Abnormal Stool: When to Seek Gastrointestinal Help - Gastroenterology and Hepatology

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Bowel issues?


Hello Doctor, this afternoon before using the restroom, my stool was formed at the beginning, but the latter part was softer and had a bit of water.
Later, when I tried to clean myself, some watery stool came out that felt a bit slimy (similar to the texture of mucus, but possibly with a slight brown color due to the soft stool).
I would like to ask what this might be...
is this an abnormal phenomenon, or could there be a gastrointestinal issue that requires examination? I'm not sure if it was due to eating something unclean yesterday or this morning.
I also felt slight peristalsis and mild bloating in my abdomen, along with the soft stool.
I hope you can help me with this.
Thank you.

Niko, 20~29 year old female. Ask Date: 2023/10/01

Dr. Chen Shidian reply Gastroenterology and Hepatology


It is just normal colonic mucus; further observation is recommended.

Reply Date: 2023/10/01

More Info


When it comes to gastrointestinal health, abnormal stool can be a significant indicator of underlying issues. Based on your description, it seems you are experiencing a mix of formed and loose stools, along with some mucus-like discharge. This can be concerning, and it’s essential to understand what these symptoms might indicate.

Firstly, the presence of formed stools followed by softer stools and mucus can suggest several possibilities. One common cause is a mild gastrointestinal infection, which could be due to consuming contaminated food or water. This can lead to symptoms such as diarrhea, abdominal cramping, and changes in stool consistency. If you suspect that you may have eaten something unclean, it’s crucial to monitor your symptoms closely. Gastroenteritis, often caused by viruses or bacteria, can lead to these symptoms and typically resolves within a few days. However, if symptoms persist or worsen, seeking medical attention is advisable.

The mucus in your stool can also be a sign of irritation or inflammation in the intestines. Conditions such as irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), or even food intolerances can lead to increased mucus production. IBS, for instance, is characterized by a combination of abdominal pain and altered bowel habits, which can include diarrhea or constipation. If you find that your symptoms are recurrent or associated with significant discomfort, it would be wise to consult a gastroenterologist for further evaluation.

Another important factor to consider is the consistency and frequency of your stools. If you are experiencing diarrhea (defined as three or more loose or watery stools per day) along with abdominal pain, it may indicate a more significant issue that requires medical intervention. Persistent diarrhea can lead to dehydration, especially if accompanied by vomiting, so it’s essential to stay hydrated and seek medical advice if you notice signs of dehydration, such as dry mouth, dizziness, or decreased urination.

In terms of when to seek help, here are some guidelines:
1. Duration: If your symptoms last more than a couple of days without improvement, it’s time to see a doctor.

2. Severity: If you experience severe abdominal pain, high fever, or blood in your stool, seek immediate medical attention.

3. Dehydration: If you notice signs of dehydration, such as excessive thirst, dry mouth, or lightheadedness, it’s crucial to get evaluated.

4. Recurring Symptoms: If you have a history of gastrointestinal issues or if these symptoms recur frequently, a thorough evaluation may be necessary to rule out chronic conditions.

In conclusion, while occasional changes in stool consistency can be normal, especially after dietary changes or mild infections, persistent or severe symptoms warrant a visit to a healthcare provider. They may recommend tests such as stool analysis, blood tests, or imaging studies to determine the underlying cause of your symptoms. Early intervention can help prevent complications and lead to more effective management of any potential gastrointestinal issues.

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