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What you're describing — reducible tissue protruding only on straining, going back in on its own, with no bleeding or pain — is a fairly classic pattern for early internal hemorrhoids (grade I-II). The stool caliber change you're noticing in the later part is very likely related to this same prolapsing tissue partially narrowing the passage as you strain, rather than a separate issue, especially since your DRE was normal. Isabgol 2-3 times a week is a reasonable start, but for it to actually help you'd want to take it daily with adequate water, along with avoiding prolonged straining/sitting — irregular use won't control the constipation-straining cycle that's likely driving this. Since a DRE alone doesn't fully characterize the internal hemorrhoids or rule out other causes of the caliber change, a proctoscopy would give a clearer picture. Happy to guide you through the right routine and next steps in a consult.

Donot sit and strain in the toilet for long Take diet rich in fibers for avoiding constipation Take lots of fluids If bleeding occurs in stool consult a gastroenterologist Otherwise its normal and will go back on its own

Avoid prolonged sitting and straining in toilet. Drink plenty of water. High Fibre diet.

Raspberry  tumour????

Proctoscopy is needed consult a general surgeon

You need to consult a proctologist or a general surgeon. Stool is not the issue but the prolapse/haemorrhoids (it might be the expected scenario) is

Need to Consult about prolapse

Can help you, kindly consult and provide detailed history for proper diagnosis and further management

Could be a grade 1 hemorrhoids. Better consult a gen surgeon physically for clinical evaluation.

If you’d like, you can book a consultation so I can assess your symptoms in detail and guide you appropriately. This will also help confirm whether any further examination or treatment is needed.

kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app

May be it’s a mucosal prolapse If it is more frequent do a proctoscopy to see inside the rectum for any internal piles

No worry about stool ,its normal.about prolapse you need to consult with proctologist.

Need a few more details please consult for further evaluation and treatment

Avoid fried and spicy food Water intake more Green leafy vegetables more Fiber meal Walk Do connect and consult Will help u

Need few more details for further evaluation. Please consult

1. **First stool is normal thickness and comes out easily** → reassuring and argues against a fixed obstruction. 2. **Remaining stool becomes thinner only after prolonged sitting/straining** → commonly occurs because of altered anal-canal contraction and pressure during repeated straining. 3. **Small reddish fleshy tissue protrudes during straining** → most suggestive of **prolapsing internal hemorrhoidal tissue**. 4. **It goes back inside automatically after stopping straining** → this pattern is compatible with **Grade II internal hemorrhoids**. 5. **No significant pain** → also fits internal hemorrhoids, which are often painless. 6. **No bleeding** → reassuring; hemorrhoids do not necessarily bleed. 7. **Recent normal DRE** → reassuring, particularly regarding a palpable rectal mass, but DRE cannot reliably exclude internal hemorrhoids. 8. **Isabgol 1 tsp only 2–3 times/week** → relatively intermittent. Consistent fiber intake may be more helpful if you are straining. .**If the protruding tissue persists**, an **anoscopy/proctoscopy by a surgeon/colorectal specialist** can confirm whether it is an internal hemorrhoid.