Stool Consistency Changes: When to Seek Medical Advice

Issues with stool diameter?

January 16: 1.
Mild nausea with slight vomiting sensation.
2.
Bowel movements three times (two watery stools with no odor, one stool slightly black, one normal color).
No other abnormalities.
3.
Noticeable increase in heart rate and anxiety.
-------------------------------------------------------------- January 17: After seeing a doctor, no nausea or vomiting, but slight burping increased.
Normal stool color in the morning, but somewhat thin.
In the evening, another bowel movement with yellowish color, one and a half times, soft stool.
------------------------ January 18: No nausea or vomiting, two times.
Normal stool color in the morning, soft stool appears normal with no floating bubbles.
------------------------ January 19: No nausea or vomiting, three times (except feeling hungry).
Normal stool color in the morning, formed and normal thickness.
Had diarrhea in the afternoon!! <<<------------------------ January 20: Took medication (Xinfengming) <<< No nausea or vomiting, four times.
Morning bowel movement with normal color, somewhat flattened.
No other abnormalities.
Afternoon bowel movement once, normal color, somewhat flattened, slightly thicker but the latter part was softer and more scattered.
1.
No abdominal pain, no dizziness / Stool color ranges between golden yellow and brownish yellow.
2.
Earlier stools were thin, roughly a bit thicker than a finger.
/ In the following days, although there was about one and a half times, it was not much and mostly flattened (but not completely flattened, the amount is small, although there were occasional loose stools, but not watery).
3.
Bowel movements averaged 1-2 times.
/ No related diseases at home.
The above is the condition over the past few days >>> I would like to ask if this is a serious illness? The clinic doctor said it was just norovirus, and regarding the thickness returning to normal, he said it was not a concern (I tend to be anxious and nervous by nature).

Mr. Chen, 20~29 year old female. Ask Date: 2023/01/21

Dr. Chen Shidian reply Gastroenterology and Hepatology

It is only a mild gastrointestinal dysfunction; as long as the weight is normal, dietary management is sufficient.

Reply Date: 2023/01/21

More Info

When it comes to understanding changes in stool consistency and knowing when to seek medical advice, it’s important to consider several factors, including the characteristics of the stool, accompanying symptoms, and any underlying health conditions. Based on your detailed observations over the past few days, it seems that you have been monitoring your bowel movements closely, which is a good practice.
From your description, it appears that you have experienced fluctuations in stool consistency, with occurrences of both soft stools and more formed stools. The presence of black stools can be concerning, as it may indicate the presence of blood, but you also mentioned that subsequent stools returned to a normal color. The fact that you experienced episodes of diarrhea, particularly after a period of normal bowel movements, could suggest a transient gastrointestinal disturbance, possibly linked to a viral infection such as norovirus, as your doctor indicated.

Here are some key points to consider regarding your situation:
1. Stool Characteristics: Normal stool is typically brown, formed, and easy to pass. Changes in color (such as black or yellow) and consistency (from formed to loose) can indicate various issues. Black stools can sometimes indicate bleeding in the upper gastrointestinal tract, while yellow stools may suggest malabsorption or liver issues. However, if the color returns to normal and the stool is formed, this is generally a positive sign.

2. Accompanying Symptoms: You mentioned experiencing mild nausea and a rapid heartbeat, which can be associated with anxiety. It's important to differentiate between gastrointestinal symptoms caused by a physical issue versus those stemming from anxiety. If you are feeling anxious, it can exacerbate gastrointestinal symptoms, leading to changes in bowel habits.

3. Frequency of Bowel Movements: You noted that your bowel movements have been averaging 1-2 times per day, which is within the normal range. However, if you experience significant changes in frequency or consistency, it’s worth monitoring.

4. When to Seek Medical Advice: You should seek medical attention if you experience any of the following:
- Persistent diarrhea lasting more than two days.

- Blood in your stool or black stools that do not resolve.

- Severe abdominal pain or cramping.

- Symptoms of dehydration (such as excessive thirst, dry mouth, or reduced urination).

- Any new or worsening symptoms that cause concern.

5. Managing Anxiety: Given your tendency to feel anxious, it may be beneficial to address this aspect of your health as well. Anxiety can significantly impact gastrointestinal function, leading to symptoms such as nausea and changes in bowel habits. Consider discussing your anxiety with a healthcare provider, as they may recommend strategies or therapies to help manage it.

In summary, while your symptoms may not currently indicate a serious illness, it’s essential to continue monitoring your condition. If you notice any concerning changes or if your symptoms persist, do not hesitate to seek further medical evaluation. Keeping an open line of communication with your healthcare provider is crucial, especially if you have underlying health conditions or if your symptoms evolve.

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