Changes in Bowel Habits: A Guide for Athletes - Gastroenterology and Hepatology

Bowel movement issues

Hello Doctor, recently my bowel habits have been that I usually have a bowel movement around noon and then again in the evening when I get home.
However, lately, the amount of stool has decreased.
The stool is neither thick nor thin, but it is short and not as long as before.
I used to have large bowel movements.
I'm an athlete and exercise every day.
Recently, I either have one large stool or many small pieces, but it’s not diarrhea; the shape is still visible.
Previously, after a bowel movement, I would wipe a lot because I wanted to be very clean, and sometimes I would even wipe until I had a small tear that bled.
But recently, after 3 or 4 wipes, I feel clean.
My abdomen is noticeably bloated, and I’m not sure what the problem is.
I’m very worried that I might have some illness.
I have been drinking more water and eating fruit with my meals, thinking it would help, but it clearly hasn’t improved, which makes me anxious.
Last night, I felt like I could have a large bowel movement, but it ended up being many small pieces, which is frustrating.
I tend to sit on the toilet for a long time while looking at my phone.
If I have a bowel movement at home, I wash my bottom with body wash to ensure it’s clean.
I want to ask the doctor what this issue might be and how I can improve it quickly.

luó mào, 10~19 year old female. Ask Date: 2021/05/07

Dr. Chen Shidian reply Gastroenterology and Hepatology

As long as there is only a change in the shape of the stool and no bleeding or weight loss, it can be monitored further.

Reply Date: 2021/05/07

More Info

Understanding changes in bowel habits is crucial, especially for athletes who often have unique dietary and physical activity patterns that can influence gastrointestinal function. Your concerns about recent changes in your bowel movements, including the size, shape, and frequency of your stools, are valid and warrant attention.

Firstly, it’s important to recognize that bowel habits can fluctuate due to a variety of factors, including diet, hydration, stress, and physical activity levels. As an athlete, your body undergoes significant physical stress, and this can affect your gastrointestinal (GI) system.
From your description, it seems you are experiencing a change from larger, more substantial stools to smaller, thinner ones. This could be indicative of several issues:
1. Dietary Changes: Even if you are consuming fruits and drinking more water, the overall composition of your diet matters. A diet low in fiber can lead to harder, smaller stools. Ensure that you are getting enough dietary fiber from whole grains, fruits, and vegetables. The recommended daily intake of fiber is about 25 grams for women and 38 grams for men.
2. Hydration: While you mentioned increasing your water intake, it’s essential to ensure that you are drinking enough fluids throughout the day, especially before and after workouts. Dehydration can lead to constipation and harder stools.

3. Physical Activity: Regular exercise is beneficial for bowel health, but if your routine has changed or if you are experiencing increased stress or fatigue, this could impact your bowel movements.
4. Bowel Habits: Spending extended periods on the toilet, especially while distracted by your phone, can sometimes lead to straining, which may affect bowel function. It’s advisable to establish a routine that allows for a relaxed and focused approach to bowel movements.

5. Potential Gastrointestinal Issues: Changes in bowel habits can sometimes indicate underlying gastrointestinal conditions, such as irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), or even food intolerances. If you notice persistent changes, abdominal pain, or blood in your stool, it is crucial to seek medical advice.

6. Stress and Anxiety: As an athlete, performance pressure can lead to stress, which may affect your digestive health. Stress management techniques, such as mindfulness, yoga, or relaxation exercises, can be beneficial.

Given your symptoms of abdominal bloating and changes in stool consistency, it would be wise to consult a healthcare professional, such as a gastroenterologist, who can conduct a thorough evaluation. They may recommend dietary adjustments, lifestyle changes, or further testing to rule out any serious conditions.

In the meantime, consider keeping a food diary to track what you eat and how it correlates with your bowel habits. This can provide valuable insights for both you and your healthcare provider. Additionally, focus on maintaining a balanced diet rich in fiber, staying well-hydrated, and managing stress effectively.

In summary, while changes in bowel habits can be concerning, they are often manageable with the right approach. By addressing dietary, hydration, and lifestyle factors, you can work towards restoring your bowel health and overall well-being. If symptoms persist or worsen, do not hesitate to seek professional medical advice.

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