Soft Stool and Incomplete Bowel Movements: Is It Serious? - Gastroenterology and Hepatology

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Loose stools, incomplete bowel evacuation?


I am a sophomore in high school and I have anxiety and obsessive-compulsive disorder.
I have been experiencing excessive gas and previously visited a clinic where I was diagnosed with irritable bowel syndrome.
I also had a fecal occult blood test that came back normal.
However, recently I have been experiencing loose stools and a sensation of incomplete bowel evacuation.
Could this be a sign of colorectal cancer? Please, doctor, respond.

Xiao Hong, 10~19 year old female. Ask Date: 2018/08/04

Dr. Chen Shidian reply Gastroenterology and Hepatology


Hello, sir.
It is likely just the symptoms of irritable bowel syndrome and not colorectal cancer (as colorectal cancer stool tests would show blood).
Changhua Hospital cares about your health.
Chen Shidian.

Reply Date: 2018/08/04

More Info


Soft stools and feelings of incomplete bowel movements can be concerning, especially for someone in high school who is already dealing with anxiety and obsessive-compulsive disorder (OCD). However, based on the information provided and the context of your symptoms, it is important to understand that these issues are often not indicative of serious conditions like colorectal cancer, particularly at your age.

Firstly, the presence of soft stools can be attributed to a variety of factors, including dietary choices, stress, and gastrointestinal conditions such as irritable bowel syndrome (IBS). IBS is a common functional gastrointestinal disorder characterized by symptoms like abdominal pain, bloating, and changes in bowel habits, including diarrhea and constipation. Given that you have already been diagnosed with IBS, it is likely that your current symptoms are related to this condition rather than a more serious illness.

The feeling of incomplete evacuation is also a common symptom associated with IBS. This sensation can be distressing and may lead to increased anxiety about bowel health. It is essential to recognize that while these feelings can be uncomfortable, they do not necessarily indicate the presence of colorectal cancer, especially since you have had normal results from a fecal occult blood test, which is a screening tool for hidden blood in the stool that can be a sign of cancer.

Your age plays a significant role in the likelihood of developing colorectal cancer. Statistically, the risk of colorectal cancer is very low in individuals under the age of 50, and most cases occur in older adults. Additionally, the absence of alarming symptoms such as significant weight loss, persistent abdominal pain, or changes in bowel habits that last for more than a few weeks further reduces the likelihood of a serious condition.

It is also worth noting that anxiety and stress can significantly impact gastrointestinal function. The gut-brain connection is well-documented, and stress can lead to increased gastrointestinal motility, which may explain your symptoms of frequent gas and soft stools. Managing stress through relaxation techniques, therapy, or medication may help alleviate some of your gastrointestinal symptoms.

In terms of dietary adjustments, it may be beneficial to maintain a balanced diet rich in fiber, which can help regulate bowel movements. However, if you notice that certain foods exacerbate your symptoms, it may be wise to limit those. Keeping a food diary can help identify any triggers that may be contributing to your soft stools and feelings of incomplete evacuation.

If your symptoms persist or worsen, or if you develop new symptoms, it would be prudent to consult with a healthcare professional. They may recommend further evaluation or adjustments to your treatment plan. In some cases, a referral to a gastroenterologist may be appropriate for more specialized care.

In summary, while soft stools and feelings of incomplete bowel movements can be uncomfortable and concerning, they are often related to functional gastrointestinal disorders like IBS, especially in younger individuals. Given your age and the normal results from previous tests, the likelihood of colorectal cancer is low. Focus on managing stress, maintaining a balanced diet, and monitoring your symptoms, and do not hesitate to seek medical advice if needed.

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