![]() “However, someone with colon cancer likely has other symptoms (e.g., weight loss, anemia, blood in the stool). “But, the appearance may be the same as someone who has partial obstruction or who has colon cancer. “Spasm in the colon which can cause a ribbon like stool is common in IBS patients,” explains Dr. “This should be discussed with your health care provider who can perform a careful abdominal and rectal exam and order tests as appropriate.”Ĭomparison of Appearance in the Toilet Bowl of Ribbon Stools from Colon Cancer and Those from Irritable Bowel Syndrome “However, in a patient who is older, or in a patient with warning signs as mentioned above, ribbon-like stools could mean something serious, such as a lesion in the colon. “In the absence of warning signs (low blood count, unintentional weight loss, evidence of blood in the stool or a family history of colon cancer in a first degree relative), the occasional occurrence of ribbon-like stools is usually nothing to be concerned about. Ribbon-like stools can occur in younger patients and generally represent strong contractions of the colon flattening out the stool. This depends on a number of factors, including diet, stress, exercise and medications. “Stool form can also range from loose to firmer. “A large study performed years ago in Britain determined that the average range of bowel movements is three per day to three per week. ![]() “It is important to first understand what is considered normal with regard to stool frequency,” begins Dr. Brian Lacy, MD, of Dartmouth Hitchcock Med Center, who specializes in functional disorders of the gastrointestinal tract and author of “Making Sense of IBS.” ![]() Patients are often concerned about the frequency, shape and texture of their bowel movements,” says Dr. We’ve all heard that thin flat bowel movements are something to be concerned about. Both colon cancer and IBS can cause stools to come out like ribbons. ![]()
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