Is It Normal to Have Bowel Movements Every Few Days? Frequency and Health - Gastroenterology and Hepatology

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What is considered a normal bowel movement frequency?


Hello Doctor, my father is 78 years old and has difficulty swallowing.
He is currently eating only liquid or pureed foods, and his intake is not substantial, approximately having a bowel movement every three days.
However, he is very anxious and believes that it is necessary to have a bowel movement every day to be considered normal.
If he does not have a bowel movement in a day, he tends to spend a lot of time in the bathroom hoping to go, and the lack of bowel movement affects his mood, which in turn puts a lot of pressure on my mother who is caring for him.
Therefore, I would like to consult whether it is necessary to have a daily bowel movement to be considered normal, and if having a bowel movement every two to three days is acceptable.
Additionally, given his current dietary restrictions, what methods can help facilitate smoother bowel movements? Thank you for taking the time to respond, and I wish you peace and health.
Best regards, Xiao Zuo.

Xiao Zuo, 40~49 year old female. Ask Date: 2021/02/04

Dr. Lin Minghui reply Gastroenterology and Hepatology


Hello: It is a good thing if elderly individuals can have a bowel movement every day.
Dietary recommendations include eating smaller, more frequent meals and increasing fiber intake.
Encourage patients to use the restroom after meals, especially after breakfast, to help establish a regular bowel habit, which can facilitate easier bowel movements.
In addition to monitoring fiber intake and ensuring adequate hydration, it is also important to increase physical activity.
Attention should also be given to any psychological issues; reassure patients that if they are unable to have a bowel movement, there are medications and laxatives available to help alleviate symptoms.
Additionally, review whether other medications may be contributing to constipation.
Wishing you peace and health! Sincerely, Dr.
Ming-Hui Lin, Attending Physician, Gastroenterology Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2021/02/04

More Info


When it comes to bowel movements, the frequency can vary significantly from person to person. For your father, who is 78 years old and has swallowing difficulties leading to a diet of primarily liquid or pureed foods, having a bowel movement every three days can be considered within the normal range, especially given his dietary restrictions.
The typical range for bowel movement frequency is anywhere from three times a week to three times a day. Factors such as diet, hydration, physical activity, and individual health conditions all play a crucial role in determining what is normal for a specific person. In your father's case, the fact that he is consuming a limited diet may contribute to less frequent bowel movements.
It's important to note that anxiety about bowel habits can exacerbate the situation. The psychological aspect of bowel movements is significant; stress and anxiety can lead to changes in bowel habits, including constipation. Your father's belief that he must have a bowel movement every day may create unnecessary pressure, which could further complicate his situation.

To help promote regular bowel movements, especially given his current dietary limitations, consider the following strategies:
1. Hydration: Ensure that your father is drinking enough fluids. Adequate hydration is essential for softening stool and promoting regular bowel movements. If he is on a liquid diet, encourage him to consume clear broths, juices, and water.

2. Dietary Fiber: Although his diet is limited, if possible, incorporate fiber-rich foods that are easy to swallow. For example, pureed fruits like applesauce or mashed bananas can provide some fiber. If he can tolerate it, consider adding a fiber supplement that can be mixed into his liquid diet.

3. Physical Activity: Encourage gentle physical activity as tolerated. Even light movements can stimulate bowel function. If he is able, short walks or simple movements while seated can be beneficial.

4. Routine: Establishing a regular routine for bathroom visits can help. Encourage him to try to use the bathroom at the same times each day, even if he does not feel the urge. This can help train his body to recognize when it is time to go.

5. Consult a Healthcare Provider: Given your father's age and health conditions, it is essential to consult with a healthcare provider about his bowel habits. They may recommend specific medications or treatments to help manage constipation, especially if it becomes a persistent issue.

In summary, while daily bowel movements are often considered the norm, having a bowel movement every few days can be acceptable, particularly in the context of your father's dietary restrictions and age. It is crucial to address both the physical and psychological aspects of his bowel habits to alleviate his anxiety and improve his overall well-being. If concerns persist, seeking guidance from a healthcare professional is advisable to ensure that there are no underlying health issues contributing to his bowel habits.

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