Why Is My Stool Suddenly Thin? When to Consider a Colonoscopy - Surgery

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Stool becomes thin?


I have recently experienced a change in my bowel movements over the past four days, where my stools have become thinner, roughly the thickness of a finger or slightly more, and there are multiple strands.
I recall that a few weeks ago, my stools were of normal thickness and there was no blood present.
My bowel habits remain the same as before, but I have been less constipated in recent days.
I have also been gradually increasing my exercise and improving my diet, such as eating more fruits and vegetables.
There is no family history of colorectal cancer.
Should I consider getting a colonoscopy?

he, 20~29 year old female. Ask Date: 2016/03/09

Dr. Ke Fangxu reply Surgery


Although the probability of developing colorectal cancer at the age of 23 is not zero, it is generally very low.
Based on your description, it seems more like hemorrhoids.
It is recommended to maintain a light diet and a good lifestyle.
If the symptoms persist without improvement, you can ask a physician for medication.
If there is still no improvement or if you are very concerned, a colonoscopy can be arranged.

Reply Date: 2016/03/09

More Info


When you notice a sudden change in your stool consistency, such as it becoming thinner than usual, it can understandably cause concern. In your case, the stool has become thinner, resembling the width of a finger or slightly more, and you have not observed any blood in your stool. Additionally, you mentioned that your bowel habits have remained consistent, and you have been making positive lifestyle changes, such as increasing your exercise and dietary fiber intake.

Thin stools can be caused by various factors, and while they can sometimes indicate a serious condition, they are not always a cause for alarm. Here are some potential reasons for the change in stool thickness:
1. Dietary Changes: Increasing your intake of fruits, vegetables, and fiber can lead to changes in stool consistency. A high-fiber diet often results in softer, bulkier stools, but it can also lead to variations in shape.

2. Hydration: Proper hydration is crucial for healthy bowel movements. If you have recently increased your water intake, this could also affect the consistency and shape of your stool.

3. Bowel Motility: Changes in bowel motility, which can be influenced by diet, exercise, and stress levels, may lead to variations in stool shape. Increased physical activity can stimulate bowel movements, potentially leading to thinner stools.

4. Rectal or Anal Issues: Conditions such as hemorrhoids or anal fissures can sometimes cause changes in stool shape, although they are more likely to cause discomfort or bleeding.

5. Potential Pathological Causes: In some cases, thin stools can be a sign of more serious conditions, such as colorectal polyps or tumors, which can narrow the passage through which stool passes. However, this is less likely, especially given your age and the absence of a family history of colorectal cancer.

Given your situation, it is essential to consider when to seek further evaluation. Here are some guidelines:
- Duration of Symptoms: If the change in stool thickness persists for more than a few days or weeks, it would be prudent to consult a healthcare professional.


- Associated Symptoms: If you experience any additional symptoms, such as abdominal pain, changes in bowel habits (like diarrhea or constipation), unexplained weight loss, or blood in the stool, you should seek medical attention promptly.

- Family History: While you mentioned that there is no family history of colorectal cancer, it is still important to be vigilant about any changes in your body.

- Age Considerations: Generally, routine screening for colorectal cancer begins at age 45 for average-risk individuals. However, if you have concerning symptoms or changes, it may be appropriate to discuss a colonoscopy with your healthcare provider sooner.

In conclusion, while your recent changes in stool consistency may not be immediately alarming, it is essential to monitor your symptoms closely. If the thin stools persist or if you develop any new symptoms, it would be wise to consult a healthcare professional. They may recommend a colonoscopy to rule out any underlying issues, especially if there are any concerns based on your symptoms or medical history. Regular screenings and being proactive about your gastrointestinal health are key components of maintaining overall well-being.

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