Hi.
Thanks for your query.
Noted the history and understood the concerns.
Passing stools twice daily is normal in many individuals as this is most probably part of habit formation or the bowel habit as it develops but passing stools 4 times a day that too when in stress indicate towards IBS that is
irritable bowel syndrome. All the investigations need to be normal in such a case.
Hence I would advise you the following in such a situation:
Get stool tests for three consecutive days.
Tests of blood for CBC,
thyroid, liver and kidney functions.
CT scan of abdomen.
Colonoscopy and any other investigations as would be advised by your Doctor or a Gastroenterologist .
If any disease is found during such a time, get a specific treatment and if all the above investigations are normal then you may be started with management of IBS.
If there is an intestinal infection, you will be given an appropriate management with antibiotics,
metronidazole and probiotics.
You have to have a very proper control over the psychological upheavals for control of intestinal manifestations.