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Inconsistent stool
The first part of my stool comes out on its own without much straining and is of normal thickness. However, after sitting for a while and applying slight pressure, the remaining stool that comes out is noticeably thinner.
There is no bleeding and I do not have any significant pain or discomfort. However, when I strain more during bowel movements, a small reddish fleshy tissue protrudes slightly from the anus. It goes back inside automatically when I stop straining.
I am taking 1 tsp isabgol husk 2 or 3 times in a week.
A few weeks ago I visited a surgeon and the DRE was normal (within limits).
Answers (10)
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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
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Need to Consult about prolapse
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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.
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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May be it’s a mucosal prolapse
If it is more frequent do a proctoscopy to see inside the rectum for any internal piles
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No worry about stool ,its normal.about prolapse you need to consult with proctologist.
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Rachna Pande
Internal Medicine
42 yrs exp
Bhopal
Could be a grade 1 hemorrhoids.
Better consult a gen surgeon physically for clinical evaluation.
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for further evaluation. Please consult
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Dr. Abhishek Chauhan
General Physician
1 yrs exp
Basti
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.
Next Steps
* Take adequate dietary fiber regularly.
* Use psyllium consistently if tolerated.
* Drink sufficient water.
* Avoid prolonged toilet sitting.
* Avoid repeated/forceful straining.
* Don't try to completely empty the rectum by force
Health Tips
Overall:** Your description is **more suggestive of internal hemorrhoidal prolapse with straining-related change in stool shape** than a fixed colorectal obstruction.
Seek reassessment sooner if** you develop:
* Persistent pencil-thin stools even without straining
* Rectal bleeding
* Unexplained weight loss
* Anemia
* Persistent abdominal pain
* Progressive change in bowel habits
* Prolapse that remains outside and cannot be reduced.*
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