Bowel Issues: Narrow Stools and Constipation Concerns

Colorectal bowel issues

Hello doctor, I have a question.
Recently, over the past two weeks, I have noticed that my stools have become thinner.
I also have a history of constipation.
After researching online, I suspect that my constipation may have led to the development of colorectal polyps.
In the past, I would typically have bowel movements about 3 to 4 times a week, sometimes only twice, and it was often difficult to pass stools.
I might have difficulty due to weak intestinal muscles, and I had to strain to have a bowel movement.
However, in the past few days, I have been having bowel movements almost every day, but the stools are thin and not much in quantity.
Each time I have to strain, otherwise, it feels like nothing will come out, and the amount is very small, which is quite distressing for me.
However, there is no blood during bowel movements.
Could you please explain this to me, doctor? Thank you.

ds2007wwe, 30~39 year old female. Ask Date: 2021/03/06

Dr. Chen Shidian reply Gastroenterology and Hepatology

Fecal occult blood testing can be performed, and it is advisable to increase the intake of fruits and vegetables.
If necessary, medication can be used for further management.

Reply Date: 2021/03/06

More Info

The symptoms you are experiencing, particularly the narrowing of your stools and ongoing constipation, can be concerning and warrant a thorough evaluation. Narrow stools, often described as "pencil-thin," can sometimes indicate an obstruction or a mass in the colon, such as polyps or even more serious conditions like colorectal cancer. However, it is essential to consider other factors that may contribute to your symptoms.

Given your history of constipation, it is possible that the narrowing of your stools is related to the straining you experience during bowel movements. Chronic constipation can lead to changes in bowel habits and stool consistency. When you are constipated, the stool can become hard and difficult to pass, leading to straining. Over time, this can cause changes in the shape of your stool, resulting in thinner stools. Additionally, if you are experiencing difficulty in passing stool, it may be due to a functional issue with your intestines or pelvic floor dysfunction.

The fact that you have been able to have bowel movements more frequently recently, albeit with narrow stools, is a positive sign. However, the need to strain during bowel movements and the small quantity of stool produced can indicate that your bowel is not functioning optimally. This could be due to a variety of factors, including dietary habits, hydration levels, and possibly underlying gastrointestinal conditions.

It is crucial to address your concerns with a healthcare professional, particularly a gastroenterologist, who can perform a thorough evaluation. This may include a physical examination, a review of your medical history, and possibly imaging studies or a colonoscopy to rule out any structural abnormalities such as polyps or tumors. Given your concerns about potential polyps due to your history of constipation, a colonoscopy would be particularly important, especially if you are over the age of 50 or have a family history of colorectal cancer.

In the meantime, consider making some lifestyle changes that may help alleviate your symptoms. Increasing your fiber intake through fruits, vegetables, and whole grains can help improve stool consistency and promote regular bowel movements. Staying well-hydrated is also essential, as adequate fluid intake can help soften stool and make it easier to pass. Regular physical activity can stimulate bowel function and help alleviate constipation.

If dietary changes alone do not improve your symptoms, your doctor may recommend over-the-counter laxatives or stool softeners to help ease your bowel movements. However, it is essential to use these medications under the guidance of a healthcare professional to avoid dependency or worsening of your symptoms.

In summary, while narrowing of stools and constipation can be concerning, they can also be related to functional issues or dietary factors. It is essential to consult with a healthcare provider to determine the underlying cause and appropriate management strategies. Early intervention can help prevent potential complications and improve your overall gastrointestinal health.

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