Changes in Stool: When to Worry About Your Health - Surgery

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Stools that are thin or irregularly shaped, resembling small pellets?


During my senior year of high school, I noticed that my stools became increasingly thin and sticky, and this has continued until now.
However, there has been no blood in my stools.
Last summer, I visited a doctor who said that colon cancer was highly unlikely and advised me to go home without further testing.
Despite this, I am still very worried because I eat a lot, but the amount of stool I pass is very small, and my weight has remained stable.
I have checked for anemia online and found no signs of it.
In my junior year, I took traditional Chinese medicine for weight loss, and the practitioner mentioned that I had qi deficiency and a cold constitution.
I only took the medicine for about two months.
Could this be related to the traditional medicine, or is there really something wrong with my colon? 😭

Miss Ye, 10~19 year old female. Ask Date: 2023/06/16

Dr. Zhang Shuhao reply Surgery


It is recommended to increase fluid and dietary fiber intake, along with moderate exercise to enhance bowel motility.
If concerns persist, you may consult a gastroenterologist or a colorectal specialist to evaluate whether medication or further testing is necessary.

Reply Date: 2023/06/16

More Info


When it comes to changes in stool characteristics, such as consistency, shape, and color, it is essential to pay attention to these signs as they can indicate underlying health issues. In your case, you have observed that your stool has become increasingly thin and sticky over time, which understandably raises concerns about your health, particularly regarding the possibility of colorectal cancer. However, it is crucial to approach this situation with a balanced perspective, considering both medical advice and your symptoms.

Firstly, it is important to note that changes in stool shape can be influenced by various factors, including diet, hydration, stress levels, and gastrointestinal health. The fact that you have a history of gastrointestinal issues, such as experiencing diarrhea and constipation, suggests that your digestive system may be sensitive or reactive to certain triggers, including stress and dietary changes. Additionally, your mention of consuming traditional Chinese medicine for weight loss raises questions about how these treatments may have impacted your digestive health. Some herbal remedies can affect gut motility and overall gastrointestinal function, potentially leading to changes in stool consistency.

The absence of blood in your stool is a positive sign, as it often indicates that there is no immediate cause for alarm regarding severe conditions like colorectal cancer. However, the persistent nature of your symptoms warrants further investigation. While your previous doctor may have assessed your risk for colorectal cancer as low, it is essential to advocate for your health. If you continue to experience changes in your stool, it would be prudent to seek a second opinion or consult a gastroenterologist for a thorough evaluation. This may include diagnostic tests such as a colonoscopy, which can provide a direct view of the colon and help identify any abnormalities.

In addition to medical evaluations, consider lifestyle factors that may contribute to your symptoms. A diet high in fiber, adequate hydration, and regular physical activity are critical for maintaining healthy bowel function. If you find that your stool is consistently thin, it may be beneficial to assess your fiber intake and ensure you are consuming a variety of fruits, vegetables, and whole grains. Staying hydrated is equally important, as dehydration can lead to harder stools and exacerbate gastrointestinal issues.

Stress management is another crucial aspect to consider. Given that you mentioned experiencing anxiety and stress, particularly during your high school years, it is essential to incorporate relaxation techniques into your routine. Practices such as mindfulness, yoga, or even simple breathing exercises can help alleviate stress and may positively impact your digestive health.

Lastly, if you are concerned about potential anemia, it may be worthwhile to have a complete blood count (CBC) performed to assess your hemoglobin levels and overall blood health. This can help rule out any underlying issues that may be contributing to your symptoms.

In summary, while changes in stool characteristics can be concerning, they are not always indicative of severe health issues. It is essential to monitor your symptoms, maintain open communication with healthcare providers, and advocate for further evaluation if necessary. By addressing lifestyle factors, managing stress, and seeking appropriate medical care, you can take proactive steps toward improving your gastrointestinal health and overall well-being.

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