Abnormal Bowel Movements: Causes and Solutions - Gastroenterology and Hepatology

Q: Abnormal Bowel Movements: Causes and Solutions

Hello, sir： If there are changes in your bowel habits, it is advisable to visit a hospital for examination to better determine if there are any issues. <br>Dr. <br>Cai Jin-ji, Department of Hepatobiliary and Gastroenterology, Nantou Hospital.

Abnormal bowel movements?

I used to have a regular bowel movement every morning, which would take just a few minutes.
However, in the past month, I have been experiencing frequent constipation.
The stools are somewhat dry and cracked, measuring about 5 to 6 centimeters long and 3 centimeters wide.
Sometimes they are normal, but other times they are longer and flatter, about 9 to 10 centimeters long and 2 centimeters wide, and there is no blood.
After using the restroom, I still feel the urge to go again, and the time spent in the bathroom has increased significantly; otherwise, I can't seem to pass anything.
Occasionally, I experience abdominal pain and flatulence, and I feel better after passing gas.
I am really worried and would appreciate any guidance on whether there is a problem.

dà biàn bù zhèng cháng, 40~49 year old female. Ask Date: 2020/11/06

Dr. Cai Jinji reply Gastroenterology and Hepatology

Hello, sir: If there are changes in your bowel habits, it is advisable to visit a hospital for examination to better determine if there are any issues.
Dr.
Cai Jin-ji, Department of Hepatobiliary and Gastroenterology, Nantou Hospital.

Reply Date: 2020/11/06

More Info

Abnormal bowel movements can be a source of significant concern, particularly when they deviate from your normal patterns. Based on your description, it appears you are experiencing a combination of constipation and changes in the shape and consistency of your stools. Let's break down the potential causes and solutions for your symptoms.

Possible Causes
1. Dietary Factors: One of the most common causes of constipation is inadequate fiber intake. A diet low in fruits, vegetables, and whole grains can lead to hard, dry stools that are difficult to pass. Additionally, insufficient hydration can exacerbate this issue. The recommended daily water intake is about 2 liters for most adults, but this can vary based on individual needs and activity levels.

2. Lifestyle Changes: You mentioned that your bowel habits have changed recently. If you've experienced changes in your routine, such as increased stress, decreased physical activity, or altered sleep patterns, these can all impact gastrointestinal function. Stress, in particular, can lead to changes in gut motility, potentially causing constipation or irregular bowel movements.

3. Irritable Bowel Syndrome (IBS): Given your symptoms of alternating stool consistency and abdominal discomfort, you might be experiencing IBS. This condition is characterized by a combination of symptoms, including abdominal pain, bloating, and changes in bowel habits (constipation and diarrhea). IBS is often triggered by stress, dietary choices, and lifestyle factors.

4. Medical Conditions: While less common, certain medical conditions can lead to changes in bowel habits. Conditions such as hypothyroidism, diabetes, or gastrointestinal disorders can affect how your intestines function. If your symptoms persist, it may be worth discussing these possibilities with a healthcare provider.

Solutions and Recommendations
1. Dietary Adjustments: Increase your fiber intake gradually. Aim for 25-30 grams of fiber per day from sources such as fruits, vegetables, legumes, and whole grains. Fiber helps to bulk up stool and can ease constipation. Additionally, ensure you are drinking enough water throughout the day to help soften your stool.

2. Regular Exercise: Physical activity can stimulate bowel function. Aim for at least 30 minutes of moderate exercise most days of the week. Activities like walking, jogging, or yoga can be particularly beneficial for digestive health.

3. Establish a Routine: Try to set a regular time each day for bowel movements, ideally after meals when the gastrocolic reflex is strongest. This can help train your body to have more regular bowel movements.

4. Stress Management: Since stress can significantly impact your digestive health, consider incorporating stress-reducing techniques into your routine. Practices such as mindfulness, meditation, or yoga can help manage stress levels.

5. Consult a Healthcare Provider: If your symptoms persist or worsen, it is essential to seek medical advice. A healthcare provider can perform necessary evaluations, such as blood tests or imaging studies, to rule out any underlying conditions. They may also recommend medications or supplements, such as fiber supplements or laxatives, if appropriate.

6. Monitor Symptoms: Keep track of your bowel habits, diet, and any associated symptoms. This information can be valuable for your healthcare provider in diagnosing and managing your condition.

Conclusion
Abnormal bowel movements can be distressing, but understanding the potential causes and implementing lifestyle changes can often lead to improvement. If you continue to experience symptoms or if they worsen, do not hesitate to seek medical advice. Your health is paramount, and addressing these issues early can prevent more significant complications down the line.

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