Changes in Bowel Habits: When to Seek Medical Advice - Surgery

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Changes in bowel habits?


Hello Doctor: I have had gastrointestinal issues since childhood, often experiencing abdominal pain.
I usually have a bowel movement after breakfast every day.
However, about a year ago, my bowel habits changed from after breakfast to after lunch.
In the past four months, my bowel habits have become irregular; sometimes I may not feel the urge to go for a day, and when I do, it is often accompanied by mucus.
My stool is sometimes dark brown but mostly yellow.
I have noticed blood in my stool three times: once I found red blood during wiping, and another time there were blood stains around the toilet bowl, with bright red blood on the toilet paper.
Regarding my dietary habits, I don't drink much water and often eat out.

Niming, 20~29 year old female. Ask Date: 2018/11/12

Dr. Yu Mingchang reply Surgery


Please return to the colorectal clinic.

Reply Date: 2018/11/12

More Info


Understanding changes in bowel habits is crucial for maintaining digestive health and identifying potential underlying issues. In your case, the changes you've experienced, including a shift in your bowel movement schedule and the presence of mucus and blood, warrant careful consideration and possibly further medical evaluation.


Definition of Changes in Bowel Habits
Changes in bowel habits can be defined as any significant alteration in the frequency, consistency, or appearance of stool. This includes variations such as increased or decreased frequency of bowel movements, changes in stool consistency (from hard to loose or watery), and the presence of unusual substances like mucus or blood. For instance, a normal bowel habit for many individuals is anywhere from three times a week to three times a day. Any deviation from your typical pattern, especially if accompanied by other symptoms, should be taken seriously.


Your Symptoms
From your description, it appears that you have experienced several concerning symptoms:
1. Irregular Bowel Movements: Transitioning from a regular post-breakfast routine to a more unpredictable schedule can indicate an underlying issue, especially if it’s accompanied by discomfort.

2. Presence of Mucus: The presence of mucus in your stool can be a sign of irritation in the intestines, which may be due to conditions such as irritable bowel syndrome (IBS), infections, or inflammatory bowel disease (IBD).

3. Blood in Stool: Notably, the presence of blood—whether bright red on toilet paper or darker in the stool—should never be ignored. This can indicate a range of issues from hemorrhoids to more serious conditions like diverticulitis or colorectal cancer.


Dietary and Lifestyle Factors
Your dietary habits, particularly the infrequent consumption of water and reliance on external food sources, can significantly impact your digestive health. A diet low in fiber and hydration can lead to constipation and exacerbate gastrointestinal issues. It is essential to incorporate more fruits, vegetables, and whole grains into your diet, as these foods are rich in fiber and can help regulate bowel movements. Additionally, increasing your water intake is crucial; aim for at least 8 cups (64 ounces) of water daily, adjusting based on your activity level and climate.


When to Seek Medical Advice
Given your symptoms, it is advisable to seek medical attention, especially considering:
- The presence of blood in your stool.

- The irregularity of your bowel movements.

- The ongoing abdominal pain and discomfort.

A healthcare provider may recommend diagnostic tests such as a colonoscopy or imaging studies to rule out serious conditions. These tests can provide valuable insights into the health of your gastrointestinal tract and help identify any potential issues early on.


Conclusion
In summary, while changes in bowel habits can sometimes be benign, your symptoms—particularly the presence of blood and mucus—suggest that a thorough evaluation is warranted. It is essential to maintain open communication with your healthcare provider about your symptoms and dietary habits. By addressing these issues proactively, you can work towards restoring your digestive health and preventing future complications. Remember, early intervention is key in managing gastrointestinal health effectively.

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Dr. Yu Mingchang reply Surgery
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