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Bowel Movements: What's Normal and What's Not?

Everybody poops, but no one really talks about it. So you may wonder if your poop is normal.

Here at GastroDoxs, gastroenterologist Dr. Bharat Pothuri is used to answering questions about bowel movements. Read on to learn what’s normal when it comes to pooping and what may need a review from a specialist.

What’s normal when it comes to bowel movements

A "normal" bowel movement varies greatly from person to person. The following characteristics help you determine if you’re body is generally on the right track when it comes to your bathroom habits:

Frequency

For some, a normal frequency is three times a day, while for others, it might be three times a week. Both can be normal as long as the frequency is consistent and doesn’t cause discomfort.

Consistency

A healthy stool is generally soft to firm in texture, similar to a banana. The Bristol Stool Chart classifies ideal stool as Type 3 or 4.

Color

Normal stool color ranges from medium to dark brown. This indicates a healthy digestive process and proper bile production.

Bowel movements should be on a relatively consistent schedule without significant changes over time. They should be painless and easy to pass with no excessive straining. Healthy bowel movements are free of blood, too. 

What’s not normal

If you experience sudden changes in your bowel movement pattern or in the characteristics of your stool, it could indicate a digestive problem. Some chronic problems are also not normal and warrant a visit to our office. 

The following could signal that you have something going on in your gastrointestinal tract that needs attention:

Chronic constipation

Infrequent stools or difficulty passing them, often accompanied by straining, could indicate constipation. This might be due to a low-fiber diet, dehydration, or underlying health issues.

Persistent diarrhea

Frequent, loose, or watery stools can be a sign of infection, food intolerance, or a digestive disorder such as irritable bowel syndrome (IBS) or an inflammatory bowel disease like Crohn’s disease.

Blood in stool

Blood can appear as bright red streaks or as dark, tarry stools. This could indicate hemorrhoids, fissures, or a more serious condition like colorectal cancer.

Color changes

While diet can cause temporary changes in stool color, persistent changes (like pale, clay-colored stools or very dark stools) can signal liver issues or gastrointestinal bleeding.

Abnormal shapes

Pencil-thin or ribbon-like stools can be a sign of obstruction or narrowing in the colon.

Should I see a gastroenterologist?

Certain symptoms require a review by a gastroenterologist. Dr. Pothuri recommends you make an appointment if you have changes in your bowel habits along with significant weight loss that’s not due to a change in diet or exercise.

You should also visit our office if you have persistent or severe abdominal pain that doesn’t improve with over-the-counter treatments. Any changes in bowel habits, such as chronic constipation or diarrhea, that go on for more than a few days also deserve attention.

And you should definitely make an appointment if you have any indication of blood in your stool. 

Keeping your bowels healthy

Stay hydrated by drinking plenty of water to help keep stools soft and easier to pass. Eat high-fiber foods like fresh fruits and vegetables, whole grains, and legumes to help promote regularity. 

Physical activity helps stimulate your intestine’s function. Always go to the bathroom when you feel the urge, as postponing can lead to constipation. If you notice certain foods affect your bowel function, take note. You may need to limit them in your diet. 

If you have any concerns or notice significant changes in your bowel habits, please reach out to our team at GastroDoxs to schedule an appointment. Your bowel health is our concern!

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