Mucus in Stool: Causes and Concerns Explained

Mucus in stool?

Hello, doctor.
I often notice mucus in my stool, which is quite concerning.
When I was younger, I was told that mucus could be associated with gastroenteritis, but as I grew older, I experienced more constipation, and it was suggested that hard stools might cause mucus.
This has been very troubling and frightening for me.

About six months ago, I had an accident, and since then, I've noticed a small amount of blood in my stool, accompanied by a tearing pain in my rectum.
I thought it might be due to a tear from the accident, but that pain has decreased over time.
However, in the past week or two, my stools have been very foul-smelling, and while it feels like diarrhea, the stools have a shape (they are thinner than before but not excessively thin).
They feel soft and sticky, and I have the sensation of not being able to clean myself properly after a bowel movement, although I don't feel the urge to go again afterward.
Just now, I noticed some blood and mucus again, and while wiping, I saw a bit of blood (there was no tearing pain during the bowel movement).
When I feel the urge to go, I experience some abdominal discomfort, and it feels like I need to go, but the stools have shape.
I typically have one bowel movement a day, and my weight has not decreased, nor do I have a family history of cancer.
The only thing I can think of is that I've been under more work stress lately, and my eating habits have always been poor.

I'm unsure if my symptoms indicate irritable bowel syndrome or something else, as mucus in the stool doesn't seem common.
I would appreciate your guidance.
Thank you!

xia xia, 20~29 year old female. Ask Date: 2015/11/21

Dr. Ke Fangxu reply Surgery

The likelihood of developing colorectal cancer at the age of 25 is not zero, but it is generally very low.
Based on your description, the probability of irritable bowel syndrome (IBS) seems higher.
It is recommended to start with a light diet and maintain a good lifestyle.
If symptoms persist without improvement, you can ask a physician for medication.
If there is still no improvement or if you are very concerned, you may also consider scheduling a colonoscopy.

Reply Date: 2015/11/21

More Info

Understanding mucus in stool can be a source of concern for many individuals, and your symptoms warrant a thorough evaluation. Mucus is a normal component of stool, produced by the intestines to help lubricate the passage of waste. However, an increase in mucus, especially when accompanied by other symptoms, can indicate underlying gastrointestinal issues.

From your description, it seems you have been experiencing mucus in your stool, occasional blood, and changes in your bowel habits. The presence of mucus can be associated with several conditions, including:
1. Irritable Bowel Syndrome (IBS): This is a common functional gastrointestinal disorder characterized by symptoms such as abdominal pain, bloating, and changes in bowel habits (diarrhea or constipation). Mucus in the stool can be a symptom of IBS, particularly if you experience alternating constipation and diarrhea.

2. Inflammatory Bowel Disease (IBD): Conditions like Crohn's disease and ulcerative colitis can lead to increased mucus production, along with other symptoms such as abdominal pain, diarrhea (which may be bloody), and weight loss. Given your history of blood in the stool, this is a condition that should be ruled out.

3. Infections: Gastrointestinal infections, whether viral, bacterial, or parasitic, can cause changes in bowel habits and mucus production. The foul smell and the change in the consistency of your stool could suggest an infectious process.

4. Hemorrhoids or Anal Fissures: These can cause blood in the stool and discomfort during bowel movements. You mentioned a history of a tear, which could indicate a fissure, especially if you have been experiencing constipation.

5. Dietary Factors: Poor dietary habits can lead to constipation and changes in stool consistency, which may contribute to mucus production. A diet low in fiber can result in harder stools, which may cause straining and lead to the production of mucus as the intestines attempt to ease the passage of stool.

Given your symptoms, it is crucial to consult a healthcare professional for a comprehensive evaluation. They may recommend diagnostic tests such as stool studies, colonoscopy, or imaging studies to determine the underlying cause of your symptoms. It is particularly important to investigate the blood in your stool, even if it is minimal, as it can indicate a more serious condition.

In the meantime, consider making some lifestyle changes that may help alleviate your symptoms:
- Increase Fiber Intake: Incorporate more fruits, vegetables, and whole grains into your diet to help regulate bowel movements and reduce constipation.

- Stay Hydrated: Drinking plenty of water can help soften stools and promote regular bowel movements.

- Manage Stress: Since you mentioned increased work stress, consider stress-reducing techniques such as exercise, meditation, or yoga, which can also positively impact gastrointestinal health.

- Regular Exercise: Physical activity can help stimulate bowel function and reduce symptoms of constipation.

In conclusion, while mucus in stool can be a normal finding, the combination of your symptoms—especially the presence of blood and changes in stool consistency—warrants further investigation. Please seek medical advice to ensure a proper diagnosis and treatment plan tailored to your specific needs.

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