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Internist
Internist, Board Certified Physician
Category: Medical
Satisfied Customers: 4766
Experience:  Int. Med., Gastroenterology. Fellow American College of Physicians. Trained, located in the U.S.
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What causes stool to be hard little balls

Resolved Question:

What causes stool to be hard little balls?
Submitted: 8 years ago.
Category: Medical
Expert:  Internist replied 8 years ago.
Hello,

Thank you for your question.

You need to have more fiber and moisture in your stools. Try the following regimen. If this problem persists get it checked by your doctor.

You must try to avoid stimulants. Give this regimen a chance. It takes time.

I will recommend a regimen for you to try to get you to have one or two normal bowel movements a day. The first approach is to increase fiber and bulk in your stool. If this fails, then you must go on to stimulant laxatives or other agents.

First, to increase the bulk in the stool, you must take fiber every am. ie. bran, bran cereal, bran muffin. Also 2 salads a day and ample fruits and vegetables. (avoid gas forming vegetables such as beans or broccoli, cabbage) Psyllium agents such as Metamucil, Citrocel, Konsyl, Hydrocil, Perdiem 2-4 heaping tablespoons a day should help increase the bulk in your stool. You may instead want to try Fibercon, 6-8 capsules a day.Also try Colace (stool moisturizer). Start slowly and increase the amount every day to avoid side effects of gas or bloating.

Try to train yourself to have one or two movements a day by sitting on the toilet the same time every day.

Probiotics, like Activia, will help.

I have found this works for most of my patients after minor adjustments you must make yourself. Let me know how you make out after a few weeks. This takes time and does not work overnight.

You can use Miralax on a short term basis or an enema if you are really
uncomfortable.

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