Variations in Stool Consistency: When to Seek Help - Gastroenterology and Hepatology

Q: Variations in Stool Consistency: When to Seek Help

Hello： It is normal for the latter part of the stool to be softer, which may result in softer or thinner stools, and in some cases, it may even appear pasty. <br>If the stool occult blood test is normal, there is no need to worry too much. <br>However, if you are at high risk (fo

The stool is mushy at the end?

Hello, doctor.
I have been experiencing issues related to my bowel movements and would like to ask for your advice.
I typically have a bowel movement once a day, but the amount can vary.
Sometimes, when I sit for a longer period, the amount is greater.
Usually, the initial part of the stool is harder and coarser, sometimes resembling the thickness of a 50 NT dollar coin, and is about 10 centimeters long.
The color tends to be darker.
However, after passing the initial stool, the latter part is usually thinner, about half the thickness of the first part, softer, with a somewhat mushy surface, and tends to be sticky.
The shape is segmented, somewhat resembling piped cream, and the color is more yellow.
Is this pattern of bowel movements normal? Could the characteristics of the latter stool be due to it spending less time in the intestines? Thank you for your response.
I have also had a fecal occult blood test that came back normal.
Thank you.

LU, 20~29 year old female. Ask Date: 2022/12/28

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: It is normal for the latter part of the stool to be softer, which may result in softer or thinner stools, and in some cases, it may even appear pasty.
If the stool occult blood test is normal, there is no need to worry too much.
However, if you are at high risk (for example, with a family history of colorectal cancer), it is advisable to consult a gastroenterologist to evaluate whether a colonoscopy is necessary.
Changhua Hospital cares about your health.
Dr.
Tsai An-Shun.

Reply Date: 2022/12/28

More Info

When it comes to variations in stool consistency, it is essential to understand that stool characteristics can be influenced by various factors, including diet, hydration, and gastrointestinal health. Based on your description, it seems that you experience a range of stool consistencies, from harder and bulkier stools at the beginning of your bowel movement to softer, more formed stools towards the end.
In general, normal stool can vary in consistency, color, and shape. The Bristol Stool Chart is a useful tool for categorizing stool types, ranging from Type 1 (hard lumps) to Type 7 (liquid with no solid pieces). Your description suggests that you may be experiencing a mix of Type 1 or Type 2 at the beginning and possibly Type 4 or Type 5 towards the end of your bowel movement.
The fact that your stools start off harder and then transition to softer stools could be attributed to several factors. One possibility is that the harder stools are a result of dehydration or insufficient fiber intake, which can lead to constipation. As the stool moves through the intestines, it may absorb more water, resulting in a softer consistency towards the end.
Another consideration is the transit time of the stool in your gastrointestinal tract. If the stool spends a longer time in the colon, it may become harder due to water absorption. Conversely, if the stool moves through the intestines more quickly, it may not have enough time to absorb water, leading to softer stools.
Your observation that the latter part of your stool is thinner and more segmented could indicate that the stool is being formed differently as it passes through the rectum. This is not uncommon and can happen due to variations in the muscle contractions of the intestines.
While your stool characteristics may not immediately indicate a serious issue, it is essential to monitor any changes. If you experience additional symptoms such as abdominal pain, significant changes in bowel habits, blood in the stool, or unexplained weight loss, it would be prudent to seek medical attention.
In your case, since you have already undergone a fecal occult blood test that returned normal, this is a positive sign. However, if you continue to have concerns about your bowel movements or if you notice any new symptoms, it may be beneficial to consult with a healthcare provider. They can perform a more thorough evaluation, which may include dietary assessments, stool studies, or imaging studies if necessary.

In summary, variations in stool consistency can be normal, but it is crucial to pay attention to your body and any accompanying symptoms. Maintaining a balanced diet rich in fiber, staying hydrated, and being mindful of your bowel habits can help promote healthy digestion. If you have any doubts or concerns, do not hesitate to reach out to a healthcare professional for personalized advice and support.

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