Dealing with Hard, Pellet-Like Stools: Causes and Solutions

It has been nearly two weeks since I have had hard, pellet-like stools?

Hello, doctor.
In the past, I would have a bowel movement every morning that would take less than 10 minutes, and it was mostly normal.
However, for the past two weeks, I have still been having a bowel movement every morning, but it has become difficult and slow.
Initially, it comes out in small pieces, and only at the end do I have a small segment that is not pellet-like.
The day before yesterday, I noticed a small amount of fresh blood on one of the stools (I had a fecal occult blood test in November, which was normal).
I thought it would only last a few days, but it has now continued for about two weeks.
I usually eat plenty of fruits and vegetables and drink water, and my lifestyle is normal, though I do have a problem with not exercising enough.
This morning, it was again coming out in small pieces, followed by a small segment of normal stool, but the stool was somewhat flattened.
I am concerned that the change in stool shape and the pellet-like consistency for over two weeks may indicate other issues.
I would like to ask the doctor how I can improve this situation and whether I need to seek medical examination.
Thank you! Additional information: I have hemorrhoids, and I have a regular bowel movement once a day at a consistent time.

SHUFEN, 30~39 year old female. Ask Date: 2015/12/22

Dr. Chen Qifeng reply Gastroenterology and Hepatology

Hello, constipation may be causing hemorrhoidal bleeding.
Increase your intake of fruits and vegetables, and drink plenty of fluids while avoiding fried and irritating foods.
If the bleeding persists, please consult a colorectal surgeon at the Department of Gastroenterology, Taoyuan General Hospital, Ministry of Health and Welfare, Dr.
Chi-Feng Chen.

Reply Date: 2015/12/22

More Info

Dealing with hard, pellet-like stools can be a frustrating and uncomfortable experience. It sounds like you have been experiencing changes in your bowel habits, which can lead to concerns about your digestive health. Let's break down the potential causes and solutions for your situation.

Causes of Hard, Pellet-Like Stools
1. Dehydration: One of the most common reasons for hard stools is insufficient water intake. Even if you feel like you are drinking enough fluids, factors like climate, exercise, and diet can affect hydration levels.

2. Dietary Factors: A diet low in fiber can lead to hard stools. While you mentioned consuming fruits and vegetables, it’s essential to ensure that you are getting enough dietary fiber. The recommended daily intake is about 25 grams for women and 38 grams for men.

3. Lack of Physical Activity: Regular exercise helps stimulate bowel movements. If your activity level has decreased, this could contribute to changes in your stool consistency.

4. Stress and Anxiety: Psychological factors can also play a significant role in bowel health. Stress can lead to changes in gut motility, potentially resulting in harder stools.

5. Medical Conditions: Conditions such as irritable bowel syndrome (IBS), hypothyroidism, or even structural issues in the colon can lead to changes in bowel habits. The presence of hemorrhoids can also complicate the situation, as they may cause discomfort during bowel movements, leading to a tendency to hold back.

Solutions for Hard, Pellet-Like Stools
1. Increase Fiber Intake: Aim to include more high-fiber foods in your diet, such as whole grains, legumes, fruits, and vegetables. If you struggle to get enough fiber through food, consider a fiber supplement, but consult with a healthcare provider first.

2. Stay Hydrated: Ensure you are drinking enough water throughout the day. A general guideline is to aim for at least 8 cups (64 ounces) of water daily, but individual needs may vary.

3. Regular Exercise: Incorporate physical activity into your daily routine. Even moderate exercise, such as walking, can help stimulate bowel function.

4. Establish a Routine: Try to set a regular time each day for bowel movements. This can help train your body to have more predictable bowel habits.

5. Relaxation Techniques: If stress is a contributing factor, consider practicing relaxation techniques such as deep breathing, meditation, or yoga. These can help reduce anxiety and improve gut motility.

6. Over-the-Counter Solutions: If dietary changes are not sufficient, you might consider using over-the-counter stool softeners or mild laxatives. However, it’s essential to use these sparingly and not rely on them long-term.

7. Consult a Healthcare Provider: Given that you have noticed blood on your stool and changes in your bowel habits, it’s crucial to consult a healthcare provider. They can perform a thorough evaluation, including a physical examination and possibly additional tests, to rule out any underlying conditions.

Conclusion
In summary, hard, pellet-like stools can result from various factors, including diet, hydration, physical activity, and stress. By making dietary adjustments, staying hydrated, exercising regularly, and managing stress, you can often improve your bowel health. However, given the presence of blood and the persistence of your symptoms, seeking medical advice is essential to ensure there are no underlying health issues that need to be addressed. Remember, your health is paramount, and proactive steps can lead to significant improvements in your well-being.

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