Normal Bowel Habits and Gas Issues in Adults - Gastroenterology and Hepatology

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Bowel habits


Dear Dr.
Chen,
I apologize for reaching out again.
My husband, who is 47 years old, has been having bowel movements 2 to 3 times a day for many years, mostly after meals.
There is no blood in his stool, and sometimes the stool is thick while other times it is thin.
His weight has remained stable, and he does not frequently experience diarrhea or constipation.
Occasionally, he does have bloating, but it usually improves after taking medication.

I am a bit concerned about hereditary factors since my mother-in-law had colon polyps (which were removed via colonoscopy and she is now 70 years old).
I would like to ask you if my husband's bowel habits are normal and whether the occasional bloating is a cause for concern.

Thank you very much for taking the time to respond.
I greatly appreciate it!

Lin Tai Tai, 40~49 year old female. Ask Date: 2013/10/04

Dr. Chen Shidian reply Gastroenterology and Hepatology


Mrs.
Lin should be fine.
A stool occult blood test can be performed first.
If the result is negative, the risk is lower.
After the age of 50, a colonoscopy can be considered once, followed by stool tests every 1-2 years.
Changhua Hospital cares about your health.
Dr.
Chen Shidian.

Reply Date: 2013/10/04

More Info


Understanding normal bowel habits and gas issues in adults is crucial for maintaining gastrointestinal health. Your husband's bowel habits, characterized by 2 to 3 bowel movements daily, primarily after meals, are generally considered within the normal range. Normal bowel frequency can vary significantly among individuals, with some people having bowel movements several times a day while others may go only a few times a week. The key factors to consider include the consistency of the stool, the presence of any discomfort, and any accompanying symptoms.

In your husband's case, the fact that he does not experience blood in his stool and maintains a stable weight is reassuring. The variability in stool shape, from thick to thin, can be influenced by several factors, including diet, hydration, and even stress levels. As long as the stool remains soft and he does not experience significant discomfort, these variations are typically not a cause for concern.

Regarding the occasional gas and bloating, these symptoms are common and can arise from various dietary choices, such as the consumption of high-fiber foods, carbonated beverages, or certain carbohydrates that are not easily digestible. The fact that these symptoms improve with medication suggests that they may be related to digestive issues rather than a more serious underlying condition. Over-the-counter medications such as simethicone can help alleviate gas discomfort, and dietary adjustments can also be beneficial. For instance, keeping a food diary to identify potential triggers can be a useful strategy.

Your concern about hereditary factors, particularly given your mother-in-law's history of colon polyps, is valid. While some types of polyps can have a genetic component, not all individuals with a family history will develop similar issues. It is essential for your husband to maintain regular check-ups, especially considering his family history. The American College of Gastroenterology recommends that individuals with a family history of colorectal cancer or polyps begin screening at an earlier age than the general population, often around 10 years before the age at which the affected family member was diagnosed.

In summary, your husband's bowel habits appear to be within normal limits, and occasional gas and bloating are common issues that can often be managed with dietary changes and over-the-counter medications. However, due to the family history of colorectal issues, it may be prudent for him to discuss with his healthcare provider about the appropriate timing for a colonoscopy or other screening methods. Regular monitoring and open communication with a healthcare professional can help ensure any potential issues are addressed early on.

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