Stool Surface Marks: When to Seek Medical Advice - Gastroenterology and Hepatology

Q: Stool Surface Marks: When to Seek Medical Advice

Hello Ms. <br>Chen： You can take a photo and then schedule an appointment with the colorectal department to discuss it with the attending physician. <br>Director Cai Jin-ji of the Hepatobiliary and Gastroenterology Department at Nantou Hospital.

Stool surface markings

Hello, doctor.
I had a fecal occult blood test this year, and the results were normal.
Recently, my bowel movements have been once a day, with soft but formed stools.
The color is normal, slightly yellow, and the thickness is neither too thick nor too thin.
There is some mucus present, and the initial part of the stool is thicker, which seems normal.
However, the end of the stool is thinner and sometimes shows streaks on the surface (similar to the marks left when scooping ice cream; the grooves are not deep, but they are noticeable).
These surface streaks occur occasionally, not every time.
Could you please advise if this pattern of bowel movements is considered normal? I have been hesitant to undergo a colonoscopy.
What recommendations do you have, doctor? Thank you.

Miss Chen, 20~29 year old female. Ask Date: 2022/12/19

Dr. Cai Jinji reply Gastroenterology and Hepatology

Hello Ms.
Chen: You can take a photo and then schedule an appointment with the colorectal department to discuss it with the attending physician.
Director Cai Jin-ji of the Hepatobiliary and Gastroenterology Department at Nantou Hospital.

Reply Date: 2022/12/19

More Info

When it comes to understanding stool characteristics and when to seek medical advice, it's important to recognize that variations in stool appearance can be influenced by a variety of factors, including diet, hydration, and overall gastrointestinal health. Based on your description, it seems that your bowel movements are generally normal, with a few specific observations that warrant further discussion.

Stool Characteristics
1. Consistency and Frequency: You mentioned that your stools are soft but formed, and you have a regular bowel movement once a day. This is typically considered normal. The Bristol Stool Chart categorizes stool types, and types 1 and 2 are considered constipated, while types 3 and 4 are normal. Your description suggests you are likely in the normal range.

2. Color: The color of your stool being normal and leaning towards yellow is generally acceptable. Stool color can vary based on diet; for instance, foods rich in beta-carotene (like carrots) can give a yellowish hue, while dark brown is often considered the standard.

3. Surface Marks: The presence of surface marks or grooves on your stool, resembling the pattern left by an ice cream scoop, can be concerning but is not necessarily indicative of a serious issue. These marks may result from the stool's interaction with the intestinal walls or the shape of the rectum during passage. However, if these marks are consistently present or accompanied by other symptoms, it might warrant further investigation.

4. Mucus: The occasional presence of mucus in stool can be normal, especially if it is not accompanied by other symptoms like blood, severe pain, or changes in bowel habits. Mucus can be produced by the intestines as a lubricant, but excessive mucus could indicate an underlying condition.

When to Seek Medical Advice
While your current symptoms may not seem alarming, there are specific situations where you should consider consulting a healthcare provider:
- Persistent Changes: If you notice a persistent change in your bowel habits, such as a significant increase in mucus, blood in the stool, or a change in stool color (especially if it turns black or red), you should seek medical advice.

- Accompanying Symptoms: If you experience additional symptoms such as abdominal pain, weight loss, or changes in appetite, these could be signs of a more serious condition that requires evaluation.

- Family History: If you have a family history of gastrointestinal diseases, such as colorectal cancer or inflammatory bowel disease, it may be prudent to discuss your symptoms with a healthcare provider, even if they seem mild.

The Importance of Colonoscopy
You mentioned hesitance regarding a colonoscopy. While this procedure can be intimidating, it is a valuable diagnostic tool for identifying potential issues within the colon, including polyps, inflammation, or cancer. If your healthcare provider recommends it based on your symptoms or family history, it is worth considering. Early detection of any abnormalities can significantly improve treatment outcomes.

Conclusion
In summary, while your current stool characteristics appear to be within a normal range, it is essential to remain vigilant about any changes. If you have concerns or if symptoms persist, do not hesitate to reach out to a healthcare professional for personalized advice. They can provide reassurance, conduct necessary examinations, and guide you on the best course of action for your health. Remember, proactive healthcare is key to maintaining good health and preventing potential issues down the line.

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