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

The stool seems to have become thinner?

Recently, I have been experiencing frequent twisting pain in my lower left abdomen, and it feels like my stool has become narrower, about the size of a finger and a half, approximately 2-3 cm.
Is this normal? Additionally, I had a colonoscopy two years ago, which showed no polyps.
Do I need to have another one now? There is no blood in my stool, and I have not lost any weight.
E has helped me with a digital rectal exam.

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

Dr. Yang Zhichao reply Gastroenterology and Hepatology

Dear Mr.
Jacky, a stool width like this is still considered normal.
However, if the pain persists, it is advisable to consult a doctor.
If a colonoscopy is necessary, it can still be arranged.

Changhua Hospital cares about your health.

Reply Date: 2015/12/12

More Info

When it comes to changes in stool size and abdominal pain, it’s essential to pay attention to your body’s signals and seek medical advice when necessary. Based on your description, you are experiencing left lower abdominal pain and have noticed that your stool size has decreased to about 2-3 cm in diameter. You mentioned that you had a colonoscopy two years ago, which did not reveal any polyps, and you are not experiencing blood in your stool or weight loss.

Firstly, it’s important to understand that stool size can vary based on several factors, including diet, hydration, and bowel habits. A decrease in stool size can sometimes be attributed to a low-fiber diet, dehydration, or changes in your gastrointestinal function. However, persistent changes in bowel habits, especially when accompanied by abdominal pain, warrant further investigation.

Given that you are experiencing recurrent abdominal pain, it is advisable to consult with your healthcare provider. They may recommend further evaluation to rule out any underlying conditions that could be contributing to your symptoms. While your previous colonoscopy was clear, the recommendation for repeat colonoscopy often depends on your age, family history of colorectal cancer, and any new symptoms you may be experiencing. Since you have had a significant change in your bowel habits and are experiencing pain, your doctor may suggest another colonoscopy or other diagnostic tests such as imaging studies to ensure there are no new developments.

In addition to the colonoscopy, your doctor may also consider other factors such as dietary habits, stress levels, and any medications you are taking that could affect your gastrointestinal health. It’s crucial to maintain a balanced diet rich in fiber, stay hydrated, and engage in regular physical activity, as these can help promote healthy bowel function.

If your abdominal pain worsens, if you start to notice blood in your stool, or if you experience significant changes in your weight or appetite, you should seek medical attention promptly. These could be signs of more serious conditions that require immediate evaluation.

In summary, while occasional changes in stool size can be normal, the combination of persistent abdominal pain and changes in bowel habits should not be ignored. It’s best to consult with your healthcare provider to discuss your symptoms and determine the appropriate next steps for evaluation and management. Your health is paramount, and proactive communication with your healthcare team is key to ensuring your well-being.

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