Bowel Issues: What Your Stool Says About Your Health - Gastroenterology and Hepatology

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Bowel movement issues


In the past few days, I have been experiencing continuous bowel movements and have noticed that my stools are small and thin, roughly the diameter between my middle finger and ring finger.
I also observed that when the stool is slightly larger, it feels constricted, possibly due to anal sphincter contraction.
Additionally, the color of the stool is a flat yellow-green.
What caught my attention was a previous instance when the stool felt hard, but it was still thicker than what I'm experiencing now.
Since then, my situation has been the same as I described earlier, and I'm uncertain if there is an issue with my intestines.
However, today I experienced pain in my lower left abdomen, which subsided after the bowel movement.
I'm worried whether this is related to any illness! I have been having regular bowel movements once a day for some time now.
I heard that having daily bowel movements means they shouldn't be very thick; I wonder if this is true.
I would appreciate it if Dr.
Lin could respond to my concerns! QAQ

Qiu Xiansheng, 10~19 year old female. Ask Date: 2017/10/10

Dr. Lin Minghui reply Gastroenterology and Hepatology


Hello: Having a daily bowel movement is a good habit.
The condition of bowel movements, including the thickness and consistency of the stool, is related to the state of the intestines and the food consumed.
Adequate fiber and hydration help in forming well-shaped stools.
Individuals with irritable bowel syndrome may experience constipation, diarrhea, or a combination of both, with abdominal pain alleviating after a bowel movement, which is related to emotional factors.
Polyps, tumors, or strictures in the left colon can lead to thinner stools.
It is important to develop good lifestyle habits and bowel habits; if there is weight loss, anemia, blood in the stool, or frequent abdominal pain, medical attention should be sought.
Wishing you peace and health.
Sincerely, Dr.
Ming-Hui Lin, Attending Physician, Gastroenterology Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2017/10/10

More Info


Understanding bowel health is crucial, as it can provide significant insights into your overall well-being. The characteristics of your stool—such as size, shape, color, and consistency—can indicate various health issues, and it's essential to pay attention to these details.

From your description, it seems you are experiencing changes in your bowel movements, specifically noting that your stools are smaller and thinner than usual, with a yellow-green color. The size of your stools, particularly if they are consistently thin (like the size of your fingers), can be a sign of several potential issues. In general, healthy stools should be well-formed, smooth, and about the diameter of a banana. Thin stools can sometimes indicate that there is a narrowing in the colon, which could be due to several factors, including inflammation, strictures, or even more serious conditions like tumors.
The color of your stool is also significant. Yellow-green stools can result from a variety of factors, including dietary choices, rapid transit through the intestines, or malabsorption issues. If your diet includes a lot of green vegetables or foods with artificial coloring, this could explain the color. However, if the color persists or is accompanied by other symptoms, it may warrant further investigation.

You mentioned experiencing left lower abdominal pain that subsided after a bowel movement. This could suggest several things, including gas buildup, constipation, or even irritable bowel syndrome (IBS). IBS is a common functional gastrointestinal disorder characterized by symptoms like abdominal pain, bloating, and changes in bowel habits (diarrhea or constipation). Stress and dietary habits often exacerbate IBS symptoms.

Regarding your concern about the frequency of bowel movements, it is generally considered normal to have a bowel movement anywhere from three times a week to three times a day. Regular daily bowel movements can be a sign of good digestive health, but the size and consistency of the stool are equally important. If you are experiencing daily bowel movements but they are consistently small and thin, this may not be ideal.

It's also worth noting that if you have been experiencing hard stools in the past, this could indicate a history of constipation, which can lead to straining during bowel movements. Straining can cause discomfort and may lead to issues such as hemorrhoids or anal fissures, which can also contribute to changes in stool size and shape.

If you are concerned about these symptoms, it is advisable to consult a healthcare professional. They may recommend tests such as a stool analysis, imaging studies, or a colonoscopy to rule out any underlying conditions. It's essential to address any significant changes in bowel habits, especially if they are accompanied by pain, blood in the stool, or other concerning symptoms.

In summary, while daily bowel movements are generally a good sign, the characteristics of your stool are equally important. Pay attention to any changes, and don't hesitate to seek medical advice if you have concerns about your bowel health. Early intervention can often lead to better outcomes and peace of mind.

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