Bowel Issues: When to Consider a Colonoscopy

Bowel issues

Hello Doctor, I have noticed that for the past two to three weeks, my stools have become thinner and have indentations.
Sometimes I also experience diarrhea and some mucus in my stool.
Do you think I need to get a colonoscopy? Thank you.

D, 10~19 year old female. Ask Date: 2020/07/08

Dr. Ke Fangxu reply Surgery

There is no need to worry at 19 years old; such conditions are caused by hemorrhoids.
It is advisable to avoid constipation and shorten the time spent during bowel movements.
If you are still concerned, you may consult a physician for a digital rectal examination.

Reply Date: 2020/07/08

More Info

When it comes to bowel issues, particularly changes in stool consistency and the presence of mucus, it is important to consider a variety of factors before deciding whether to undergo a colonoscopy. Based on your description of experiencing thinner stools with indentations, occasional diarrhea, and mucus, there are several potential underlying causes that warrant further investigation.

Firstly, changes in stool shape, such as becoming thinner or having indentations, can sometimes indicate a narrowing of the bowel, which may be due to several conditions, including inflammatory bowel disease (IBD), colorectal polyps, or even malignancies. The presence of mucus can also be a sign of inflammation or irritation in the gastrointestinal tract. Given these symptoms, a colonoscopy could be a valuable diagnostic tool to visualize the inner lining of the colon and rectum, assess for any abnormalities, and potentially take biopsies if necessary.

In general, the following symptoms are indicators that a colonoscopy may be warranted:
1. Changes in Bowel Habits: Any significant change in bowel habits, such as persistent diarrhea, constipation, or changes in stool shape, especially if they last for more than a few weeks.

2. Presence of Blood or Mucus: If you notice blood in your stool or an increase in mucus, this could indicate an underlying condition that needs to be evaluated.

3. Unexplained Weight Loss: If you are experiencing weight loss without trying to lose weight, this could be a sign of a more serious issue.

4. Abdominal Pain: Persistent or severe abdominal pain, especially if it is associated with changes in bowel habits, should be evaluated.

5. Family History: A family history of colorectal cancer or other gastrointestinal diseases can also increase your risk and may necessitate earlier screening.

In your case, since you have been experiencing these symptoms for two to three weeks, it would be prudent to consult with a healthcare provider. They may recommend a colonoscopy to rule out any serious conditions, especially since your symptoms could potentially indicate inflammatory bowel disease or other gastrointestinal disorders.

Additionally, while you mentioned that you have not experienced any other alarming symptoms such as significant weight loss or severe abdominal pain, it is still important to take these changes seriously. Early detection of any potential issues can lead to more effective treatment options and better outcomes.

In conclusion, based on your symptoms of thinner stools with indentations, occasional diarrhea, and mucus, it is advisable to discuss the possibility of a colonoscopy with your healthcare provider. They can provide a thorough evaluation and determine the best course of action based on your individual health needs. Remember, it is always better to err on the side of caution when it comes to changes in bowel habits and gastrointestinal health.

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