipation, it's important to address your symptoms carefully.

Firstly, the presence of mucus in the stool can be attributed to several factors, including dietary changes, hormonal fluctuations, and the physical pressure of the growing uterus on the intestines. Mucus is a normal component of stool, but when it appears in larger amounts or is accompanied by other symptoms, it can indicate an underlying issue. The pinkish color of the mucus you described could be a sign of irritation or minor bleeding, which may be related to hemorrhoids, especially since you mentioned experiencing rectal bleeding.

Constipation during pregnancy is quite common due to hormonal changes that slow down the digestive system and the physical pressure from the uterus. The fact that you are having bowel movements only 2-3 times a week and that your stools are small and hard (resembling sheep feces) suggests that you may be experiencing significant constipation. This can lead to discomfort and may contribute to the bleeding you have experienced.

Here are some recommendations for managing your symptoms:
1. Dietary Changes: Increase your intake of fiber-rich foods such as fruits, vegetables, whole grains, and legumes. Fiber helps to soften the stool and promote regular bowel movements. Additionally, ensure you are drinking plenty of water to stay hydrated, as this can also help alleviate constipation.

2. Physical Activity: If you are able, engage in regular physical activity, such as walking. Exercise can stimulate bowel function and help relieve constipation.

3. Monitor Symptoms: Keep track of your symptoms. If the mucus returns or if you experience any new symptoms, such as severe abdominal pain, significant bleeding, or changes in your bowel habits, it is important to seek medical attention.

4. Consult Your Healthcare Provider: Given your symptoms, it would be prudent to consult with your obstetrician or a gastroenterologist. They can evaluate your symptoms in the context of your pregnancy and determine if further investigation is needed. This is especially important if you experience persistent mucus, significant changes in bowel habits, or if the bleeding recurs.

5. Avoid Self-Medication: While some over-the-counter remedies for constipation are safe during pregnancy, it is essential to consult your healthcare provider before taking any medication or supplement.

In summary, while some mucus in stool can be normal, the combination of constipation, rectal bleeding, and the appearance of mucus warrants a thorough evaluation. It is always better to err on the side of caution, especially during pregnancy. Your healthcare provider can provide personalized advice and treatment options to ensure both your health and the health of your baby.

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Due to operational issues, I received it after the deadline. I apologize for the inconvenience.

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