Stool Thickness: When to Worry About Your Bowel Movements - Gastroenterology and Hepatology

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Stool diameter


Is stool that is approximately the thickness of a marker considered thin? How thin does stool need to be to be considered thin enough to warrant attention and further examination? Sometimes I pass stool that is about the size of a whiteboard marker, and it is quite long.
Occasionally, I experience urgent diarrhea, but I usually do not have abdominal pain, and my bowel habits in terms of timing and frequency are mostly regular, with diarrhea occurring only occasionally.
I am concerned about the thickness of my stool, and I would greatly appreciate your response.
Thank you!

Stanley, 30~39 year old female. Ask Date: 2020/10/28

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: A change in stool caliber to a thinner shape is a non-specific manifestation among the many symptoms of colorectal cancer.
Additionally, in clinical practice, if there is narrowing of the colonic lumen, diarrhea is the most common presentation rather than a change in stool thickness.
If you have concerns, you may consult a gastroenterologist for further evaluation, such as fecal occult blood testing or endoscopy.
Changhua Hospital cares about your health.
Dr.
Tsai An-Shun.

Reply Date: 2020/10/28

More Info


When it comes to understanding bowel movements, the thickness and consistency of your stool can provide important clues about your digestive health. In general, stool is considered to be of normal thickness if it resembles the size of a banana or a sausage. A stool that is about the thickness of a marker, such as a Sharpie, may be considered on the thinner side, but it is not necessarily a cause for alarm.
However, when evaluating whether you should be concerned about the thickness of your stool, it is essential to consider other factors, including the frequency of your bowel movements, any accompanying symptoms, and changes in your stool's characteristics over time. For instance, if you notice that your stool is consistently thinner than usual, particularly if it resembles the size of a whiteboard marker or pencil, it could indicate a potential issue that warrants further investigation.

Thinner stools can sometimes be a sign of a narrowing of the colon, which may be caused by various factors, including inflammation, infection, or even more serious conditions such as colorectal cancer. However, it is also important to note that temporary changes in stool thickness can occur due to dietary changes, stress, or gastrointestinal infections.
In your case, since you mentioned that you occasionally experience diarrhea but do not have abdominal pain, it may be helpful to monitor your bowel habits closely. If your stool continues to be consistently thin, or if you experience other concerning symptoms such as blood in your stool, significant changes in your bowel habits, or unexplained weight loss, it would be advisable to consult a healthcare professional for a thorough evaluation.

Additionally, maintaining a healthy diet rich in fiber, staying hydrated, and managing stress can help promote regular bowel movements and overall digestive health. If you are experiencing anxiety related to your bowel movements, it may also be beneficial to address this with a mental health professional, as anxiety can sometimes exacerbate gastrointestinal symptoms.

In summary, while a stool thickness similar to that of a marker may not be immediately concerning, it is essential to consider the overall context of your bowel health. If you have ongoing concerns or notice significant changes, seeking medical advice is the best course of action. Regular check-ups and open communication with your healthcare provider can help ensure that any potential issues are addressed promptly and effectively.

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