Digestive Issues: Unusual Stool and Gas Symptoms - Gastroenterology and Hepatology

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Bowel movement issues


Doctor, I would like to ask you about my recent digestive issues.
I've noticed that my bowel movements haven't been very good lately.
Sometimes my stools are formed but appear in small pieces, and other times I experience a loose stool sensation, although it's not completely watery; the shape is still visible, but there are many pieces floating on the surface of the water.
I've been paying more attention to my stools, and I've noticed that they often have small red specks, but there is no blood when I wipe.
The color of the stool seems normal.
However, I do find myself passing gas frequently, which is not foul-smelling, and my stomach often makes noises, especially when I lie down at night.
I don't experience any pain in my abdomen, but I do tend to sit on the toilet for about 10 minutes while using my phone.

Today, during my bowel movement, I noticed many small, formed pieces.
Afterward, I started passing gas again.
When I finished using my phone and wiped, the color was normal, but I noticed small red specks that were stuck to the stool, appearing as small clumps.
Additionally, I observed a thin layer of white foam floating on top of my stool, but it was just a small amount.
I remember experiencing something similar in the past, but I didn't think much of it then.
Now, I'm curious to ask about it.

Also, I usually wash my bottom with water and soap after a bowel movement.
Is this okay? Doctor, please help me with these questions!

471, 10~19 year old female. Ask Date: 2020/08/04

Dr. Chen Shidian reply Gastroenterology and Hepatology


It may be irritable bowel syndrome caused by abnormal diet or lifestyle.
You can continue to observe and reduce the intake of dairy and fatty foods.
If necessary, you may visit a gastroenterology clinic for stool testing and medication management.

Reply Date: 2020/08/04

More Info


Digestive issues can be quite concerning, especially when they manifest in unusual stool characteristics and excessive gas. Based on your description, it seems you are experiencing a combination of irregular stool shapes, possible mucus or bubbles in your stool, and increased flatulence. Let’s break down these symptoms and explore potential causes and solutions.


Unusual Stool Characteristics
1. Irregular Shapes and Colors: The fact that your stool varies from being well-formed to more liquid-like can indicate several things. A common cause for this fluctuation is dietary changes. Foods high in fiber, such as fruits, vegetables, and whole grains, can lead to more formed stools, while a diet high in fats or sugars can result in looser stools. Additionally, the presence of red specks could be concerning. While it may not be blood, it could indicate undigested food particles or even irritation in the gastrointestinal tract. If the red specks persist, it would be wise to consult a healthcare professional for further evaluation.

2. Bubbles or Foam on Stool: The appearance of a white, bubbly layer on your stool could be due to the presence of undigested fats or gas bubbles. This can occur if your body is having difficulty digesting certain foods, particularly those high in fat or if you have a condition like malabsorption.

Increased Flatulence
Excessive gas can be attributed to several factors, including:
- Diet: Certain foods are known to produce more gas, such as beans, lentils, carbonated beverages, and dairy products (especially if you are lactose intolerant). If you have recently increased your intake of these foods, it could explain the increased flatulence.

- Swallowing Air: If you tend to eat quickly or talk while eating, you may be swallowing air, which can lead to increased gas production.

- Gut Health: An imbalance in gut bacteria can also lead to increased gas. Probiotics may help restore balance and reduce gas production.


Recommendations for Improvement
1. Dietary Adjustments: Consider keeping a food diary to track what you eat and how it affects your digestion. Reducing intake of gas-producing foods and increasing fiber gradually can help regulate your bowel movements. Foods like yogurt with probiotics can also promote gut health.

2. Hydration: Ensure you are drinking enough water throughout the day. Proper hydration aids digestion and can help prevent constipation.

3. Eating Habits: Slow down while eating to minimize air swallowing. Chewing food thoroughly can also aid in digestion.

4. Physical Activity: Regular exercise can help stimulate digestion and reduce bloating and gas.

5. Monitor Symptoms: If your symptoms persist or worsen, especially the presence of red specks in your stool or any other concerning changes, it is essential to consult a healthcare provider. They may recommend tests to rule out conditions like inflammatory bowel disease, infections, or other gastrointestinal disorders.


Hygiene Practices
Regarding your habit of using water with bubbles to clean after bowel movements, this practice is generally safe as long as you are using clean water and gentle products. However, be cautious with any products that may irritate the skin. If you notice any discomfort or irritation, consider switching to a milder soap or using plain water.


Conclusion
Digestive issues can often be managed with lifestyle and dietary changes, but it is crucial to pay attention to your body’s signals. If you experience persistent symptoms or any alarming changes, seeking medical advice is always the best course of action. Your health is paramount, and understanding your digestive health can lead to better overall well-being.

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