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Ask Dr S.A.Alam Your Own Question
Dr  S.A.Alam
Dr S.A.Alam, Doctor
Category: Medical
Satisfied Customers: 4469
Experience:  MBBS/FCPS/MRCP(R) U.K
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My bowel movements are always soft and do not totally clear

Resolved Question:

My bowel movements are always soft and do not totally clear out. I have to wipe continually and usually have to shower off to totally clean myself. What can I do?
Submitted: 7 years ago.
Category: Medical
Expert:  Dr S.A.Alam replied 7 years ago.

is there any blood or mucus in the stools ?

since when you have this problem ?

is there any itching in the anal area ?

have you done any tests ?

any medicine taken ?
Customer: replied 7 years ago.
There is no blood or mucus. I have had this problem for quite sometime. There is no itching in the anal area. I am having a colonostopy done. The last one was probably 6 years ago. I am on hormone replacement medicine. They seem to be normal bowel movements other than the fact they don't eliminate completely.
Expert:  Dr S.A.Alam replied 7 years ago.

What is the cosistency of the stools ?

do they stick with the toilet pan and difficult to flush ?

what was the last time you had any blood or stool tests done, and were the reports normal ?
Customer: replied 7 years ago.
They are soft. And yes they do stick to the toilet often and are difficult to flush. I don't recall having a stool test done to check for blood, but I haven't seen anything myself. I have been told I have irritable bowel. I sometimes have to rush to the bathroom after eating.
Expert:  Dr S.A.Alam replied 7 years ago.

Thanks for input,

your problem is due to presence of large no of fats in the stools,

you need to get you stool test for fat contents.

mean while you need to avoid high fat diet,

if your stools become more firm they will be easy to clean so try taking more fiber in

your diet, increase your fruit and vegetable intake, avoid taking fried food.

next step will be lower gut endoscopy if your problem does not settle.

I hope answer was helpful
Customer: replied 7 years ago.
Do I just ask my doctor for a stool test? When you say endoscopy is that the same as colonostopy?
Expert:  Dr S.A.Alam replied 7 years ago.

Thanks for input,

yes, getting a stool test is a prefferable option,

yes colonoscopy is the same thing.
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