Changes in Bowel Habits: When to Seek Medical Advice - Gastroenterology and Hepatology

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Bowel movement issues


Hello Doctor, I am 20 years old.
My bowel movement frequency used to be once every three days, but after experiencing gastroenteritis, it has changed to once a day.
The stool is deep brown, shaped like a log, and breaks apart when it comes into contact with water.
Occasionally, I experience sharp pains in my abdomen.
I'm unsure if this is related to my diet, as I have recently been taking traditional Chinese medicine and eating purple rice.
If it’s not related, I wonder if I need to undergo a fecal occult blood test.
Additionally, I would like to ask about my previous bowel habits; when I had bowel movements every three days, the stool volume was larger and harder (but I could complete the process smoothly within one or two minutes).
Now that I am having bowel movements daily, the volume is smaller, and the stool is softer and thinner.
Is this related, and does it count as a change in bowel habits? I am very concerned about the possibility of cancer or other diseases.

Jke, 20~29 year old female. Ask Date: 2020/10/15

Dr. Chen Shidian reply Gastroenterology and Hepatology


It can be observed further.

Reply Date: 2020/10/15

More Info


Understanding changes in bowel habits is crucial for maintaining gastrointestinal health, and it can often be a source of anxiety for many individuals. In your case, you mentioned a significant change in your bowel habits following an episode of gastroenteritis, transitioning from a frequency of once every three days to once daily. This shift, along with the changes in the consistency and appearance of your stool, warrants careful consideration.

Firstly, let's define what constitutes a change in bowel habits. Generally, a change is considered significant if there is a noticeable alteration in the frequency, consistency, or appearance of your stool. For instance, if you previously had a regular pattern of bowel movements and suddenly experience diarrhea, constipation, or a change in stool color or consistency, it may indicate an underlying issue that requires further investigation.

In your situation, the fact that your stool has become softer and less voluminous, combined with occasional abdominal pain, could be linked to several factors, including dietary changes, stress, or the lingering effects of your previous gastrointestinal infection. The introduction of new foods, such as purple rice, or changes in your diet due to traditional Chinese medicine, could also influence your bowel habits. Foods high in fiber can lead to softer stools, while low-fiber diets can result in harder stools.
The color of your stool, described as deep brown, is generally considered normal. However, the fact that your stool disintegrates upon contact with water may suggest a higher water content, which is typical for softer stools. It's important to monitor any additional symptoms, such as blood in the stool, significant changes in weight, or persistent abdominal pain, as these could be red flags for more serious conditions, including colorectal cancer.

Regarding your concern about the need for a fecal occult blood test (FOBT), this test is typically recommended if there are symptoms suggestive of gastrointestinal bleeding or if there are significant changes in bowel habits that persist over time. Since your symptoms have changed following an illness and you are experiencing some discomfort, it may be prudent to discuss this with your healthcare provider. They can assess your symptoms in the context of your medical history and determine whether further testing is necessary.

In terms of your anxiety about potential diseases, it's essential to remember that while changes in bowel habits can be concerning, they are not always indicative of serious conditions. Stress and anxiety can significantly impact gastrointestinal function, leading to symptoms such as abdominal pain and altered bowel habits. If you find that your anxiety is affecting your daily life or exacerbating your gastrointestinal symptoms, it may be beneficial to seek support from a mental health professional.

In summary, while your changes in bowel habits are noteworthy, they may not necessarily indicate a serious underlying condition, especially if they are related to a recent illness. However, it is crucial to maintain open communication with your healthcare provider, monitor your symptoms closely, and seek medical advice if you notice any alarming changes. Regular check-ups and discussions about your gastrointestinal health can help alleviate concerns and ensure that any potential issues are addressed promptly.

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