Increased Bowel Movements: Symptoms and Concerns - Gastroenterology and Hepatology

Increased frequency of bowel movements?

I have noticed an increase in my bowel movements over the past month.
Typically, I have a large bowel movement in the morning, followed by two or three more throughout the day.
Each time, the stool is about 8 centimeters in diameter, and I also have smaller, pellet-like stools.
All my stools are well-formed, without mucus or any soft, loose consistency, and they don't have a strong odor.

From July 23 to August 5, I experienced a dull, tight pain in the lower abdomen, specifically in the triangular area in the middle.
This discomfort came in waves and lasted throughout the day.
I have a history of intestinal colic, and in the past, I would go to the emergency room for an injection of an antispasmodic, which would help.
However, I didn't have time to seek treatment this time.
The pain felt similar to my previous urinary tract infection pain, as both the location and nature of the pain were quite alike.

Currently, I am no longer in pain, so does that mean there is no significant issue? If there were a serious problem, wouldn't the pain continue? Due to work commitments, I had a habit of holding in my bowel movements for about three to four months, as I would usually have a bowel movement in the morning but would hold it until the evening because I was in a rush for work.
Sometimes, I would hold it so long that I didn't feel the urge to go at all.
I wonder if this is related.

In April 2022, I underwent an endoscopy, which showed mild gastritis and Helicobacter pylori infection.
A colonoscopy revealed small hemorrhoids, but nothing significant.
Does this mean the likelihood of cancer is low? I am quite worried.

six four, 20~29 year old female. Ask Date: 2023/08/14

Dr. Chen Shidian reply Gastroenterology and Hepatology

It may be due to abnormal peristalsis or increased intestinal sensitivity.
It is advisable to relax and eat slowly, and if necessary, take medication to control the symptoms.

Reply Date: 2023/08/14

More Info

Increased bowel movements can be a concerning symptom, especially when accompanied by discomfort or pain. Based on your description, it seems that you have experienced a notable change in your bowel habits over the past month, with an increase in the frequency of bowel movements and some discomfort in the lower abdomen.
Firstly, it's important to understand that bowel habits can vary significantly from person to person. The frequency of bowel movements can be influenced by various factors, including diet, hydration, stress levels, and underlying health conditions. Generally, a normal range for bowel movements is anywhere from three times a week to three times a day. Your description of having multiple bowel movements daily, especially if they are well-formed and not accompanied by mucus or a foul odor, may not be inherently alarming, but it does warrant further investigation given your history of gastrointestinal issues.

The pain you experienced in the lower abdomen could be related to several factors. Since you have a history of intestinal colic, it’s possible that the increased frequency of bowel movements is causing some irritation or spasms in the intestines. Additionally, your previous experience with urinary tract infections (UTIs) suggests that you may be sensitive to changes in your body, which could amplify your perception of discomfort.
You mentioned that you had a habit of holding in bowel movements due to work commitments. This can lead to a variety of gastrointestinal issues, including constipation, which may paradoxically cause increased urgency and frequency of bowel movements when the body finally allows for a release. Holding in bowel movements can also lead to a condition known as fecal impaction, where stool becomes hard and difficult to pass, potentially causing pain and discomfort.

Regarding your concerns about serious conditions such as cancer, it is reassuring to note that you have had a colonoscopy in the past year, which showed only minor issues like small hemorrhoids. The likelihood of colorectal cancer is significantly reduced in individuals who have had recent screenings that show no concerning findings, especially in the absence of other risk factors such as a family history of colorectal cancer or significant changes in bowel habits.

However, it is crucial to monitor your symptoms closely. If you experience any of the following, you should seek medical attention promptly:
- Persistent abdominal pain
- Blood in your stool
- Significant changes in your bowel habits that last more than a few weeks
- Unexplained weight loss
- Severe or worsening symptoms
In the meantime, consider making some lifestyle adjustments that may help alleviate your symptoms:
1. Dietary Changes: Increase your intake of fiber-rich foods, such as fruits, vegetables, and whole grains, which can help regulate bowel movements. Stay hydrated by drinking plenty of water.

2. Regular Exercise: Physical activity can promote healthy digestion and regular bowel movements.

3. Stress Management: Since stress can exacerbate gastrointestinal symptoms, consider incorporating stress-reducing techniques such as mindfulness, yoga, or meditation into your routine.

4. Routine: Try to establish a regular schedule for bowel movements, allowing your body to adapt to a consistent routine.

If your symptoms persist or worsen, it would be wise to consult with a healthcare professional for further evaluation. They may recommend additional tests or treatments to address your symptoms and ensure that there are no underlying health issues that need to be addressed. Your health is paramount, and staying proactive about any changes in your body is the best approach.

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