Changes in Stool Consistency: When to Seek Medical Advice

Q: Changes in Stool Consistency: When to Seek Medical Advice

Hello： Based on the symptoms, there is a high possibility of gastrointestinal dysfunction. <br>You may visit the gastroenterology outpatient clinic for further examination, such as a stool routine test and a barium enema. <br>Wishing you good health. <br>Sincerely, Dr. <br>Chi-Fe

In the past month, the stools have been narrower and softer?

I have had gastrointestinal issues since childhood, with a tendency to have diarrhea.
Last year, due to the stress of starting college and changes in my diet, I also experienced constipation.
Recently, for over a month, I have noticed that my stools are mostly soft or watery, which has led to prolonged wiping after bowel movements.
I feel like my stools have become thinner or smaller (not sure if it's just in my head), and they often have a small tail.
The color is mostly normal, usually yellow-brown, but there was one instance where the color was uneven, and I couldn't tell if it was dark brown or blood, which made me very anxious.
Should I be worried about these symptoms? I have a suspected external hemorrhoid or polyp near my anus that protrudes but is not painful (rather itchy).
Could this be due to irregular eating habits from living away from home and frequent late nights, or could I possibly have cancer at 21 years old? Or is it more likely to be irritable bowel syndrome? I tend to have diarrhea easily (and I'm underweight), but I don't actually feel unwell; it's just the changes in my stool shape and information I found online that have caused me panic.

josh lin, 20~29 year old female. Ask Date: 2013/02/25

Dr. Chen Qifeng reply Gastroenterology and Hepatology

Hello: Based on the symptoms, there is a high possibility of gastrointestinal dysfunction.
You may visit the gastroenterology outpatient clinic for further examination, such as a stool routine test and a barium enema.
Wishing you good health.
Sincerely, Dr.
Chi-Feng Chen, Taoyuan Hospital, Department of Health.

Reply Date: 2013/02/25

More Info

When it comes to understanding changes in stool consistency and when to seek medical advice, it is essential to consider several factors, especially given your history of gastrointestinal issues and recent changes in your bowel habits.
Firstly, it is not uncommon for individuals, particularly those in stressful situations such as starting college, to experience gastrointestinal disturbances. Stress can significantly impact gut health, leading to conditions like irritable bowel syndrome (IBS), which is characterized by symptoms such as diarrhea, constipation, or alternating between the two. The changes you describe—soft stools, diarrhea, and the sensation of incomplete evacuation—could indeed be related to stress and dietary changes.

The fact that your stools are mostly yellow-brown and that you have noticed a change in shape (thinner stools) can be concerning, but it is important to note that stool consistency can vary widely among individuals. The presence of a "tail" on your stools may be due to the nature of the stool itself rather than a significant underlying issue. However, if you notice a persistent change in the shape or consistency of your stools, it is advisable to consult a healthcare professional for further evaluation.

Regarding the color of your stools, while variations can occur, a sudden change to a very dark color or the presence of blood can be alarming. If you suspect that your stool color is abnormal or if you see blood, it is crucial to seek medical attention promptly. Blood in the stool can indicate several conditions, ranging from hemorrhoids to more serious gastrointestinal issues.

You mentioned having a suspected external hemorrhoid that itches but does not cause pain. Hemorrhoids can indeed cause changes in bowel habits and may contribute to discomfort or itching. Poor dietary habits, such as a low-fiber diet, can exacerbate this condition. Ensuring adequate fiber intake, staying hydrated, and maintaining a regular bowel routine can help alleviate some of these symptoms.

At 21 years old, the likelihood of having colorectal cancer is relatively low, but it is not impossible. Risk factors include family history, certain genetic conditions, and lifestyle factors. If you have concerns about cancer or if your symptoms persist or worsen, it is essential to discuss these with a healthcare provider who can perform the necessary evaluations, such as a colonoscopy if indicated.

In summary, while your symptoms may be related to stress and dietary changes, it is essential to monitor them closely. If you experience any of the following, you should seek medical advice:
1. Persistent changes in stool consistency or shape.

2. Blood in the stool or significant color changes.

3. Severe abdominal pain or discomfort.

4. Unexplained weight loss or changes in appetite.

Maintaining a healthy diet, managing stress, and staying hydrated are crucial steps in supporting your gastrointestinal health. If your symptoms continue or if you have any concerns, do not hesitate to reach out to a healthcare professional for personalized advice and treatment options.

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