Tuesday, January 17, 2023

Toilet talk

Well, it's really poop talk, but I didn't want that to be in the heading.

An article in the Washington Post "Ask a Doctor:  Are my bowel movements normal?" (gift link)  contains some enlightening information, such as:

A general rule of thumb is that anywhere from three bowel movements per day to three per week is within the range of “normal.” If we look at the numbers closely, stool frequency varies by geographic region, age, sex and cultural habits. In the United States, the majority of people who consider themselves to have normal bowel habits report having between 3-7 bowel movements per week. In eastern India, however, where more people are vegetarian and the typical diet is much higher in fiber, people have a median of 14 stools per week. In Italy, meanwhile, people tend to defecate once per day.

Women and older people tend to have less frequent stools.
Hmmm...that last point doesn't seem to apply to me, but I will spare you the details here.  Anyway, I do fit within the normal range.  I like the coy words here: 

Once-a-day bowel movement is great for many people. But the key to a healthy stool frequency is that however often it happens, it should be comfortable and occur in a socially appropriate context.

If you consistently have a bowel movement once a day, but to do so, you have to strain significantly, take four laxatives in the morning, and never feel like you’ve quite … evacuated … everything, then I’d say there is a problem...

Maybe you’re someone who has three bowel movements each day, but they’re soft and never feel so urgent as to disrupt important work meetings or stymie your agenda at happy hour. I’d say to leave it alone and consider yourself “normal.” But when the urge to poop occurs at frequent and inconvenient times, making you afraid to socialize for fear of an embarrassing call of nature, it’s worth talking to a physician about potential ways to address it.

So if you find that your bathroom habits are comfortable and don’t hold you back socially, then poop in peace, even if it’s not always precisely once per day.

As for the question of colour, this is the commentary:

Green: Don’t sweat it.

Yellow: No big deal.

Orange: Not worried.

Dark brown: Still not worried. If it’s not black like the hue of your TV screen and sticky, it’s probably not because of bleeding....

White: You have my attention. Bilirubin, the waste product found in bile, is what gives your poop its characteristic brown color. Without it, stools are pale. White or clay-colored poop could suggest a blockage, such as from a gallstone that is preventing bile from reaching your intestine. This should be discussed as soon as possible with your physician.

Silver: Do tell. There was a vivid case report about the stool of a patient with simultaneous gastrointestinal bleeding and bile duct blockage, leading to shiny silvery stool. But this would be exceedingly rare.

She doesn't mention something that caught my attention recently:  following Eric Idle's publicity tour where he talked about surviving pancreatic cancer (he was very lucky that it was caught very very early), I watched some English video about the warning signs, and a woman survivor said that, in retrospect, one of the first signs for her had been changes in her poop,  as explained at this website:

If your pancreatic duct blocks, you might develop a symptom called steatorrhoea. This means fatty stools. You may pass frequent, large bowel motions that are pale coloured and smelly, and are difficult to flush away. These bowel changes can mean that you are not absorbing your food properly. This can also cause weight loss.

Diarrhoea and constipation are also other possible bowel changes you can have.

I hadn't realised that could be a sign of pancreatic cancer before.  Now I'm happy when it doesn't float.  

 

 

 

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