Do You Need to See a Doctor for Infrequent Bowel Movements?

Do I need to see a doctor if I don't have a bowel movement every day?

Hello: I often do not have a bowel movement every day, sometimes only once every two to three days.
For example, I haven't had a bowel movement yesterday or today (no urge to go).
However, when I do feel the urge, the bowel movements are smooth.
Occasionally, I experience anal pain and slight bleeding, and I can feel a sore spot when I shower.
Does this count as constipation? Should I see a doctor? I feel like I drink enough water and eat a lot of vegetables, so why am I still not having daily bowel movements? (For lunch, I had a vegetarian meal with multigrain rice, and for dinner, I do not eat rice but have a full bowl of vegetables.)

HYS, 30~39 year old female. Ask Date: 2009/02/10

Dr. Lin Qingzhong reply Traditional Chinese Medicine

Dear HYS users,
1.
You are experiencing infrequent bowel movements, going only once every two to three days, and have not had a bowel movement yesterday or today (no urge to go).
You are experiencing anal pain with slight bleeding, and it seems you can feel a sore spot while bathing.
These symptoms suggest constipation.
If dietary adjustments do not lead to improvement, you should consult a traditional Chinese medicine (TCM) practitioner.
2.
In my clinical experience with TCM, I have encountered many patients with similar issues.
By employing TCM diagnostic methods and treatment, herbal remedies that promote bowel movement and relieve constipation are often effective for most patients.
3.
It is important to drink plenty of water, consume more vegetables—especially those high in fiber—and engage in regular exercise.
These lifestyle changes, along with medical consultations, can help improve your condition.
4.
Lastly, I wish you well.
Dr.
Lin Ching-Chung, Assistant Professor, Director of the Department of Traditional Chinese Medicine, Fengyuan Hospital

Reply Date: 2009/02/10

More Info

Infrequent bowel movements can be a common concern, and your symptoms suggest that you may be experiencing constipation. Constipation is generally defined as having fewer than three bowel movements per week, and it can be accompanied by discomfort, straining during bowel movements, and sometimes the presence of blood, which may indicate issues such as hemorrhoids or anal fissures.

From your description, it seems that you are having bowel movements every two to three days, which does fall into the category of constipation. The fact that you experience pain and notice blood when you wipe could indicate that you might have hemorrhoids, which are swollen veins in the lower rectum or anus that can be caused by straining during bowel movements, prolonged sitting, or other factors. The presence of a "wound" that you can feel while bathing may also suggest an anal fissure, which is a small tear in the lining of the anus that can occur due to passing hard stools.

Despite your efforts to maintain a healthy diet with plenty of vegetables and adequate hydration, it's important to note that individual responses to diet can vary. Some people may require additional fiber or specific dietary adjustments to promote regular bowel movements. It's also worth considering other factors that could contribute to your symptoms, such as stress, physical activity levels, and any medications you may be taking, as these can all impact bowel function.

Given your symptoms, it would be advisable to consult a healthcare professional. While you may not feel that your situation is severe enough to warrant immediate medical attention, there are several reasons to consider seeing a doctor:
1. Assessment of Symptoms: A healthcare provider can evaluate your symptoms in detail, including the frequency of your bowel movements, the consistency of your stools, and any associated symptoms like pain or bleeding. This assessment is crucial for determining the underlying cause of your constipation.

2. Diagnostic Tests: Depending on your examination, your doctor may recommend tests such as a rectal exam, stool tests, or imaging studies to rule out any serious conditions that could be contributing to your symptoms.

3. Treatment Options: If your constipation is confirmed, your doctor can provide guidance on effective treatment options. This may include dietary changes, increased fluid intake, over-the-counter laxatives, or prescription medications if necessary. They can also advise on lifestyle modifications, such as increasing physical activity, which can help promote regular bowel movements.

4. Monitoring for Complications: Since you mentioned the presence of blood and pain, it's essential to monitor these symptoms closely. While hemorrhoids and fissures are common and often treatable, persistent bleeding or severe pain should be evaluated to rule out more serious conditions.

In summary, while your symptoms may not seem alarming, they warrant a discussion with a healthcare provider. They can help you identify the cause of your infrequent bowel movements and develop a tailored treatment plan to improve your digestive health. Remember, addressing these issues early can prevent complications and improve your overall quality of life.

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