Bowel Issues: Is Your Diet Causing Irregularities? - Gastroenterology and Hepatology

Bowel issues

Hello, my bowel movements usually occur after breakfast.
For the past year, my stools have not been formed; they are often in small pieces and sometimes in a mushy consistency.
I would like to know if this is related to my breakfast, which mostly consists of porridge.
However, even on days when I don't eat porridge, my stools are still unformed.
Is it abnormal for stools not to be in a formed shape? Additionally, there have been a few instances where I noticed blood on the toilet paper after wiping, and I experienced a burning sensation in the anus for a while after bowel movements.
The next day, there was no blood, but I have had a burning sensation for several days after bowel movements.
Could this be anal fissures or hemorrhoids? Should I be concerned? Thank you.

Niming, 20~29 year old female. Ask Date: 2020/12/14

Dr. Lin Minghui reply Gastroenterology and Hepatology

Hello, having stool that is not formed into a shape does not necessarily indicate a problem.
Increasing fiber intake and ensuring adequate hydration can help in achieving more formed stools and smoother bowel movements.
If there is blood when wiping after a bowel movement, along with a burning sensation in the anus, common causes could include hemorrhoids or anal fissures.
Prolonged bleeding may sometimes lead to anemia and palpitations.
It is advisable to seek a diagnosis if there is rectal bleeding.
Wishing you health and safety! Sincerely, Dr.
Ming-Hui Lin, Attending Physician, Gastroenterology Department, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2020/12/14

More Info

When it comes to bowel issues, particularly irregularities in stool shape and consistency, diet plays a crucial role. Based on your description, it seems that you have been experiencing changes in your bowel movements, including the presence of non-formed stools, occasional blood on toilet paper, and a burning sensation after bowel movements. These symptoms can be concerning and may indicate underlying gastrointestinal issues.

Firstly, the fact that your stools are not forming into a typical cylindrical shape could be related to several factors, including dietary choices, hydration levels, and overall gut health. Consuming a diet primarily consisting of porridge, as you mentioned, may not provide sufficient dietary fiber, which is essential for promoting healthy bowel movements. Fiber helps to bulk up the stool and facilitates its passage through the intestines. If your diet lacks adequate fiber, it can lead to softer, more fragmented stools or even diarrhea.

Additionally, the presence of blood on toilet paper and the burning sensation you experience after bowel movements could suggest conditions such as anal fissures or hemorrhoids. Anal fissures are small tears in the lining of the anus, often caused by passing hard stools, and can lead to pain and bleeding during bowel movements. Hemorrhoids, on the other hand, are swollen veins in the rectal area that can also cause discomfort and bleeding. Both conditions can be exacerbated by straining during bowel movements or having irregular stool consistency.

To address these issues, consider the following recommendations:
1. Increase Fiber Intake: Aim to incorporate more fiber-rich foods into your diet. This includes fruits, vegetables, whole grains, legumes, and nuts. A gradual increase in fiber can help improve stool consistency and promote regular bowel movements.

2. Stay Hydrated: Ensure you are drinking enough water throughout the day. Adequate hydration is essential for softening stools and preventing constipation.

3. Monitor Your Diet: Pay attention to how different foods affect your bowel movements. If you notice that certain foods, such as spicy or fatty foods, exacerbate your symptoms, it may be beneficial to limit or avoid them.

4. Consider Probiotics: Probiotics can help restore the balance of healthy bacteria in your gut, which may improve digestion and stool consistency. You can find probiotics in fermented foods like yogurt, kefir, sauerkraut, and kimchi, or consider taking a probiotic supplement.

5. Consult a Healthcare Professional: Given the presence of blood and the burning sensation, it is advisable to consult a healthcare provider, preferably a gastroenterologist. They can perform a thorough evaluation, which may include a physical examination, stool tests, or imaging studies, to rule out any serious conditions.

6. Avoid Straining: When using the bathroom, try to relax and avoid straining, as this can worsen hemorrhoids and fissures. If you find it difficult to pass stools, consider using a stool softener or a fiber supplement after consulting with a healthcare professional.

In summary, irregularities in bowel movements can often be linked to dietary habits and lifestyle factors. By making adjustments to your diet, increasing fiber and hydration, and seeking medical advice when necessary, you can work towards improving your bowel health and alleviating your symptoms. Remember, it is essential to listen to your body and seek help if you notice persistent or worsening symptoms.

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