Changes in Stool: When to Seek Medical Advice - Gastroenterology and Hepatology

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Bowel issues?


Thank you, Dr.
Chen, for your previous response.
I had asked about my stool becoming thinner, and after controlling my diet, my stool has returned to normal and has become thicker.
However, today when I had a bowel movement, I noticed some mucus on the toilet paper after wiping, but there was no blood and no foul smell.
Could this indicate something abnormal? I had a colonoscopy and a barium enema in April of this year, both of which were normal.

Yang, 30~39 year old female. Ask Date: 2015/09/12

Dr. Chen Qifeng reply Gastroenterology and Hepatology


Hello, it may not be something serious; it could simply be a matter of indigestion.
I recommend a diet low in oil and dairy, with an emphasis on fruits and vegetables, and to observe your bowel movements afterward.
Best regards, Dr.
Chen Chih-Feng, Attending Physician, Gastroenterology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2015/09/12

More Info


When it comes to changes in stool, particularly the presence of mucus and any accompanying symptoms, it is important to understand the potential implications and when to seek medical advice. Based on your description, it seems that you have experienced a change in your bowel movements, specifically noticing mucus after a bowel movement. While you have previously undergone a colonoscopy and barium enema in April, which were reported as normal, the appearance of mucus can still warrant attention.

Mucus in the stool can be a normal occurrence, as the intestines produce mucus to help lubricate the stool and facilitate its passage. However, if you notice an increase in the amount of mucus, especially if it is accompanied by other symptoms such as changes in bowel habits (like diarrhea or constipation), abdominal pain, or any signs of bleeding, it may indicate an underlying issue that requires further evaluation.

In your case, since you mentioned that the mucus was not accompanied by blood or foul odor, it may not be an immediate cause for alarm. However, it is essential to monitor your symptoms closely. If the mucus persists, increases in quantity, or if you experience any new symptoms such as abdominal discomfort, changes in appetite, or unexplained weight loss, it would be prudent to consult your healthcare provider.

Given your history of gastrointestinal evaluations, it is also worth considering factors such as dietary changes, stress levels, and any recent illnesses that could affect your digestive health. Sometimes, dietary adjustments can lead to temporary changes in stool consistency and the presence of mucus. For instance, an increase in fiber intake can help normalize stool consistency, but it may also lead to changes in bowel movements as your body adjusts.

In summary, while the presence of mucus in stool can be benign, it is essential to remain vigilant. If you notice any concerning changes or if the mucus persists, do not hesitate to reach out to your healthcare provider for further assessment. They may recommend additional tests or evaluations to rule out any potential issues, especially considering your previous gastrointestinal history. Remember, proactive communication with your healthcare provider is key to maintaining your digestive health.

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