Soft Stools: When to Seek Help for Gastrointestinal Issues

Bowel movement issues

Hello Doctor: For the past three weeks, my stools have mostly been soft.
I started to worry about my gastrointestinal health after the first week when my bowel movements consistently occurred shortly after I woke up in the morning, almost at the same time every day.
I visited the Gastroenterology outpatient clinic at National Taiwan University Hospital's Children's Hospital, where the doctor initially prescribed "Dulcolax" for me.
However, on the morning of February 3rd, I experienced some pain in my anus while having a bowel movement and noticed a small amount of blood when wiping, although my stool was soft, not hard.
After that, my stools were relatively normal for three days, but this morning, I encountered the same situation as on February 3rd.
Coincidentally, today, February 11th, is the day I was advised to return for a follow-up.
I informed the doctor about my situation, and he examined my anus, stating, "There are no external hemorrhoids, but there may be internal hemorrhoids that we cannot see." He then prescribed a stool softener and ointment for me.
Since my stools are currently soft, can I still take the stool softener? I am really worried about my gastrointestinal health.
Do I need to undergo a colonoscopy? Is it possible that my condition could be colon cancer? I am truly concerned.

Gao Xiansheng, 10~19 year old female. Ask Date: 2019/02/11

Dr. Chen Qifeng reply Gastroenterology and Hepatology

Based on the symptoms, it is likely a case of gastroenteritis; the most probable cause of the bleeding is indeed hemorrhoids.
If the bleeding persists, it is advisable to seek medical attention from a colorectal surgeon.

Reply Date: 2019/02/11

More Info

When it comes to gastrointestinal issues, particularly concerning soft stools, it's essential to understand the potential causes and when to seek medical attention. Based on your description, it seems you have been experiencing soft stools for the past three weeks, along with some discomfort and minor bleeding during bowel movements. This situation can understandably cause concern, especially with the fear of serious conditions like colorectal cancer.

Soft stools can result from various factors, including dietary changes, stress, infections, or underlying gastrointestinal disorders. In your case, the recent change in your diet may have contributed to the alteration in your bowel habits. A diet high in fiber, particularly from fruits and vegetables, can lead to softer stools, especially if your body is not used to such a diet. Additionally, certain medications, including laxatives or stool softeners, can also affect stool consistency.

The presence of blood, even if minimal, should not be taken lightly. While it may be related to hemorrhoids (internal or external), it could also indicate other conditions that require further investigation. Internal hemorrhoids, which are not visible externally, can cause bleeding and discomfort, especially during bowel movements. However, other potential causes of rectal bleeding include anal fissures, diverticulosis, or more serious conditions like inflammatory bowel disease (IBD) or colorectal cancer.

Given your symptoms, it is prudent to follow your doctor's advice regarding the use of stool softeners. If your stools are consistently soft, using a stool softener may help ease any discomfort associated with bowel movements. However, it is crucial to monitor your symptoms closely. If you experience persistent bleeding, significant changes in bowel habits, or if your symptoms worsen, you should seek further evaluation.

Regarding the necessity of a colonoscopy, it is often recommended when there are concerning symptoms such as unexplained weight loss, persistent changes in bowel habits, or rectal bleeding. Since you have experienced blood in your stools and ongoing gastrointestinal symptoms, discussing the possibility of a colonoscopy with your healthcare provider is advisable. This procedure can help rule out serious conditions and provide a clearer picture of your gastrointestinal health.

In summary, while soft stools can be benign and related to dietary changes or stress, the presence of blood and ongoing discomfort warrants further investigation. It is essential to maintain open communication with your healthcare provider, adhere to their recommendations, and not hesitate to seek additional care if your symptoms persist or worsen. Your health is paramount, and addressing these concerns early can lead to better outcomes.

Similar Q&A

Understanding Bowel Issues: When to Seek Medical Help

Hello Doctor, for the past 1 to 2 years, my bowel movements have been inconsistent. Sometimes I go to the bathroom 4 to 5 times a day, and other times I don’t have a bowel movement for a week. Occasionally, I feel the urge to go immediately after eating, which has been quite trou...

Dr. Chen Bingze reply Surgery
Hello, based on the above, it is still recommended to undergo a colonoscopy under general anesthesia to ensure everything is fine, which will give you more peace of mind.

Understanding Gastrointestinal Issues: When to Seek Medical Help

Hello, doctor. My cousin seems to have a very poor digestive system. Every time he eats, he has to rush to the bathroom immediately, and it's not just once; it's usually two or three times before he feels better. I would like to ask what kind of problem this symptom mig...

Dr. Chen Shidian reply Gastroenterology and Hepatology
Hello Ms. Peipei: It is likely that you have Irritable Bowel Syndrome (IBS), which can cause digestive discomfort. You may want to visit a gastroenterology clinic for a basic examination to rule out other possibilities. Additionally, adjusting your diet and managing stress, along...

Understanding Digestive Issues: When to Seek Medical Advice

Since the start of last school year (September), I have been experiencing mild pain on the sides of my abdomen and in the four corners. At that time, my bowel movements were not very smooth, and the doctor diagnosed me with constipation, advising me to drink more water and eat ve...

Dr. Luo Yining reply Gastroenterology and Hepatology
If symptoms persist or worsen despite adjustments in lifestyle and dietary habits, it is recommended to consult a pediatrician or a pediatric gastroenterologist for further evaluation and treatment.

Understanding Gastrointestinal Issues: When to Seek Medical Advice

Hello, doctor. I would like to ask about some gastrointestinal issues. I have had digestive problems since childhood; I easily get diarrhea after eating junk food (like cookies and snacks, or high-fat fried foods). I also experience abdominal pain when the weather gets cooler or ...

Dr. Chen Shidian reply Gastroenterology and Hepatology
It is likely a change related to irritable bowel syndrome. A fecal occult blood test can be performed first; if the result is negative and normal, dietary and lifestyle adjustments can be made. If necessary, medication can also be added for control, and follow-up should be conduc...