Constipation and Bowel Health in Traditional Chinese Medicine

Regarding bowel movement issues?

Hello, I have been experiencing chronic constipation, sometimes only having a bowel movement once a week.
I do not have daily bowel movements, and at times, I have even noticed blood in my stool (bright red).
Recently, I started taking traditional Chinese medicine (one pill a day), and now I have daily bowel movements, but the stools are loose and resemble diarrhea.
Isn't normal stool supposed to be long and formed? It shouldn't be loose like this, right?

Ms. Chen, 10~19 year old female. Ask Date: 2009/08/22

Dr. Lin Qingzhong reply Traditional Chinese Medicine

Dear Miss Chen / 19 years old / Female Internet User,
Hello,
1.
You have not been having daily bowel movements and have been experiencing chronic constipation, sometimes only having a bowel movement once a week, which is quite prolonged.
It is important to remember that the human body requires daily intake and excretion of food for optimal digestive health.
Regular bowel movements are essential; one should not act like a "ninja turtle." With the increasing influence of American dietary culture worldwide, the incidence of colorectal cancer is on the rise.
It is recommended that individuals over 50 undergo colorectal cancer screening.
2.
At 19 years old, having a bowel movement only once a week and experiencing occasional blood in your stool (bright red) could indicate hemorrhoids, especially since you are relatively young.
Recently, you have been taking traditional Chinese medicine (one pill a day), which has led to daily bowel movements, but the stools are loose and resemble diarrhea.
This could be due to the laxative effects of the herbal medicine.
Normal stools are typically long and golden yellow, not loose, so it may be wise to monitor your condition for a few more days.
3.
If you experience weight loss, decreased appetite, or frequent bleeding, or if your bowel habits change, further examination may be necessary.
4.
In my clinical experience in traditional Chinese medicine, many patients with similar issues have improved through dietary adjustments and the use of herbal remedies aimed at promoting bowel regularity.
Most of them have seen positive results.
5.
Remember to drink plenty of water, eat more vegetables—especially those high in fiber—and engage in regular exercise.
These lifestyle changes, along with medical consultations, can help improve your condition.
Finally, I wish you good health.
Dr.
Lin Qingzhong, Assistant Professor, Director of the Department of Traditional Chinese Medicine, Fengyuan Hospital

Reply Date: 2009/08/22

More Info

Constipation is a common gastrointestinal issue that can significantly impact an individual's quality of life. In Traditional Chinese Medicine (TCM), the understanding of bowel health and constipation is quite different from Western medicine. TCM views the body as a holistic system, where the balance of Qi (energy), blood, and the function of organs such as the spleen, liver, and kidneys play crucial roles in digestive health.

In your case, experiencing long-term constipation, with infrequent bowel movements and occasional blood in the stool, indicates a potential imbalance in your body's systems. The presence of fresh red blood in the stool can be concerning and may suggest issues such as hemorrhoids or anal fissures, often resulting from straining during bowel movements. However, it is essential to consult a healthcare professional to rule out any serious underlying conditions.

The fact that you have started taking Chinese herbal medicine and are now experiencing daily bowel movements, albeit with loose, scattered stools, suggests that the treatment may be stimulating your digestive system. In TCM, the herbs you are taking may be acting to clear heat and promote bowel movement, which can sometimes lead to a temporary increase in stool frequency and a change in consistency.
In TCM, the quality of stool is often linked to the state of the spleen and stomach. A "cold" or "deficient" spleen may lead to loose stools, while a "heat" condition may cause constipation. The herbs you are taking might be classified as "cooling" or "moistening," which can help alleviate constipation but may also lead to loose stools if the dosage is too high or if your body is sensitive to these herbs.

It is important to monitor your symptoms closely. If the loose stools persist, it may be necessary to adjust the herbal formula. In TCM, practitioners often tailor treatments based on the individual's unique constitution and symptoms. Therefore, if you are experiencing discomfort or if the stool consistency does not improve, it would be advisable to consult with your TCM practitioner for a reassessment of your treatment plan.

Additionally, lifestyle factors such as diet, hydration, and stress management play significant roles in bowel health. A diet rich in fiber, adequate hydration, and regular physical activity can help support healthy bowel movements. In TCM, foods that nourish the spleen and promote digestion, such as warm cooked foods, whole grains, and plenty of fruits and vegetables, are often recommended.

In summary, while your current treatment appears to be effective in promoting regular bowel movements, the change in stool consistency warrants attention. It is crucial to work closely with your TCM practitioner to ensure that your treatment is balanced and appropriate for your specific condition. Regular follow-ups and open communication about your symptoms will help in achieving optimal bowel health and overall well-being.

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