Bowel Symptoms: Mucus in Stool and Other Concerns - Gastroenterology and Hepatology

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Bowel movement concerns?


Hello doctor, last week I had a frequent urge to have a bowel movement for 2 to 3 days, but initially, I only passed gas and very little stool.
After taking the antidiarrheal medication prescribed by the doctor, my bowel movements started to normalize, but the surface of the stool had a white, thick substance (which I could pick up with chopsticks and it was sticky).
What could this be? It is not transparent.
Additionally, last week, sometimes when I squatted, my intestines made sounds similar to passing gas.
What could be the reason for this? Are these symptoms indicative of colorectal cancer? Thank you, doctor.
I visited a nearby family medicine clinic and showed the doctor a photo of my stool, but he was unsure what it was and only mentioned it might be mucus.

Niming, 20~29 year old female. Ask Date: 2023/07/15

Dr. Chen Shidian reply Gastroenterology and Hepatology


It appears to be normal mucus from the colon, further observation is recommended.

Reply Date: 2023/07/15

More Info


Understanding bowel symptoms, including the presence of mucus in stool, can be quite concerning, especially when accompanied by other gastrointestinal issues. Based on your description, it seems you have experienced a series of bowel irregularities, including frequent urges to defecate, the passage of gas, and the presence of a white, sticky substance in your stool.
Firstly, the presence of mucus in the stool is not uncommon and can occur for various reasons. Mucus is a normal component of the intestinal lining, and it helps to lubricate the intestines and facilitate the passage of stool. However, an increase in mucus production can be indicative of underlying gastrointestinal issues. In your case, the white, sticky substance you described could indeed be mucus, which may be more pronounced due to your recent bowel disturbances.

The symptoms you mentioned, such as frequent urges to defecate and the sensation of gas, can be associated with several conditions, including irritable bowel syndrome (IBS), infections, or inflammatory bowel diseases (IBD) like ulcerative colitis or Crohn's disease. IBS is particularly known for causing changes in bowel habits, abdominal pain, and the production of mucus. The fact that your stool has returned to a more normal consistency after taking anti-diarrheal medication is a positive sign, but the presence of mucus should still be monitored.

Regarding your concern about colon cancer, it is essential to note that while mucus in the stool can be a symptom of colorectal cancer, it is typically accompanied by other more concerning signs, such as significant changes in bowel habits (like persistent diarrhea or constipation), blood in the stool, unexplained weight loss, or severe abdominal pain. Since you have consulted a physician who reviewed your stool and suggested that the substance could be mucus, it is likely that your symptoms are not indicative of cancer, especially if you do not have any of the more alarming symptoms mentioned.

However, it is crucial to keep an eye on your symptoms. If you notice any worsening of your condition, such as increased abdominal pain, changes in the color or consistency of your stool, or any new symptoms, you should seek further medical evaluation. A gastroenterologist may recommend additional tests, such as a colonoscopy, to rule out any serious conditions if your symptoms persist or worsen.

In the meantime, consider maintaining a healthy diet rich in fiber, staying hydrated, and managing stress, as these factors can significantly influence bowel health. Regular physical activity can also help promote healthy digestion and alleviate some gastrointestinal symptoms.

In summary, while the presence of mucus in your stool can be concerning, it is often not indicative of a severe condition like colon cancer, especially in the absence of other alarming symptoms. Monitoring your symptoms and maintaining open communication with your healthcare provider is key to managing your gastrointestinal health effectively. If you have any further concerns or if your symptoms change, do not hesitate to seek medical advice.

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