Why Do I Experience Residual Stool After Bowel Movements?

After wiping clean following a bowel movement, there is still residual stool expelled?

Hello, I am a homemaker.
A few years ago, I underwent a ligation procedure for hemorrhoids, but that was the beginning of a nightmare.
My biggest issue now is that after having a bowel movement, even though I clean myself thoroughly, I soon notice some residual stool on my underwear.
People say that using a bidet is cleaner, but after using it and wiping, I still find water mixed with residual stool on my underwear, which makes me hesitant to use the bidet.
Additionally, my anal area often becomes red and swollen due to fecal contamination, causing pain.
Could you please explain why this is happening? Is it possible that I have developed new hemorrhoids, or is it related to the previous poor management of my hemorrhoids? Thank you.

Mrs. Lin, 60~69 year old female. Ask Date: 2015/11/30

Dr. Ke Fangxu reply Surgery

After the ligation of internal hemorrhoids, it is possible to experience abnormal sensations within a week due to irritation of the wound.
This may be the cause of your current condition.
If these sensations persist for a month after the ligation, a colonoscopy should be performed.
If no issues are found, it may indicate relaxation of the anal sphincter, which can be treated with medication and Kegel exercises, likely improving this condition.

Reply Date: 2015/11/30

More Info

Experiencing residual stool after bowel movements can be a frustrating and uncomfortable issue, and it may stem from several underlying causes. Given your history of hemorrhoids and the treatment you underwent, it is possible that these factors are contributing to your current symptoms.

Firstly, the sensation of incomplete evacuation can occur for various reasons. One common cause is rectal dysfunction, which may arise from nerve damage or changes in the anal sphincter muscles. If the muscles that control bowel movements are weakened or not functioning properly, it can lead to difficulty fully expelling stool. This can result in residual stool that may later leak out, causing the issues you described.

Additionally, your previous treatment for hemorrhoids, particularly if it involved ligation or other invasive procedures, could have affected the surrounding tissues and muscles. If the anal sphincter was impacted during the procedure, it might not be closing properly, leading to leakage. Furthermore, the development of new hemorrhoids or anal fissures could also contribute to discomfort and the sensation of incomplete evacuation. Hemorrhoids can cause swelling and inflammation, which may interfere with the normal function of the anal canal.

Another factor to consider is dietary habits. A diet low in fiber can lead to constipation, making it more difficult to pass stool completely. When stool is hard or dry, it can become more challenging to evacuate fully, leading to residual stool. Ensuring adequate fiber intake, staying hydrated, and maintaining regular bowel habits can help alleviate some of these symptoms.

Regarding your experience with bidet toilets, while they can provide a more thorough cleaning, they may not always resolve the issue of residual stool. If the water pressure is too high or if the angle is not appropriate, it may inadvertently push stool further into the anal canal rather than cleaning it effectively. This could explain the mixed water and stool you mentioned. It might be beneficial to experiment with different settings or techniques to find what works best for you.

To address your concerns about potential new hemorrhoids or complications from your previous treatment, it is advisable to consult a healthcare professional, preferably a gastroenterologist or a colorectal surgeon. They can perform a thorough examination to assess the condition of your anal canal and rectum, checking for any signs of new hemorrhoids, fissures, or other abnormalities. They may also recommend diagnostic tests, such as a colonoscopy, to rule out any other underlying issues.

In the meantime, consider implementing some lifestyle changes to improve your bowel health. Increasing fiber intake through fruits, vegetables, and whole grains can help soften stool and promote regularity. Staying hydrated is equally important, as it aids in digestion and helps prevent constipation. Additionally, practicing good bowel habits, such as not delaying the urge to go and taking your time during bowel movements, can also be beneficial.

In summary, residual stool after bowel movements can be attributed to various factors, including rectal dysfunction, dietary habits, and potential complications from previous hemorrhoid treatment. Consulting a healthcare professional is crucial for a proper diagnosis and tailored treatment plan. In the meantime, focusing on dietary changes and good bowel habits may help alleviate some of your symptoms.

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