There is no stool on the toilet paper after wiping?
Hello Dr.
Ke,
For over ten years, I have been using the restroom three times a day.
Previously, I had to wipe several times to feel clean, so I specifically purchased a bidet toilet.
However, in the past two months, after using the restroom, I can wipe with toilet paper and find no traces of stool, only a slight residue when the stool is very soft.
Could you please explain the reason for this? I have both internal and external hemorrhoids, but they are not severe and I have not sought treatment, and there has been no bleeding.
I regularly undergo colonoscopy, but I haven't had one in over two years.
Additionally, I have been experiencing frequent gastrointestinal bloating lately.
Thank you.
Chen, 60~69 year old female. Ask Date: 2021/10/30
Dr. Ke Fangxu reply Surgery
Wiping with toilet paper after a bowel movement without any traces of stool indicates that the feces are well-formed and is not considered an abnormal issue.
If regular colonoscopies are being performed, there is no need for excessive concern.
Reply Date: 2021/10/30
More Info
Understanding the causes of having no residual stool after bowel movements can be multifaceted and may involve various physiological and lifestyle factors. In your case, the change in bowel habits you've described—where you previously experienced the need for multiple wipes after a bowel movement and now find that there is little to no residue—could be attributed to several potential causes.
Firstly, one of the most common reasons for a change in bowel habits is dietary changes. If you have altered your diet recently, particularly in terms of fiber intake, this could lead to softer stools that are easier to pass. A diet low in fiber can lead to harder stools, which may require more wiping. Conversely, a high-fiber diet can result in softer, bulkier stools that may not leave residue. It’s essential to maintain a balanced diet rich in fruits, vegetables, and whole grains to support healthy bowel movements.
Secondly, hydration plays a crucial role in bowel health. Adequate water intake helps to soften stools and promotes regular bowel movements. If you have been drinking less water than usual, this could contribute to changes in stool consistency and frequency.
Another factor to consider is the function of your gastrointestinal (GI) tract. Conditions such as irritable bowel syndrome (IBS) can lead to changes in bowel habits, including alterations in stool consistency and frequency. Additionally, if you have been experiencing increased bloating, as you mentioned, this could indicate that your digestive system is not processing food as efficiently as it should, potentially leading to softer stools.
Regarding your mention of hemorrhoids, while they can cause discomfort and changes in bowel habits, they typically do not directly affect the consistency of your stool. However, if you are experiencing any discomfort during bowel movements, it may lead to changes in how you approach your bathroom routine, which could indirectly affect your perception of stool residue.
It is also worth noting that the absence of residual stool does not necessarily indicate a problem, especially if your bowel movements are regular and you are not experiencing any pain or discomfort. However, if you notice any significant changes in your bowel habits, such as the frequency of bowel movements, the consistency of your stools, or if you experience any new symptoms (like pain, bleeding, or significant changes in appetite), it would be prudent to consult with a healthcare professional.
Since you mentioned that you have not had a colonoscopy in over two years, it may be a good idea to schedule one, particularly if you have a history of gastrointestinal issues or if your symptoms persist. Regular screenings can help detect any underlying conditions that may not be apparent through symptoms alone.
In summary, the changes you are experiencing could be due to dietary factors, hydration levels, or changes in your gastrointestinal function. Monitoring your diet, ensuring adequate hydration, and consulting with a healthcare provider for further evaluation and potential screening can help address your concerns and maintain your bowel health.
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