Increased Bowel Movements: Is It IBS or Hemorrhoids?

Increased frequency of bowel movements?

I have recently experienced difficulty fully evacuating my bowels, feeling like there is still something left despite my abdomen feeling empty.
When I continue to strain, I pass softer stools that are accompanied by mucus.
Previously, I felt the urge to defecate, but only mucus would come out, and there has been no blood.
My bowel habits have changed, and the stool consistency varies.
(In recent days, the feeling of incomplete evacuation has become more pronounced, leading me to suspect hemorrhoids.) The sensation seems to be localized at the anal opening, but there is no blood.
My bowel movements have also increased to about 5 to 6 times a day.
Could this be irritable bowel syndrome, or is it hemorrhoids?

Ryan, 10~19 year old female. Ask Date: 2022/10/02

Dr. Chen Shidian reply Gastroenterology and Hepatology

If there is only an abnormal sensation of peristalsis, increase the intake of fruits and vegetables and engage in more physical activity, then continue to monitor the situation.

Reply Date: 2022/10/02

More Info

Increased bowel movements can be a source of concern, especially when accompanied by changes in stool consistency and frequency. Based on your description, it appears that you are experiencing a significant increase in bowel movements, with some episodes resulting in loose stools and mucus. This situation raises the question of whether you are dealing with Irritable Bowel Syndrome (IBS) or hemorrhoids.

IBS is a functional gastrointestinal disorder characterized by a combination of symptoms, including abdominal pain, bloating, and altered bowel habits, which can manifest as diarrhea, constipation, or alternating between the two. The exact cause of IBS is not fully understood, but it is believed to involve a combination of gut motility issues, visceral hypersensitivity, and psychosocial factors. In your case, the increased frequency of bowel movements (5-6 times a day) and the presence of mucus in your stool could suggest a form of IBS, particularly if you also experience abdominal discomfort or pain.

On the other hand, hemorrhoids are swollen veins in the lower rectum and anus that can cause symptoms such as pain, itching, and sometimes bleeding during bowel movements. While hemorrhoids can lead to discomfort and a sensation of incomplete evacuation, they typically do not cause an increase in bowel frequency. The absence of blood in your stool is a positive sign, as it may indicate that hemorrhoids are less likely to be the primary issue.

Given your symptoms, it is essential to consider several factors that could contribute to your condition:
1. Dietary Habits: A diet low in fiber can lead to constipation, which may cause straining during bowel movements and contribute to the development of hemorrhoids. Conversely, a sudden increase in fiber intake can lead to increased bowel movements and loose stools. It is crucial to maintain a balanced diet rich in fiber, including fruits, vegetables, and whole grains, while also ensuring adequate hydration.

2. Stress and Anxiety: Psychological factors can significantly impact gut health. Stress and anxiety can exacerbate IBS symptoms, leading to increased bowel frequency and changes in stool consistency. If you are experiencing heightened stress, it may be beneficial to explore relaxation techniques or speak with a mental health professional.

3. Medications: Certain medications can affect bowel habits. If you are taking any new medications or supplements, it is worth discussing with your healthcare provider to determine if they could be contributing to your symptoms.

4. Medical Evaluation: Since your symptoms have changed and increased in frequency, it is advisable to consult with a healthcare professional for a thorough evaluation. They may recommend tests such as stool analysis, blood tests, or imaging studies to rule out other conditions, including infections or inflammatory bowel disease.

In conclusion, while your symptoms may suggest IBS, it is essential to seek medical advice for a proper diagnosis and treatment plan. Managing IBS often involves dietary modifications, stress management, and sometimes medications to help regulate bowel movements. If hemorrhoids are suspected, your healthcare provider can recommend appropriate treatments to alleviate discomfort. Remember, early intervention can lead to better management of your symptoms and improved quality of life.

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