Is My Brother's Bowel Movement Normal? Signs of Potential Danger - Surgery

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Is my brother's bowel movement normal?


Hello doctor: I'm asking on behalf of my brother.
He is turning 40 this year and usually enjoys fried foods and has been smoking for 15 years.
Recently, over the past 1-2 years, he has been spending a long time, about 20 minutes, in the bathroom.
His stool has been somewhat mushy, and this morning it was red and black.
Is this very dangerous?

Xiao Juan Huang, 30~39 year old female. Ask Date: 2016/02/29

Dr. Yu Mingchang reply Surgery


Hello: Please take some time to see the colorectal department at Changhua Hospital, Ministry of Health and Welfare.
We care about you.

Reply Date: 2016/02/29

More Info


When it comes to bowel movements, changes in color, consistency, and frequency can be indicators of underlying health issues. Your brother's situation raises several important points that warrant attention.

Firstly, the fact that your brother is experiencing bowel movements that take a long time (around 20 minutes) and have a "mushy" consistency can be concerning. Normal bowel movements should ideally be well-formed and should not require excessive straining or time. A mushy stool can indicate a variety of issues, including dietary choices, dehydration, or gastrointestinal conditions. Given that your brother enjoys fried foods and has a long history of smoking, these habits could contribute to digestive issues.

The most alarming aspect of your brother's bowel movements is the presence of red and black colors. Red stool can indicate the presence of blood, which may come from the lower gastrointestinal tract, such as hemorrhoids, diverticular disease, or more serious conditions like colorectal cancer. Black stool, on the other hand, often suggests bleeding from the upper gastrointestinal tract, such as from ulcers or gastritis, as the blood has been digested and appears darker by the time it reaches the rectum.

Given these symptoms, it is crucial for your brother to seek medical attention as soon as possible. A healthcare provider will likely recommend a thorough evaluation, which may include a physical examination, a review of his medical history, and possibly diagnostic tests such as a colonoscopy or imaging studies to determine the cause of the bleeding and the changes in his bowel habits.

In addition to the immediate concern of potential gastrointestinal bleeding, your brother's lifestyle choices—such as a diet high in fried foods and a long history of smoking—can have long-term effects on his health. These habits are associated with an increased risk of various health issues, including heart disease, certain cancers, and chronic digestive problems. Encouraging your brother to adopt a healthier lifestyle, including a balanced diet rich in fruits, vegetables, and whole grains, as well as quitting smoking, could significantly improve his overall health and potentially alleviate some of his gastrointestinal symptoms.

In summary, the combination of prolonged bowel movements, mushy stool consistency, and the presence of red and black colors in the stool is concerning and should not be ignored. It is essential for your brother to consult with a healthcare professional promptly to rule out serious conditions and to receive appropriate care. Early intervention can make a significant difference in outcomes, especially when it comes to gastrointestinal health.

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