Bowel issues
Hello Doctor, I usually have bowel movements at a fixed time in the morning, and I don't feel a strong urge to go before eating.
However, after I eat or drink water, the urge to go comes.
Is this normal? Also, recently when I have a bowel movement, I feel like my stomach is empty, but there is still a small piece stuck at the anus that I can't seem to pass.
I'm wondering if this could be a symptom of colon cancer.
Additionally, I've been drinking more water lately, and my stools have been quite soft and feel watery.
Is this normal? I apologize for having so many questions, but I would appreciate your answers.
Thank you!
A Ben, 10~19 year old female. Ask Date: 2013/05/14
Dr. Ke Fangxu reply Surgery
Hello: In response to your question, it is a normal physiological response for the intestines to stimulate peristalsis after humans eat or drink, which promotes digestion.
However, if the peristalsis is too strong, it can trigger the urge to defecate, which is known as "irritable bowel syndrome" (IBS).
This condition is often accompanied by stools that are less formed.
If this situation does not affect your daily life, it is advisable not to pay special attention to it.
However, if it impacts your life or work, there are oral medications available that can alleviate these symptoms.
Additionally, the feeling of incomplete bowel evacuation can indeed be a symptom of colorectal cancer; however, considering your age of 18, it is more likely to be caused by hemorrhoids.
It is recommended to maintain good lifestyle habits and bowel habits, as these issues should be manageable.
Reply Date: 2013/05/14
More Info
When it comes to bowel health, understanding what is considered normal and when to be concerned about symptoms is crucial. Your description of having a regular bowel movement in the morning before eating is quite common. Many people experience a reflex known as the gastrocolic reflex, which is the body's way of signaling that it’s time to empty the bowels after eating. This reflex can lead to an urge to defecate shortly after meals, which is generally considered normal.
However, your concerns about feeling like there is still stool left after a bowel movement, along with experiencing soft stools and a sensation of urgency, warrant further discussion. The feeling of incomplete evacuation can be associated with several conditions, including irritable bowel syndrome (IBS), which is characterized by abdominal discomfort and changes in bowel habits. IBS can lead to symptoms such as bloating, gas, and alternating patterns of diarrhea and constipation.
The presence of soft stools or watery stools can indicate a few things. It may simply be a result of dietary changes, increased fluid intake, or even stress, which can affect gut motility. However, if this change in stool consistency is accompanied by other symptoms such as abdominal pain, weight loss, or blood in the stool, it could suggest a more serious condition that requires medical evaluation.
Your concern about whether these symptoms could indicate colorectal cancer is understandable, especially given the prevalence of this disease. While symptoms such as changes in bowel habits, blood in the stool, or significant weight loss can be red flags, it’s important to note that many benign conditions can present similarly. Colorectal cancer is more common in individuals over the age of 50, but younger individuals can also be affected, particularly if there is a family history of the disease or other risk factors.
Given your symptoms, it would be prudent to consult a healthcare professional who can perform a thorough evaluation. This may include a physical examination, a review of your medical history, and possibly diagnostic tests such as a colonoscopy if deemed necessary. A colonoscopy is a procedure that allows doctors to examine the inner lining of the large intestine and can help rule out or confirm any serious conditions.
In the meantime, consider keeping a diary of your bowel habits, including the frequency, consistency, and any accompanying symptoms. This information can be invaluable for your healthcare provider in determining the underlying cause of your symptoms.
In summary, while your bowel habits may not be alarming on their own, the combination of symptoms you described—feeling of incomplete evacuation, soft stools, and changes in your bowel routine—should be evaluated by a medical professional. Early intervention is key in addressing any potential issues, and your health should always be a priority. Don't hesitate to seek help; it’s better to be cautious when it comes to your gastrointestinal health.
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