Mucous in stool and distended lower abdomen

[miscqs]

I am a 30 y.o. male and am have irregular bowel movements; sometimes 2 or 3 p/day and other days just 1. Frequently, there is white mucous present in the stool and especially on the toilet paper, more so if I try to push out the stool w/some force. The stool often comes out in small marble size in the beginning and they compact to form one large piece and then the stool appears to come out normal size/shape afterwards (apologize for being so descriptive). Sometimes I'll have the urge to have another bowel movement the same day but will come out skinny and other times small but not marble sized but relatively small in amount. Also, my lower abdomen right over the pubic area is distended and I am in shape; work out frequently. My upper abdomen is flat but begins to jut out about 2" below belly button and is relatively hard.  It becomes more so after having a meal. I have frequent gas and belching and sounds eminate from there. Your help is greatly appreciated.

[Kevin Pho, MD]

Changes in bowel caliber as well as the presence of mucous warratns further evaluation.  Things like anatomical abnormalities (i.e. strictures or polyps) as well as inflammatory bowel disease and colitis needs to be excluded.

The test to consider would be some sort of lower endoscopy - either a flexible sigmoidoscopy or colonoscopy.  If negative, then irritable bowel syndrome may be a plausible explaination.

You may want to discuss this option with your personal physician.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
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