The diameter of the stool has decreased. Let's discuss under what conditions thin feces appear and what can cause this phenomenon? Complications and consequences

05.07.2020 Analyzes

A change in the color, consistency, shape and size of the designed feces always raises questions from an adult. This may be the first sign of a disease, and such manifestations cannot be ignored. The main characteristics of the norm: regular, moderately soft, painless stools. Anything that goes beyond this is a reason to see a doctor. One of the options for the manifestation of pathology is the ribbon-like form of feces.

Causes of the appearance of a thin stool in an adult

The obvious reasons for thin feces in an adult are errors in nutrition, when there is not enough plant fiber in everyday food. Neglecting fruits, vegetables, fiber is the first step towards gastritis, colitis, constipation, hemorrhoids, and diseases of the biliary system. In addition, feces come out in thin sausages in the case of:

  • A sedentary lifestyle, which, in combination with an unbalanced diet, will at least lead to indigestion and obesity. More serious consequences may arise: diabetes, intestinal obstruction, appendicitis, etc.
  • Alcohol abuse, which leads to colon atrophy as a result of a series of indigestion followed by constipation. It also provokes pathologies of the liver, biliary tract, cirrhosis and tumors.

If you pay attention to the ribbon-like feces in time and eliminate the cause that caused it, then the digestive system can recover, and human health will not suffer.

In some cases, pencil feces require special control and may indicate serious violations:

  • Development of hemorrhoids. This is the most common pathological cause thin feces in adults.
    Irritable bowel syndrome (IBS). Constant pressure digestive system, most often of a toxic nature, causes a ribbon-like formation of feces.
  • Tumor processes in the gastrointestinal tract or nearby organs. This is the most dangerous scenario. Neither benign nor malignant neoplasms make themselves felt for a long time. Thin feces may be the only sign of severe pathology.
  • Helminths often cause disturbances in the formation of feces. In this case, the chair may not be just thin, but flat.
  • Prostatitis causes thin stools in men due to a purely mechanical narrowing of the intestinal lumen by an enlarged prostate.
  • Bowel surgery is another cause of banded stool. The restoration of feces to normal forms is a kind of marker of correctly performed surgery and postoperative therapy.

Pencil feces for hemorrhoids

Violation of blood circulation in the pelvic organs, a change in the blood coagulation system, problems with intestinal motility, a violation of its patency leads to the appearance of hemorrhoids in the rectal region. Ribbon-like feces are a sign of internal hemorrhoids. The node narrows the intestinal lumen and during bowel movements, the feces pass through a narrow gap, taking the form of a tape. Wherein feces are difficult to evacuate from the intestines, and blood from the injured node may be present in the stool. If such a symptom is noticed, then you should immediately contact for medical care... Otherwise, the disease will progress, sometimes life-threatening bleeding can become the outcome of the development of pathology.

Rectal neoplasms

Rectal tumors are not uncommon. They can be both benign and malignant. In any case, they narrow the intestinal lumen. The most common polyps are the most different sizes... They are benign and must be surgically removed to prevent possible malignancy of the process. Therefore, the sooner you seek help from a specialist, the better. If the polyp blocks the intestinal lumen, the stool looks like a long, thin sausage or pencil. The volume of portions of feces may also decrease, and the bowel movement itself becomes intermittent. The tumor provokes constipation, each new portion appears every 2-4 days, looks like a small soft strip. Defecation is accompanied by discomfort, lasts a long time, and causes pain syndrome, tension of the abdominal muscles. The whole complexity and danger of the situation lies in the fact that cancer and a benign neoplasm cause the same symptomatology, therefore, only a doctor can make a correct diagnosis, confirming it with histological examination. Contacting a specialist in advanced stages may not give positive results in treatment.

Prostatitis

Inflammation prostate- the most common urological pathology in men of different age categories. The most vulnerable are men of reproductive age with high sexual activity, which means that they have a considerable risk of developing infections. In addition, fishermen, winter sportsmen, all those who, by virtue of their profession, face hypothermia, are at risk. Inflammation of the prostate causes it to swell and increase in size, which leads to a narrowing of the intestinal lumen. The main symptom is painful bowel movements and pencil feces. In rare cases, constipation. The disease is dangerous for its consequences: infertility, impotence, the development of tumor processes.

Irritable bowel syndrome

This pathology forces the patient to see a doctor, since the main symptom that irritable bowel demonstrates is pain. It is accompanied by a series of diarrhea and constipation. The pain is often spastic in nature, the intestines are not just irritated, it spasms, shrinks. As soon as the pain recedes slightly and the intestine relaxes, a current tape of feces comes out. The mechanisms of spasm and irritation of the intestines with the development of inflammation are not fully known to medicine. The specialist does not always manage to find the cause of the pathology, therefore, the treatment is mainly symptomatic. And for prevention, a balanced diet is required, regular meals in small portions, healthy image life.

Ribbon feces in children

Most common reason thin feces in a child - lamblia. They never show themselves with any special symptoms. More often than not, ribbon-like stool is the only sign of a problem. Parents should be alerted to the baby's poor weight gain, and in the case of older children - unreasonable bouts of nausea, lethargy.

It is important to pay attention to the child's behavior, his complaints: discomfort and rumbling in the intestines, a feeling of incomplete emptying of the rectum during bowel movements, soreness in the anus. Even if the child does not yet know how to speak, a number of signs can be suspected of violations in the gastrointestinal tract. A sick baby is restless, naughty, he has colic, the temperature may rise and impurities in the feces may appear. In any case, a change in the volume of feces in combination with the restless behavior of the baby is a reason for consulting a doctor. Another reason for filamentous feces in an infant is breastfeeding Mom's malnutrition can become when too fatty milk leads to incomplete digestion of food, difficult evacuation of food debris from the intestines.

Violation of defecation in women during pregnancy

Pregnancy is a natural cause of ribbon-like stool in women. Many expectant mothers notice a thin stool during the period of carrying a baby. It does not cause problems with bowel movements, but sometimes it gives way to constipation. The ribbon-like feces are determined by the fact that the uterus, as it grows, presses on the intestines, blocking its lumen. In such cases, nothing needs to be done, the situation does not require treatment, but it needs constant monitoring and observation. It should be remembered that thin stools and constipation can be harbingers of hemorrhoids and bowel obstruction. After delivery, the problem usually disappears without a trace.

Prevention of the appearance of feces of a ribbon-like shape

Preventive measures to prevent the appearance of fine faeces can vary. In the most general terms, they look like this:

  • Correct, balanced nutrition. You cannot exclude first courses from your diet. Portions should be small, do not eat dry food often. You need to drink at least 1.5 liters of clean water per day.
  • Stress should be avoided. They are quite often triggers of pathological processes that negatively affect the functioning of the digestive system, causing this or that disease.
  • It is important to engage in physical education or sports. Dosed physical exercise balance a sedentary lifestyle, prevent obesity, gastric and intestinal pathologies.
  • It is better to give up bad habits: alcohol, cigarettes, drugs. Drinking strong coffee in excessive amounts also increases the risk of developing gastrointestinal diseases.

What to do if the shape of the bowel changes?

The appearance of a thin stool is not a cause for panic. The main thing is to pay attention to the changes in time and consult with a specialist. Most often, to normalize bowel movements, it is enough to adjust the diet and stop being nervous. If the cause of the thin stool lies in the disease, it must be identified and treated. This requires a complete clinical and laboratory examination by a gastroenterologist and, if necessary, consultation of related specialized specialists. Diagnostics is as follows:

  • Sigmoidoscopy and examination of the rectum by touch. This is how hemorrhoids are identified, their localization, size, trauma.
  • UAC, OAM - to determine general condition the patient.
  • Study of the blood coagulation system, prothrombin index, which not only tells about the time of thrombus formation, but also excludes or confirms liver dysfunction (prothrombin synthesis).
  • The coprogram will show the ratio of normal and pathogenic intestinal flora.
  • Bacterial sowing of feces on nutrient media will reveal the pathogen.
  • It is also necessary to donate feces for worm eggs and a blood test for antibodies to lamblia.
  • If necessary, the doctor will prescribe an X-ray of the intestine, a biopsy.

Treatment is prescribed individually, depending on the cause that caused the appearance of thin feces. It consists in a course of drug therapy aimed at destroying the pathogen, stimulating immunity, and relieving stress. In some cases, surgery is required, followed by rehabilitation of the patient.

For many people, the topic of kakashi is so personal that they do not want to share it with anyone and talk about it. But they may not realize that it is sometimes useful to know what other people's poop is, what is their stool shape, color, and possibly even smell. It's okay to take an interest in this. The shape of your poop, just like the color, can suggest or hint at some possible malfunctions of the body. If you do not want to share very personal processes with other people, then we will help to keep the secret and tell you what shape and size the feces are and what this may mean.

When you come to the doctor's office, you can often hear a question about poop, the doctor may ask what shape, color, how often do you relieve in great need. Some people are confused by such questions, they do not even understand the purpose of this question and how much a decisive role it can play already at the stage of the survey, including speeding up treatment and making the correct diagnosis. British doctors decided to correct the problem of embarrassment of patients and developed the so-called scale for assessing the forms of feces - the Bristol scale of forms of feces.

The Bristol Stool Scale was developed by doctors in England to more conveniently classify the shape of poop and was introduced in 1997.

With the help of the Bristol Stool Scale, it is easier for patients to overcome the psychological barrier. Looking at clear pictures, a person may not describe to the doctor the shape of his excrement, but name the desired type or point to a picture depicting the most suitable form of poop. It is also useful and convenient for self-testing at home.

Forms of feces according to the Bristol scale

In the Bristol scale, there are 7 main types of feces. On the left is an illustration of poop. In the middle - type numbering and short description... On the right side there is a transit scale - it indicates the time of formation of a particular type of feces. You can find other variations of the performance of the Bristol scale.

The Bristol scale of feces forms does not allow for an accurate diagnosis of the disease, since it only presents classifications of forms of poop. In the case of any disease, these data are not enough and it is necessary to take into account such parameters as and. At home, this table is useful only for a rough assessment of the state of your intestines. She will also facilitate your dialogue with the doctor, if necessary, and reduce the level of embarrassment.

What can the shape and size of feces indicate?

Now let's take a closer look at each of the types of poop described in the Bristol scale.

The first type of feces

Selected hard balls, similar to nuts, they are also called goat or sheep poop. Shit of this form is characteristic of acute dysbiosis. The first type of cocoa is hard and abrasive. Their size is approximately 1-2 cm. Due to their hardness and prickleness, they can cause pain during a chafing. With sheep poop, there is a high likelihood of damage to the anal canal and anorectal bleeding.

The second type of poop

This type of feces is a large sausage-shaped poop with a lumpy structure. This type of feces is common in constipation. The size of the poop in diameter is about 3-4 cm. Since the diameter of the maximum opening of the diaphragm of the anal canal is less than 5 cm, the bowel movement is accompanied by damage and can cause a laceration of the anal canal. Due to too long stay in the intestines, on the order of several weeks, the feces acquire such huge sizes. The reason for the formation of such a stool can be chronic constipation, as well as hemorrhoids, anal fissures and delayed bowel movements. This type of stool can cause irritable bowel syndrome and obstruction small intestine, due to the fact that there is constant strong pressure on the intestinal walls.

The third type of feces

This type of poop is similar to the previous one, with the exception of smaller sizes, about 2-3.5 cm in diameter. It has a sausage-like shape and cracks on the surface. A smaller diameter indicates that bowel movements occur more often than with the second type. At the same time, the third type of bowel movement indicates hidden constipation. It is accompanied by minor flatulence, which is caused by dysbiosis. The owners of such a chair usually suffer from irritable bowel syndrome. Such poop can cause all the adverse effects of the second type. It also contributes to a more rapid deterioration of hemorrhoids.

The fourth type of poop

The shape of these poop can be called a standard. Dimensions in diameter are about 1-2 cm, in length - usually within 18 cm. This type of shit is typical for bowel movements once a day.

Fifth type of feces

These kakakhi are soft balls with sharp edges. The diameter of such a chair is 1-1.5 cm. Such faeces are typical with 2-3 bowel movements per day. They, like the fourth type, are an excellent indicator.

Sixth type of feces

Signs of the sixth type are soft, fluffy stools with ragged edges. If you can control the urge to bowel movements and in which case you are able to tolerate, then this chair can be considered normal. It can characterize an overactive colon. Including the reasons for such feces can be - dehydration, overstrain, blood pressure, excessive sensitivity to certain spices, high mineral content in water, or ingredients in food that cause laxative effects.

Seventh type of feces

The seventh type is loose stools, in other words, diarrhea. This symbolizes diarrhea. At the same time, there may be paradoxical diarrhea. Paradoxical diarrhea is when a person has constipation and diarrhea at the same time. The lower parts of the intestine are clogged with feces, while up to 1.5-2 liters of liquid feces accumulate above them. This type of diarrhea occurs quite often, especially in young children and in weakened adults who are recovering from an illness.

As you can see, it is useful to observe the shape and size of the stool. Shit can say a lot about the state of your body. Knowing the classification of feces, you can determine the normalcy of your stool and early stages prevent some diseases, as well as prevent others from developing. Of course, knowing the types of poop alone is not enough for a complete diagnosis. But enough to draw attention. We wish you the correct feces. Relief!

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In order to correctly assess the situation and not fall into a panic ahead of time, assuming the presence of the most dangerous diseases, find out in more detail what feces are characteristic of hemorrhoids and what needs to be done to restore it.

Why does the nature of the stool change with hemorrhoids

The symptomatology of hemorrhoids differs by different stages... Beginning with mild itching and burning in the anorectal region, it can lead to difficulty defecating, constipation or diarrhea, and increased pain and bleeding.

The color, shape and consistency of feces changes, which depend on the form of hemorrhoids - internal, external or combined, and the size of hemorrhoids.

Internal nodes strongly affect the nature of the feces. Due to the narrowing of the lumen of the rectum, the shape of the feces becomes ribbon-like - thin and long.

Although such faeces do not necessarily indicate hemorrhoids and may be signs of problems with the pancreas or gastrointestinal tract.

Stool that is too hard is caused by prolonged constipation. At the recollection of the painful procedure, the patient postpones the trip to the toilet. Constipation becomes chronic, and when exiting, feces severely injure the resulting bumps.

Loose stools are associated with the risk of infecting open wounds from anal fissures and open wounds. And it also injures the inflamed nodes.

Any deviation from the norm in the stool should alert and force you to contact a proctologist.

The norm is considered:

  • the shape of the feces is cylindrical, rather dense, but soft;
  • color - from light to dark brown;
  • diameter - from 20 to 50 mm;
  • there are characteristic constrictions on the surface as a result of movement along the intestinal lumen;
  • emptying - at least 1 time per day:
  • in the absence of constipation or diarrhea - 1 time in 48 hours is also the norm, as well as 2-3 times a day;
  • faeces come out freely and gently without pushing.

Having found out in a timely manner the cause of violations in color, shape and consistency during microscopic examination, you can quickly begin treatment.

The normal color of stool is brown, with varying shades from light to dark.


Sometimes the stool changes color and becomes white, red, yellow, and even black. In this case, we are not necessarily talking about pathology, for example:

  • potato and rice dishes make them lighter;
  • tomatoes and beets give a shade of red;
  • the activated carbon changes color to black.

But if you have not eaten such foods and have not taken medications, you should be wary.

Feces may be yellow in color, associated with diarrhea, or red if blood is present.

Blood in the stool is one of the first signs of hemorrhoids, and not only it. Therefore, even in the absence of such secretions, they are prescribed.

The doctor will help to determine the pathology with a thorough examination, using different ones.

The extent to which the hemorrhoids are started is related:

  • with the amount of blood in the feces, its abundance;
  • saturation and color shades;
  • the presence or absence of blood clots.

With hemorrhoids, feces, passing through the intestines, damage the inflamed hemorrhoids, causing at first a small, and then more and more.

There are different shades of blood:

  • dark;
  • black, often with mucus or pus.

They are evidence of various problems and diseases, alternately appear at different stages, depending on the location of hemorrhoids or other neoplasms in the intestine.

Crimson blood color

If there are no blood clots and mucus, then the scarlet color is usually associated with initial stage hemorrhoids, which are easiest to diagnose and cure with timely referral to a proctologist and professionally prescribed treatment.

The shade of scarlet depends on the location of the nodes: the closer they are to the anus, the brighter it becomes.

Particular attention should be paid to the intensity of blood flow. Daily blood loss can cause:

  • the development of anemia;
  • the risk of infection of open wounds;
  • thrombosis of hemorrhoidal veins.

Scarlet blood is also associated with the formation of anal fissures, which at this stage are also easy to heal on their own using special anti-inflammatory and wound healing ointments.

Dark blood color

If the blood darkens, the inflammatory processes intensify, the hemorrhoids move to the next stage. The nodes increase, their walls become thinner, more often injured. Blood clots are formed, the work of organs is disrupted abdominal cavity as there is a slowdown in outflow venous blood and the rate of metabolic processes.

The darker the blood, the more neglected the hemorrhoids are, the more difficult it is to treat.

Black color and blood clots in the stool

Black feces with a resinous consistency is evidence of severe inflammatory processes and intestinal trauma. This color is due to the formation of hematin - a substance formed as a result of prolonged stay of blood in the intestine and development bacterial infection... Most often associated with:

  • a stomach or duodenal ulcer;
  • other serious damage to the upper intestine.

The presence of such symptoms requires immediate hospitalization and treatment in a hospital setting.

Blood clots in the feces are the result of abundant internal bleeding in which not all of the blood comes out. Part of it folds up and comes out in the form of lumps in the feces during subsequent emptying.

In addition to hemorrhoids, they can be associated with:

  • oncological diseases of the digestive tract;
  • developed anemia;
  • erosions and ulcers in any department gastrointestinal tract.

Feces with blood clots require urgent diagnosis for the presence of concomitant diseases.

Mucous discharge in feces

They occur at the onset of the disease and are accompanied by pain, itching, burning sensation in the anorectal region, constipation or diarrhea.

Mucus usually does not mix with feces. If they are solid, it looks like pieces of inclusions, and if they are liquid, it looks like a homogeneous substance on the surface.

Mucus is a sign of other diseases of the small or large intestine.

You cannot be treated on your own, since you should first diagnose the problem. This can only be done by a proctologist, prescribing appropriate tests, and, if necessary, instrumental diagnostics intestines.

The shape and size of feces with hemorrhoids

During hemorrhoids, not only the color of the feces changes, but their shape, consistency and size. It depends on the type of disease, the quality and time of food processing, the duration of its stay in the intestine.

Forms of feces according to the Bristol scale

The Bristol Fecal Shape Scale (often just the Bristol Scale) was first published in 1997 by Ken W. Heaton, a doctor at the University of Bristol, UK. It is a classification grading scale of human feces, is an important diagnostic tool in identifying pathologies not only of the gastrointestinal tract, but also of other organs.


The initial goal is to facilitate dialogue between the doctor and his patient. Indeed, in most cases, the latter needs to explain the nature of his feces, their color, shape, consistency and much more, which causes false shame and embarrassment.

The scale greatly simplifies the situation, as it is a table with figures and decoding. The patient only needs to point to the one that suits his situation. It's enough.

There are 7 types of faeces according to the table. Their color, shape, consistency, smell, the content of mucus, blood, undigested food residues in them depends on how long they have been in the rectum and the large part of the intestine. Appearance feces, along with other diagnostic methods, allows you to identify the pathology of the digestive system and assess the work of the intestines.

At the same time, types 1 and 2 indicate constipation and difficulties with emptying, 3 and 4 are considered the norm, especially the last, 6 and 7 speak of diarrhea. The most dangerous is 7. A similar nature of feces is evidence of dangerous diseases.

More detailed characteristics by type

1 type - sheep

Separate hard lumps have the shape of a small nut with a diameter of 10 to 20 mm. Received the apt name of sheep. Caused by constipation associated with dysbiosis, often having acute form, with long-term use drugs with antibiotics, as well as with a low-carb diet.

Painful sensations not only during emptying, but also during movement through the intestines, as it is hard and prickly.


Anal fissures and bleeding appear.

The beneficial microflora is disturbed. There are fewer bacteria that retain water in the stool, due to which they have a soft consistency and a certain cylindrical shape

Type 2 - sausage-like smooth

The shape of a tight wide sausage with a smooth surface, 30-40 mm in diameter. Difficulty passing through the anus, since its diameter is greater than the diameter of the anus. It is considered the most traumatic. Causes hemorrhoids, diverticulosis, anal fissures and bleeding.

Such feces contain many bacteria of various kinds, fibers and undigested food residues.

Feces of this kind can form in the intestines for weeks, causing persistent constipation, often caused by the fear of going to the toilet due to severe pain in the perineum with hemorrhoids or fissures.

Huge feces crush, causing irritable bowel syndrome, obstruction of its thin section, mild flatulence.

Taking a laxative is dangerous, you can cause injury to the intestines, up to obstruction and perforation, as a result of which feces enter the abdominal organs.

Type 3 - sausage-like uneven

The diameter is smaller, from 20 to 35 mm. There are cracks on the surface. Has characteristics similar to type 2, but indicates a latent form of constipation. Feces are formed much faster, which even causes daily emptying. But the process is associated with difficulties, strong straining. This leads to cracks in the anus and hemorrhoids.

Indicates irritable bowel syndrome, dysbiosis, and other digestive problems.

Type 4 - soft, serpentine, smooth, long

It is considered the most correct form, provided that the emptying occurs once a day. The diameter is 10-20 mm, which depends on the time of formation in the intestine and the amount of fibers in it.

Type 5 - ideal, soft small balls of even shape

It usually appears after each meal, easily leaves the intestines, no more than 15 mm in diameter. Defecation can occur 2-3 times a day.

Type 6 - soft, loose, uneven edges

The shape of such a stool does not yet indicate diarrhea, but the patient's condition is already close to it. Fluffy lumps with ragged edges - this is how the Bristol scale characterizes it. The reasons for the appearance may be:

  • taking a laxative with added minerals
  • the use of spices;
  • a large amount of liquid, especially water;
  • hypertension, high blood pressure:
  • intestinal hyperactivity, high digestion rate;
  • an excess of potassium compounds in the body;
  • dehydration, as a result of which water from the plasma begins to enter the intestinal lumen.

You should identify loose stools to avoid future problems.

Proctologists consider Type 6 to be the most comfortable because of the ability to control urges.

Type 7 - liquid watery, without solid inclusions

This is already real diarrhea, which requires immediate medical advice and is associated with many reasons:

  • the appearance in the body of a fungal and other infection;
  • food poisoning;
  • allergic reactions;
  • helminthiasis;
  • stress and neuroses;
  • liver disease or how much;
  • disturbances in the work of the gastrointestinal tract;
  • eating disorders.

It is typical for newborns and children under 1 year old, for adults after suffering a serious illness during the recovery period.

The Bristol scale is very useful for self-diagnosis. Looking once again at the contents of the toilet, you can immediately see that some processes are taking place in the body, requiring, for example, changing the diet and lifestyle, contacting a proctologist, undergoing examination and starting treatment.

It will not be possible to independently diagnose on such a scale, since other indicators of feces are also important - their color, buoyancy, possible inclusions and much more.

But it is recommended to print and hang such a picture in the toilet, especially if problems with the chair have already been noticed.

Thin ribbon stools for hemorrhoids

Thin feces with hemorrhoids are most often caused by internal hemorrhoids or polyps. Because of them, the feces, reaching the rectum, cannot move further in full due to the fact that the lumen is narrowed.

Most often, narrow feces are the first thing that patients with the initial stage of hemorrhoids pay attention to. Slight burning and itching, slight pain and a feeling of heaviness, they most often associate with the usual process of defecation and do not pay any attention to such symptoms.


Other names for such feces are ribbon, pencil. Thin feces can be a sign not only of hemorrhoids, but also in other diseases, for example, rectal cancer, since the formation of polyps is preceded by this, as well as:

  • helminthic invasion;
  • colitis;
  • irritable bowel syndrome;
  • spasms of the sphincter of the rectum;
  • lack of fluid in the body.

Feces streaked with blood can be:

  • during pregnancy in women as a result of pressure from the uterus on the rectum and exacerbation of hemorrhoids;
  • with prostatitis in men due to the proliferation of the prostate and narrowing of the intestinal lumen.

Accompanied by:

  • false urge to defecate;
  • a feeling of fullness in the intestines after emptying;
  • sensation foreign body in the crotch area.

With persistent constipation and external hemorrhoids, feces can resemble a pear and be characterized by excessive dryness, to the point that it breaks up into crumbs.

In any case, after observing the bowel movements for a while and seeing that they resemble a pencil, you need to go to an appointment with a proctologist. The sooner you see a specialist, the faster you diagnose the pathology and start treatment.

And first, you can change the diet, balance it, eat often, in small portions, do not exclude the intake of liquid dishes. Give up bad habits (smoking and alcohol), drink plenty of fluids, try not to be nervous.

Under what pathologies does the shape of feces change?

Symptoms of hemorrhoids and other pathologies of the gastrointestinal tract, up to rectal cancer, largely repeat each other. This is a grave danger.


That is why tests and diagnostics should be done carefully and on time.

There are also distinctive features:

  1. Discharge of blood. If it is hemorrhoids, then the blood does not mix with the feces, it is on the surface in the form of clots, drops or a thin stream. It occurs most often at the end of a bowel movement, simply remaining in the form of drops on the toilet. With oncology, dark or black blood is released. And it is in the feces themselves.
  2. Discharge of mucus. If it is rectal cancer, then mucus may appear before going to the toilet, sometimes with unpleasant odor and pus. When the tumor is already disintegrating, then tissue fragments are attached to the mucus. With hemorrhoids, mucus is on the surface of the feces. There are no purulent impurities in it, it does not smell.
  3. Constipation. During hemorrhoids, stool problems, although present, but constipation lasts no more than 2-3 days. With other diseases, they can reach a week or more.
  4. Ribbon feces. With the ribbon-like form of the oncological process, as the tumor grows, it more and more overlaps the intestinal lumens. Therefore, feces can come out with tape, the diameter of which is much less than 1 cm.
  5. Intoxication of the body. It arises and intensifies as the oncology progresses, causing metastases and changing the functions of all internal organs... Violated metabolic processes, the person quickly loses weight, he is constantly nauseous, the temperature rises, he feels general weakness and malaise. In women, a fistula forms in the lumen between the intestines, vagina and urethra. As a result, feces can be excreted in the urine.

Even with the appearance of thin feces, which is the first sign of hemorrhoids, treatment should be started so as not to start the disease and prevent the degeneration of a benign formation into a malignant one.

Changes in feces after removal of hemorrhoids

A few days after the removal of hemorrhoids, the patient may feel unpleasant symptoms associated with the appearance of wounds and scars.

Stool changes, its consistency and frequency of bowel movements. Feces can come out of the tape, and constipation or diarrhea can deliver many unpleasant minutes associated with:

  • sharp cutting pains in the abdomen;
  • violation of intestinal motility;
  • spasms of its main divisions;
  • divergence of seams due to sufficiently dense feces;
  • purulent inflammatory processes as a result of injury to the inflamed tissues of the mucous membrane;
  • fecal incontinence as a result of weakening of the sphincter muscles after surgery.

The most important thing at this time is adherence to a diet in order to restore the functioning of the intestines and release it from unnecessary stress, to normalize the shape and structure of feces.

Basic rules of the diet:

  • the first few days, drink more water to soften the stool, eat only liquid broths or other food in liquid form:
  • when using juices, they should be diluted with water;
  • dishes should contain a minimum of salt, and even more so spices;
  • maintain a balance in the use of fruits, vegetables, vegetable oils and fermented milk. Otherwise, you may get diarrhea.
  • exclude dangerous and harmful products;
  • eat often, but in small portions, without burdening the intestines.

To cope with flatulence will help:

  • chamomile tea;
  • decoction of parsley seeds;
  • Activated carbon.

The diet should be aimed at normalizing stool, eliminating diarrhea or constipation, softening feces for their unhindered exit.

The doctor prescribes light pharmaceutical laxatives if constipation still appears. It is strictly forbidden to take medications on your own, as they may be too aggressive for the rehabilitation period.

How to normalize stools? Ways to soften feces with hemorrhoids

To effectively fight hemorrhoids, it is not enough to use medication alone. It is necessary to normalize digestion, improve stool, improve peristalsis, eliminate constipation.

With hemorrhoids, it is quite possible to do this, just change the diet. It should be not only gentle, but also balanced.


Recommended diet for hemorrhoids

Especially in an acute period, it is very important to follow a diet that includes several basic principles:

  1. Products vegetable origin- the basis of nutrition. These are vegetables, fruits, herbs.
  2. Include more fermented milk products and cereals, rich in fiber, but not coarse.
  3. Cooking porridge - only on water. Do not add sugar, salt, oil. You can improve the taste with mild spices or herbs.
  4. Milk should be excluded from the diet in any form.
  5. Meals are frequent, but little by little, fractional.
  6. It is preferable to cook dishes with steam or just boil the food.
  7. Exclude fatty, fried, smoked, pickles, pickles.
  8. Drink plenty of plain water.
  9. A glass of mineral water will help reduce your appetite in case of hunger.
  10. Temporarily exclude mushrooms, peas, beans, pearl barley from the diet, as it is difficult to digest.
  11. In case of constipation, give up rice cereals.
  12. Exclude strong tea and coffee, alcoholic beverages, sweet soda water.
  13. During constipation, drink kefir with the addition of bran and eat dried fruits.

The list of prohibited foods with coarse plant fiber includes:

  • wheat, oat, wheat bran and whole grains;
  • legumes;
  • kernels and seeds;
  • peeled potatoes;
  • dishes from zucchini, zucchini, cauliflower, celery;
  • fruits and berries: avocados, bananas, apples, grapes, pears

Moderate physical activity is very important during this period. Walk more, swim, do special complexes developed by a proctologist. This will help restore the entire body as a whole, as metabolic processes and blood supply will improve.

During constipation, in consultation with your doctor, take mild laxatives, preferably plant-based. It can be Duphalac or Senadexin, Regulax.


In case of diarrhea, Smecta or Imodium are suitable. But again, after a doctor's appointment.

The structure and shape of feces with hemorrhoids is very important. Therefore, it is worth contacting a specialist in order not only to adjust the stool, but to diagnose in time, start professional treatment and protect yourself from the risk of complications and bowel cancer.

When appears thin feces in an adult, the search for the cause of such a change begins. In a child and an adult, the appearance of thin feces can become the first symptom of the disease and cannot be ignored.

Is thin feces a pathology?

Usually, in adults, feces are thick with sausage, it can normally be large stool in chunks, or it can come out in small portions. The most important thing is that the stool should be regular, plastic-like in consistency and not cause discomfort to the person during the act of defecation.

If the turd is thin, looks like a pencil, or comes out in stripes, then this is not entirely normal for an adult. If a thin line of feces leaves the rectum, then this is a sign of the development of the disease, or changes in functional activities intestines.

Ribbon feces can appear due to malnutrition, when a person's diet is not balanced and lacks plant foods. A sedentary lifestyle in addition to such a diet can lead to the exit of feces from the intestines in the form of a pencil.


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The ribbon-like form of feces can be the result of consuming excessive amounts alcoholic beverages... The large intestine ceases to function normally under the influence of alcohol, and disturbances in the shape and frequency of stools appear. First, hard and then liquid stools, difficult excretion of feces, a change in the diameter, color and consistency of feces - all these are the consequences of alcohol abuse and should be discarded, otherwise ribbon-like feces will not be the only symptom of a bad habit.

If the feces come out in thin sausages for these reasons, then you should not worry too much. Indeed, on the one hand, this is not so bad, you can adjust the diet and everything will return to normal. But if filamentous or serpentine feces continue to bother a person even after eliminating harmless causes, then this is a reason for undergoing diagnostics and establishing the factors that cause the appearance of irregular feces.

Why does thin feces appear?


A decrease in stool diameter and a change in the frequency of bowel movements can be cause for concern if none of the above factors are appropriate for the person. In an adult, ribbon-shaped feces may be the first sign of illness.

Threaded feces in an adult can cause:

  1. Hemorrhoids are the most common cause of thinning of stool. The disease occurs in adult men and women equally.
  2. Small-diameter feces may appear in women during pregnancy.
  3. Irritable bowel syndrome (IBS) often affects the fact that normal-looking feces are not formed, but only ribbon-shaped.
  4. Benign or malignant neoplasms in the intestine do not make themselves felt for a long time, and the first symptom is often flat feces with a ribbon.
  5. Helminthiasis often leads to big problems with the intestines in an adult. And if a tape came out with the feces, and the feces themselves flat shape, then we can safely assume this disease.
  6. Prostatitis in adult men is not an uncommon problem, causing stool to come out in small pieces or in a thin line.

In addition to these reasons, narrow feces can be observed for a certain time after surgery on the intestines, which is not a pathology, but requires control, because the flattened feces must return to normal, which means that the treatment process is in full swing.

Haemorrhoids

With hemorrhoids, nodes appear inside the rectum or outside. These nodules are small at first, but over time they begin to grow actively. If the hemorrhoid is inside the intestine, then all feces will come out of the rectum with a tape. This is due to the fact that the node narrows the intestinal lumen and when the feces reach this place they have to seep through a small and narrow passage, which automatically leads to the fact that the feces become flattened.


With hemorrhoids, the tapered stool has difficulty leaving the intestines. A person experiences pain or discomfort during bowel movements, and after that, a feeling of incompleteness of the process remains.

If such a symptom of hemorrhoids as flat feces has already appeared in an adult, then you should immediately consult a doctor, because the disease has already gone far enough in its development.

Pregnancy

During pregnancy, many women notice "pencil" feces - it is long, thin, smooth, there are practically no difficulties with defecation, the only thing that happens is short-term constipation.

Thinning of feces occurs due to the fact that the growing uterus presses more and more on the intestines and its lumen in a certain place decreases. If the overlap occurs closer to the rectum, then the feces will come out intermittent and flattened.

You should not worry about this. It is only important to prevent the development of chronic constipation and hemorrhoids, which often bother women in position. If such a symptom is rarely noted, and after childbirth it disappeared altogether, then there is no need to worry. The problem was resolved on its own and now all that remains is to take care of your health and well-being of the baby.

In IBS, the first symptom of the disease, adults note persistent abdominal pain. The next sign the progression of pathology is scanty feces, which is not replaced by diarrhea and so on in a circle. After a while, relief comes - the pains become slightly weaker, and the feces come out in the form of a ribbon. The appearance of flat feces suggests that the intestines are not functioning properly, and pain is just another confirmation of this.

The difficulty with this disease is that it is not known exactly what cause causes functional disorder... The reason may be unhealthy diet, stress, intake various drugs, but not everyone has IBS. Therefore, it is important to always adhere to correct image life to reduce the risk of developing pathology.

Dealing with IBS is not so easy, the treatment is only symptomatic. Doctors usually prescribe a diet for adults and some drugs to reduce inflammatory process and restoring the usual rhythm of the intestines.

The appearance of neoplasms in the intestine

A neoplasm is not necessarily cancer, so you should not worry in advance and be afraid of going to the doctor. Polyps become frequent neoplasms in the intestine, especially in the rectum. These are benign tumors that, when timely treatment easily and quickly removed.


These polyps can be of various sizes and occupy from ¼ to ½ of the intestinal lumen, and in the most advanced stages completely block it. It is for this reason that an adult can notice that the feces have become thinner. Its amount can also decrease, because the tumor contributes to constipation, and the feces will come out less and less. If the diameter of the stool has decreased by two or three times, and the act of defecation itself is quite rare - once every 3-4 days, and it lasts a long time due to painful sensations in the intestines, then this is a reason to see a doctor.

In addition to polyps, malignant neoplasms - tumors - can also cause uneven, twisted, thin feces.

For their treatment with a favorable outcome, it is necessary to diagnose the disease in time. At an early stage, in addition to a change in the shape of feces and its amount, rare constipation and minor abdominal pains, there are no other symptoms, so you should always pay attention to such changes and go for a consultation with a specialist. If the disease is diagnosed at 3 or 4 stages, then the treatment may no longer give results.

Helminthiasis



Prostatitis is an inflammation of the prostate gland, which is located in the rectum in men. The inflamed walls often swell, which narrows the intestinal lumen.

The symptoms of this disease are:

  • Thin feces.
  • Soreness in the anal area.
  • The act of defecation is accompanied by pain.
  • Constipation may occur.

For men, this disease has serious consequences, and therefore it is very important to diagnose the disease in time. If this is not done, then not only the intestines and its activity will suffer, but also the reproductive function of the man, which many do not want even at the most advanced age.

How to establish the cause?


To understand why thin feces appeared in an adult, you need to go complex diagnostics. It includes:

  • Digital examination of the rectum to identify hemorrhoids.
  • Stool analysis for coprogram, culture tank and worms.
  • X-ray examination of the intestines.
  • Bowel probe examination (biopsy may be necessary if neoplasms are suspected).

If a pregnant woman has thin feces, then additional examinations and tests may not be needed here. It is necessary to consult a gynecologist and only if there are other symptoms, he can decide to diagnose.

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Absolutely all adults should first of all think about their diet and lifestyle. Must be added to your diet more products vegetable origin and proteins and exclude all harmful nutrients - chips, soda, pizza, etc. It is advisable to give up alcohol.

Most people get rid of thin feces helps to improve the diet, and only in a small percentage of adults, the reason for the change in the shape of the stool lies in the pathology.

If a disease is detected during the diagnosis, then all the doctor's recommendations should be followed. This will help eliminate the cause of the disease and its symptom - thin feces, as well as other signs. If you seek help at an early stage, then almost any ailment can be cured completely and even the consequences can be avoided.

Feces are a product of our metabolism. It also serves as a basis for doctors to diagnose a variety of diseases. Conversely, some changes in feces may be the reason for examination. So, banded feces may indicate the occurrence of some pathologies.

Reasons for the appearance of thin feces in an adult

The appearance of a tape feces is often observed in pregnant women. Why this happens can be explained very simply. Due to the fact that the fetus grows intensively during pregnancy, the uterus expands very much and presses on the rectum. Thus, it reduces its clearance. Therefore, the feces come out from the rectum in the form of a ribbon.

In men, sometimes feces look like a pencil, with prostatitis. This is an inflammation of the prostate gland, which also results in a narrowing of the lumen. small intestine.

Thin feces with hemorrhoids

Hemorrhoids are inflammation of the hemorrhoidal veins in the lower rectum. As a result of this inflammation, the blood flow in the veins is disrupted, they stretch and nodules form. Depending on their location, there are three forms of hemorrhoids: internal, external and combined.

Causes:

  • sedentary lifestyle,
  • frequent constipation and diarrhea,
  • pregnancy,
  • alcohol abuse
  • improper nutrition,
  • heredity.

In the early stages, hemorrhoids do not cause any sensations, but only with the development of the disease does the symptomatology increase.

Manifestations of hemorrhoids: very pronounced pain that occurs during the act of defecation, cutting and burning character. Due to the formed nodules that have narrowed the lumen of the small intestine, excrement cannot normally leave the body. They are compressed and with difficulty pass through the intestinal tract, therefore constipation and ribbon-like feces appear. It can be mixed with mucus, sometimes with scarlet blood, located in stripes. In this case, the blood does not mix with excrement, but remains on their surface.

With constipation, the feces are often not soft, can be either long, in the form of a sausage, or intermittent.
The patient after emptying the rectum is very itchy in the anal area. Anal fissures can occur due to prolonged constipation. If the form of hemorrhoids is external, then bumps are visible within the anus. With the internal form, blood is observed on linen, feces or toilet paper. Also, when the disease is long-term, during defecation, the internal node from the rectum may fall out.

Hemorrhoids require mandatory treatment, as it can serve as the beginning of the formation of malignant processes in the intestine.

A digital examination of the rectum by a proctologist and sigmoidoscopy will help diagnose the disease. These methods make it possible to identify the presence of nodules and examine the intestinal mucosa.

Rectal neoplasms


Constipation, ribbon-like feces can also occur when polyps or other neoplasms grow on the intestinal mucosa. The most dangerous condition is the development of malignant processes.

In rectal cancer, ribbon-like feces are observed, the more the tumor grows, the thinner the feces become. Dark blood appears, which mixes with feces, prolonged constipation. The secretion of mucus occurs before the beginning of a bowel movement. You can also note the general symptoms that occur with any malignant formation- This is weight loss, fatigue, lethargy, anemia, decreased immunity.

Polyps are benign growths on the intestinal mucosa. They also serve as the cause of the appearance of ribbon-like feces, since, in the same way, they narrow the intestinal lumen. By themselves, polyps are not dangerous, but they can become malignant, which is worth fearing. This is the process of converting a benign formation into a malignant one.

If an adult suspects the development of an oncological process in the rectum, the following research methods are used:

  • finger examination,
  • anascopy - an introduction to anus an anascope to study the surface of the anal passage,
  • sigmoidoscopy,
  • fecal occult blood test,
  • general blood analysis,
  • blood chemistry.

Treatment is to stop the growth of the tumor with radio and chemotherapy. Often, doctors resort to surgical intervention.

Irritable bowel syndrome

Irritable bowel syndrome is a disorder in the functioning of the intestine in a person without violating its integrity.

The symptoms that occur with IBS are divided into the following groups:

  • intestinal,
  • associated with other digestive organs,
  • unrelated to the digestive tract.

Intestinal - characterized by pain in the lower abdomen on the left side. The nature of the pain is different: cutting, burning, dagger, constant, aching. There is bloating, diarrhea, constipation, ribbon-like or pea-like stools with mucus, without admixture of blood and pus.

Symptoms from other organs of the gastrointestinal tract - nausea, vomiting, sour belching, a feeling of bitterness in the mouth. Other complaints are sleep disturbances, anxiety, and pre-depression conditions.

Irritable bowel syndrome causes vary. Among them are:

  • heredity,
  • postponed stressful situations,
  • passive lifestyle,
  • improper nutrition,
  • carried over infectious diseases intestines,
  • poisoning,

IBS diagnostics:

  • general blood analysis,
  • blood chemistry,
  • general urine analysis,
  • coprogram,
  • Ultrasound of the abdominal organs,
  • colonoscopy,
  • FGDS.

In the treatment of the syndrome, the appointment of a diet is used, drugs that are aimed at combating symptoms. They resort to psychotherapy sessions when depression has become the cause of the development of IBS.

Prevention of the appearance of feces of a ribbon-like shape

In order that you do not have thin feces, you must first of all monitor your diet. The diet should be balanced, liquid food should not be neglected. You need to eat often, in small portions. You should limit the use of harmful foods, do not eat dry food, drink enough liquid.

Also important preventive measure avoidance of stressful situations. If possible, you need to be less nervous. Stress and anxiety are the causes of various pathological processes.

You should go in for sports, lead an active lifestyle. Quitting bad habits such as smoking and drinking alcohol will also lower your risk of illness.

What to do if the shape of the bowel changes?

Do not panic when a ribbon-like stool appears. After all, the reason for this may not necessarily be cancer or other dangerous diseases... Sometimes it’s just the result of poor diet or stress. But in order to protect yourself, when such changes appear in the chair, you still need to contact a specialist. If the cause of the change in the shape of feces was a disease, then the earlier it is diagnosed, the easier it will be to treat.