This is Dr Basu, experienced Internal Medicine Specialist.
I am here to address your concerns and provide great service.
Most likely this is the colon lining sloughed off with hard stool.
This is not serious usually.
However you should send it to the lab to check for worm.
Stool itself also can be tested for ova and parasites.
The possibility is unlikely.
You should follow a high fiber diet.
Miralax daily can be taken to prevent constipation.
Senna tablets also can be combined if needed.
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