Flat and Wide Stools: When to Seek Further Medical Evaluation - Gastroenterology and Hepatology

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When it comes to stool shape and consistency, it is important to understand that variations can occur due to a variety of factors, including diet, hydration, and overall gastrointestinal health. In your case, you mentioned that since your colonoscopy last September, where three polyps were removed, your stools have been consistently soft, well-formed, but flat and wide. You also noted that you have had normal results from a fecal occult blood test, which is a positive sign as it indicates no hidden blood in your stool.

Flat or wide stools can sometimes be a cause for concern, especially if they are a new development or if they are accompanied by other symptoms such as changes in bowel habits, abdominal pain, weight loss, or blood in the stool. The shape of your stool can be influenced by the way it passes through the intestines. For instance, flat stools can occur if there is a narrowing in the colon, which could be due to a variety of reasons, including inflammation, strictures, or even tumors. However, since you have recently undergone a colonoscopy and had polyps removed, it is less likely that a new obstruction or significant issue has developed in such a short time frame.

The fact that your stools are soft and well-formed is generally a good sign, as it indicates that your body is processing food properly and that you are likely consuming enough fiber and fluids. The color of your stools being "clay-colored" or "tan" can be concerning, as it may suggest issues with bile production or flow, which can be related to liver or gallbladder problems. However, if your stools are consistently soft and there are no other alarming symptoms, this may not be an immediate cause for concern.

Given your history of polyps and your ongoing concerns about stool shape, it would be prudent to consult with your healthcare provider. They may recommend further evaluation, such as imaging studies or a repeat colonoscopy, especially if there are any changes in your symptoms or if the stool shape persists. It is also important to discuss your dietary habits, as certain foods can affect stool shape and consistency. Increasing fiber intake, staying hydrated, and maintaining a balanced diet can help promote healthy bowel movements.

In summary, while flat and wide stools can sometimes indicate an underlying issue, your normal fecal occult blood test and the recent colonoscopy findings suggest that there may not be an immediate cause for concern. However, it is always best to err on the side of caution and discuss any ongoing changes with your healthcare provider to ensure that you receive appropriate care and monitoring. Regular follow-ups and open communication with your doctor will help address your concerns and ensure your gastrointestinal health remains a priority.