Changes in Bowel Habits: Causes and Solutions - Gastroenterology and Hepatology

Changes in bowel habits

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 out in segments.
If I don't feel completely empty, I experience discomfort in my anus (a sensation of needing to have a bowel movement), so I insist on fully evacuating, which leads to spending 1 to 2 hours in the restroom each time.
Additionally, I almost always notice mucus when wiping (I insert toilet paper to wipe), which I did not experience before.
I would like to ask the doctor what might be wrong with me.

Furthermore, I often experience abdominal pain or a sense of urgency shortly after using the restroom (or after eating something), prompting me to go again.

1.
My living situation: I currently live alone and eat out for all my meals, but I drink over 1500ml of water daily and try to eat fruit every day.
Due to work commitments, I often go to bed very late.

2.
My previous bowel habits (which I considered more normal): I have always taken a bit longer in the restroom; I can't resolve my bowel movements in just a few minutes like some people.
Sometimes, I spend too long sitting, leading to anal protrusion, and occasionally I experience fissures (resulting in bleeding).

Thank you for reading, and I appreciate your guidance.

Ms. Zheng, 20~29 year old female. Ask Date: 2017/07/03

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 bowel habits, difficulty in passing stools, anal fissures, or blood in the stool, it is advisable to follow up with a colorectal specialist and a gastroenterologist.

Reply Date: 2017/07/03

More Info

Understanding changes in bowel habits is crucial for maintaining gastrointestinal health. Your recent experiences, including prolonged straining during bowel movements, the sensation of incomplete evacuation, and the presence of mucus, suggest that there may be underlying factors contributing to these changes.

Firstly, it’s important to recognize that changes in bowel habits can stem from various causes, including dietary changes, lifestyle factors, and psychological stress. Given your description of your current diet—primarily consisting of takeout meals—it’s possible that your fiber intake is insufficient. A diet low in fiber can lead to harder stools, which may require more effort to pass and can result in the symptoms you’re experiencing, such as straining and discomfort.

Moreover, the fact that you are experiencing mucus during bowel movements can indicate irritation in the intestines. Mucus is a normal secretion of the intestines, but an increase in its production can be a response to inflammation or irritation. This could be related to dietary choices, such as high-fat or processed foods, or even stress, which can affect gut motility and function.

Your mention of frequent urges to defecate shortly after having a bowel movement, along with abdominal pain, raises the possibility of a condition known as irritable bowel syndrome (IBS). IBS is characterized by a combination of symptoms, including abdominal pain, bloating, and changes in bowel habits, which can include diarrhea, constipation, or alternating between the two. Stress and irregular sleep patterns, such as those you described, can exacerbate IBS symptoms.

In terms of your lifestyle, it’s commendable that you are staying hydrated and attempting to include fruits in your diet. However, it may be beneficial to focus on increasing your overall fiber intake through whole grains, vegetables, and legumes, which can help regulate bowel movements and improve stool consistency. Additionally, consider establishing a more regular eating schedule, as erratic meal times can disrupt digestive patterns.

Given the prolonged time you spend in the restroom and the discomfort associated with your bowel movements, it may be wise to consult a gastroenterologist. They can perform a thorough evaluation, which may include tests to rule out conditions such as inflammatory bowel disease (IBD) or other gastrointestinal disorders. A healthcare professional can also provide guidance on dietary modifications and lifestyle changes tailored to your specific needs.

In summary, changes in bowel habits can be influenced by a variety of factors, including diet, stress, and lifestyle. Increasing fiber intake, managing stress, and maintaining a regular eating schedule may help alleviate your symptoms. However, due to the complexity of gastrointestinal health, seeking professional medical advice is essential for a comprehensive assessment and appropriate management.

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