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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Frequent Bowels With Semi Formation?

Hello, I am 5'3" and weigh around 9st I guess (I don't really weigh myself). I am a size 8 UK size.

I have always been very regular when passing stools. However naturally I go twice a day, more when nervous. Recently I have been going at least 4 times a day and I the stools are more tan in colour and only semi formed, Sometimes its full diarrhoea? It started the 2nd day of my family holiday to a UK resort. I am scrupulous about cleaning my hands before and after eating. I'm not sure what i have. Also everyone says its is not normal to go pass stools twice a day. Are they right? I ad two laparoscopies last year to investigate my absence of periods for up-to nine months followed by really heavy ones. My old cycle was a 28 days with my period lasting only 2 and a 1/2 days. Ive had a tonsillectomy at 6 years and a bilateral breast augmentation but in 1999.
Tue, 2 Jan 2018
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General Surgeon 's  Response
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.
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What Causes Frequent Bowels With Semi Formation?

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.