Why Does It Take Me Over 20 Minutes to Poop Without Constipation?

Experiencing bowel movements that take over 20 minutes without having constipation?

Hello Doctor, my average time for a bowel movement is about half an hour (sometimes even longer), but I do not have issues with constipation.
I have a habit of having a bowel movement every morning, but due to my gastrointestinal problems, I often feel discomfort in my abdomen after finishing, which prevents me from leaving the restroom.
I end up sitting (or squatting) and a few minutes later, I have the urge to have another bowel movement.
This usually happens three times, meaning I have one bowel movement but in three stages (the later stools are usually looser and may contain some clear mucus).
Could you please advise me on how to improve this issue? It's manageable at home, but it becomes very troublesome when I'm out.
Thank you very much for your response.

T.T, 20~29 year old female. Ask Date: 2010/04/19

Dr. Chen Qifeng reply Gastroenterology and Hepatology

Hello, your symptoms are "urgency with a feeling of incomplete evacuation." It could also be a functional gastrointestinal disorder; however, it is generally recommended to undergo a colonoscopy first.
Wishing you good health.
Dr.
Chen Qi-Feng, Taoyuan Hospital, Department of Health.

Reply Date: 2010/04/19

More Info

It sounds like you're experiencing a challenging situation with your bowel movements, and I appreciate you sharing the details. Let's break down your concerns and explore some potential reasons for your prolonged time in the bathroom, as well as some strategies for improvement.

Firstly, spending over 20 minutes in the bathroom for bowel movements, even without constipation, can be attributed to several factors. One possibility is that you may have a condition known as "functional bowel disorder," which can include symptoms like abdominal discomfort, irregular bowel habits, and the sensation of incomplete evacuation. This can lead to prolonged straining or sitting on the toilet, as you described.
Another factor could be related to your diet and hydration levels. A diet low in fiber can lead to difficulties in bowel movements, even if you don't classify yourself as constipated. Fiber is essential for adding bulk to your stool and promoting regularity. If your diet lacks sufficient fruits, vegetables, and whole grains, it may contribute to the issues you're experiencing. Additionally, inadequate hydration can lead to harder stools, making them more difficult to pass, which could explain the discomfort and prolonged time spent in the bathroom.

The sensation of needing to go multiple times in one sitting, with the stool becoming progressively looser, could indicate a few things. It might suggest that your intestines are reacting to something in your diet or that there is some underlying gastrointestinal issue at play. For instance, food intolerances or sensitivities can lead to symptoms like abdominal discomfort and changes in stool consistency. Conditions like irritable bowel syndrome (IBS) could also be a possibility, where stress and certain foods can trigger symptoms.

To improve your situation, consider the following strategies:
1. Dietary Adjustments: Increase your fiber intake gradually to help bulk up your stool. Aim for a mix of soluble and insoluble fiber. Foods like oats, beans, lentils, fruits, and vegetables can be beneficial. However, make sure to increase fiber slowly to avoid gas and bloating.

2. Hydration: Ensure you're drinking enough water throughout the day. Proper hydration is crucial for digestive health and can help soften stools.

3. Regular Exercise: Physical activity can stimulate bowel function and help with regularity. Aim for at least 30 minutes of moderate exercise most days of the week.

4. Routine: Establish a regular bathroom routine. Try to go at the same time each day, allowing yourself enough time without feeling rushed. This can help train your body to have more predictable bowel movements.

5. Mindfulness and Relaxation: Stress can significantly impact gut health. Techniques such as deep breathing, meditation, or yoga can help reduce stress and improve your overall digestive health.

6. Consult a Healthcare Professional: If your symptoms persist or worsen, it may be beneficial to consult with a gastroenterologist. They can perform tests to rule out any underlying conditions and provide tailored advice based on your specific situation.

In summary, while your experience of prolonged bowel movements without constipation can be frustrating, there are several potential causes and solutions. By making dietary changes, staying hydrated, exercising regularly, and managing stress, you may find relief. If these strategies do not help, seeking professional medical advice is a wise next step.

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