Why Do I Feel Unclean After Bowel Movements? Digestive Issues - Gastroenterology and Hepatology

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Inability to clean oneself properly after a bowel movement?


Hello, doctor.
I would like to ask: sometimes after having a bowel movement, I find that I need to wipe for a long time, and other times I don’t have to wipe for long.
This situation usually occurs when my stool is loose, similar to diarrhea, so during those times, I prefer to wash instead.
Recently, over the past year, after I finish a bowel movement and wipe clean, I feel like I haven't wiped thoroughly after some time, and when I check, it turns out I really haven't wiped clean.
After wiping again, it still feels unclean.
What could be the problem? I don’t recall having this issue in the past...

Mr. Huang, 20~29 year old female. Ask Date: 2015/10/31

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: Not being able to wipe clean after a bowel movement does not necessarily indicate a problem.
Formed stools or watery stools are generally easier to clean, while stools that are sticky and somewhat moist tend to be more difficult to wipe clean.
It is recommended to increase the intake of high-fiber foods, which may help improve the situation.
If the issue persists, it is advisable to consult a gastroenterologist to evaluate for any other underlying issues.
Changhua Hospital cares about your health.
Dr.
Tsai An-Shun.

Reply Date: 2015/10/31

More Info


Feeling unclean after bowel movements can be a distressing experience, and it often relates to a combination of physical and psychological factors. Based on your description, it seems that your concern primarily arises after experiencing loose stools, which can complicate the cleaning process and lead to feelings of inadequacy regarding cleanliness.

Firstly, it’s important to understand that the sensation of not being clean after a bowel movement can stem from several digestive issues. Loose stools, often associated with diarrhea, can make it difficult to achieve a sense of cleanliness. This is because the consistency of the stool can lead to residue that is harder to wipe away effectively. If you find that this is a recurring issue, it might be worth considering whether you have an underlying gastrointestinal condition, such as Irritable Bowel Syndrome (IBS), which can cause changes in bowel habits and stool consistency. IBS is often accompanied by symptoms such as abdominal pain, bloating, and changes in bowel habits, and it can be exacerbated by stress or dietary factors.

In addition to potential digestive issues, psychological factors can also play a significant role in how you perceive cleanliness. Many individuals experience anxiety related to hygiene, which can manifest as obsessive thoughts about cleanliness and the need to wipe excessively. This is sometimes seen in conditions like Obsessive-Compulsive Disorder (OCD), where individuals feel compelled to perform certain behaviors to alleviate anxiety. If you find that your thoughts about cleanliness are intrusive and cause significant distress, it may be beneficial to speak with a mental health professional who can help you explore these feelings further.

Moreover, your experience of feeling unclean even after thorough wiping could also be linked to a heightened sensitivity to bodily sensations. Some individuals have a lower threshold for discomfort or a heightened awareness of their bodies, which can lead to feelings of uncleanliness even when there is no physical evidence of it. This can be particularly true if you have experienced changes in your bowel habits or if you have been under increased stress.

To address your concerns, consider the following steps:
1. Dietary Adjustments: Pay attention to your diet and identify any foods that may trigger loose stools. Keeping a food diary can help you track what you eat and how it affects your bowel movements.

2. Hydration: Ensure you are drinking enough water, as hydration can impact stool consistency.

3. Gentle Cleansing Methods: Instead of relying solely on toilet paper, consider using moist wipes or a bidet, which can provide a more thorough cleaning without irritation.

4. Mindfulness and Relaxation Techniques: If anxiety about cleanliness is affecting your daily life, mindfulness practices such as meditation or deep breathing exercises can help reduce overall anxiety levels.

5. Consult a Healthcare Professional: If your symptoms persist or worsen, it’s important to consult with a healthcare provider. They can evaluate your digestive health and provide guidance on both physical and psychological aspects of your concerns.

In summary, feeling unclean after bowel movements can be influenced by both physical and psychological factors. Addressing any underlying digestive issues, exploring your feelings about cleanliness, and implementing practical strategies can help you manage this distressing sensation. If these feelings continue to impact your quality of life, seeking professional help is a crucial step towards finding relief and understanding your experiences better.

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