Irregular Bowel Habits: Causes, Symptoms, and Solutions

Bowel habits

I would like to ask about the situation with the vice president.
Due to irregular bowel habits, I have been trying to adjust to having a bowel movement once a day.
Recently, I felt the urge to have a bowel movement after experiencing some flatulence and a slight sensation of needing to go.
However, I found it difficult to pass stool, and what came out was pellet-like, resembling rabbit droppings.
While trying to push, I experienced abdominal pain that lasted about three seconds, similar to the pain associated with diarrhea.
Why is this happening? Does this mean I am constipated? Could there be something obstructing my intestines? Is it true that constipation can also cause abdominal pain? A couple of days ago, I felt some twitching in my abdomen.
Could this be a sign of bowel obstruction or even colon cancer? I have also been taking third-generation antihistamines recently and would like to consult a doctor about this!

Niming, 20~29 year old female. Ask Date: 2023/11/23

Dr. Chen Shidian reply Gastroenterology and Hepatology

It is primarily peristalsis/defecation response/degree of bowel movement, and it is generally not indicative of intestinal obstruction or colorectal cancer.
Increase fluid intake and consume more fruits and vegetables, and take a walk after meals, then continue to monitor the situation.

Reply Date: 2023/11/23

More Info

Irregular bowel habits can be a source of discomfort and concern for many individuals. Your symptoms, including infrequent bowel movements, hard stools resembling "sheep droppings," and abdominal pain during attempts to defecate, suggest that you may be experiencing constipation. Constipation is defined as having fewer than three bowel movements per week, and it can lead to straining, hard stools, and abdominal discomfort.

Causes of Irregular Bowel Habits
1. Dietary Factors: A diet low in fiber can significantly contribute to constipation. Fiber helps to bulk up the stool and promotes regular bowel movements. If your diet lacks fruits, vegetables, and whole grains, this could be a primary factor in your irregular bowel habits.

2. Dehydration: Insufficient fluid intake can lead to harder stools, making them more difficult to pass. It's essential to drink enough water throughout the day to keep your digestive system functioning properly.

3. Physical Inactivity: Regular physical activity stimulates intestinal function. A sedentary lifestyle can slow down your digestive system, contributing to constipation.

4. Medications: Certain medications, including antihistamines, can cause constipation as a side effect. If you are taking third-generation antihistamines, this could be contributing to your symptoms.

5. Stress and Anxiety: Psychological factors can also play a role in bowel habits. Stress can affect gut motility and lead to irregular bowel movements.

6. Underlying Health Conditions: Conditions such as irritable bowel syndrome (IBS), hypothyroidism, or even more serious issues like bowel obstruction or cancer can cause changes in bowel habits. However, these are less common and would typically present with additional symptoms.

Symptoms of Constipation
- Infrequent bowel movements (fewer than three times a week)
- Hard, dry stools
- Straining during bowel movements
- Abdominal pain or discomfort
- A feeling of incomplete evacuation

Solutions and Recommendations
1. Increase Fiber Intake: Aim for a diet rich in fiber. Foods such as fruits (like apples and pears), vegetables (like broccoli and carrots), whole grains (like oats and brown rice), and legumes (like beans and lentils) can help improve bowel regularity.

2. Stay Hydrated: Drink plenty of fluids, especially water. Aim for at least 8 cups (64 ounces) a day, and more if you are physically active.

3. Regular Exercise: Incorporate physical activity into your daily routine. Even simple activities like walking can stimulate bowel function.

4. Establish a Routine: Try to set a regular time each day for bowel movements, especially after meals when the gastrocolic reflex is strongest.

5. Limit Constipating Foods: Some foods can contribute to constipation, such as dairy products, processed foods, and excessive amounts of red meat. Monitor your intake of these foods.

6. Consult a Healthcare Professional: If your symptoms persist or worsen, it is crucial to consult a healthcare provider. They can evaluate your symptoms, review your medications, and possibly conduct tests to rule out any underlying conditions.

7. Consider Probiotics: Probiotics can help balance gut bacteria and improve digestive health. Foods like yogurt, kefir, and fermented vegetables can be beneficial.

Conclusion
In summary, your symptoms indicate that you may be experiencing constipation, which can indeed cause abdominal pain, especially when straining to pass hard stools. While occasional irregular bowel habits can be normal, persistent issues warrant further investigation. By making dietary and lifestyle changes, you can often improve your bowel health. However, if you have concerns about serious conditions such as bowel obstruction or cancer, it is essential to seek medical advice promptly.

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