Changes in Stool Patterns: What You Need to Know - Gastroenterology and Hepatology

Q: Changes in Stool Patterns: What You Need to Know

Hello： You can observe for a few more days to see if there are any changes in your diet. <br>If the symptoms persist without improvement, you may consider visiting a gastroenterologist based on your condition. <br>Changhua Hospital cares about your health. <br>Dr. <br>Tsai An-Shu

Change in stool consistency?

I typically have a bowel movement 2 to 3 times a day, and my stools are usually normal.
However, recently I have noticed a change in my bowel habits.
The first bowel movement of the day, which usually occurs after I wake up, has become less complete; although the stools are still shaped like a log, they are more fragmented.
Throughout the day, I may have 2 to 3 more bowel movements, but they feel different from before.
Recently, I have experienced a sensation of incomplete evacuation, and a few days ago, I had some small, watery stools that resembled diarrhea.
In the past few days, my later bowel movements have become more fragmented and in pieces, but still not much volume, and I often feel like I haven't fully emptied my bowels.
Sometimes, I even experience a sudden urge that causes me to have loose stools as soon as I sit on the toilet.
What could be the cause of this? I am worried it might be colon cancer, and I am wondering if I should observe my symptoms for a few more days.

A Yu, 20~29 year old female. Ask Date: 2017/11/15

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: You can observe for a few more days to see if there are any changes in your diet.
If the symptoms persist without improvement, you may consider visiting a gastroenterologist based on your condition.
Changhua Hospital cares about your health.
Dr.
Tsai An-Shun.

Reply Date: 2017/11/15

More Info

Changes in stool patterns can be concerning, and it's understandable to feel anxious about potential underlying health issues, including the fear of colorectal cancer. However, it's important to approach this situation with a clear understanding of what might be happening and when to seek medical advice.

Firstly, let's break down the changes you've described. You mentioned that you typically have a bowel movement 2 to 3 times a day, and that your stools were previously normal but have now become more fragmented and sometimes watery. The sensation of not fully evacuating your bowels can be uncomfortable and may indicate a few different things.

1. Dietary Changes: One of the most common reasons for changes in bowel habits is a shift in diet. If you've recently altered your food intake—whether by eating more fiber, consuming more processed foods, or changing your hydration levels—this could impact the consistency and frequency of your stools. A diet low in fiber can lead to harder, more fragmented stools, while a sudden increase in fiber without adequate hydration can cause bloating and irregular bowel movements.

2. Stress and Anxiety: Psychological factors can also play a significant role in gastrointestinal health. Stress and anxiety can lead to changes in bowel habits, including diarrhea or constipation. If you've been experiencing increased stress, this could be a contributing factor.

3. Gastrointestinal Infections: If you've had episodes of watery stools or diarrhea, this could suggest a gastrointestinal infection, which might be viral or bacterial. Infections can lead to inflammation in the intestines, resulting in changes in stool consistency and frequency.

4. Irritable Bowel Syndrome (IBS): IBS is a common functional gastrointestinal disorder characterized by symptoms like abdominal pain, bloating, and changes in bowel habits. If your symptoms persist, it might be worth considering this diagnosis.

5. More Serious Conditions: While the fear of colorectal cancer is valid, especially if you are experiencing significant changes in bowel habits, it's important to note that many benign conditions can cause similar symptoms. However, if you notice blood in your stool, persistent abdominal pain, unexplained weight loss, or if your symptoms do not improve after a few days, it is crucial to seek medical attention.

Given your symptoms, it would be wise to monitor your condition closely for any additional changes. If your bowel habits do not return to normal within a week or if you experience any alarming symptoms (such as blood in your stool, severe pain, or significant weight loss), you should consult a healthcare professional. They may recommend tests such as a stool analysis, colonoscopy, or imaging studies to rule out any serious conditions.

In the meantime, consider keeping a food diary to track what you eat and how it correlates with your bowel movements. Staying hydrated and maintaining a balanced diet rich in fiber can also help regulate your bowel habits.

In summary, while changes in stool patterns can be concerning, they are often due to benign causes. However, it is essential to remain vigilant and seek medical advice if symptoms persist or worsen. Your health is paramount, and a healthcare provider can help you navigate these changes effectively.

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