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What Cause A Very Small Diameter Stool?

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Posted on Sun, 4 Nov 2018
Question: What cause a very small diameter stool?
doctor
Answered by Dr. Purva Patel (1 hour later)
Brief Answer:
narrowing of colon diameter,external anal sphincter possible.

Detailed Answer:
Hello and welcome to Ask A Doctor service.
I have read your query and here is my advise.

* As per my clinical experience, the small diameter of the stool depends upon the lumen
counter of the large colon and external anal sphincter.

* In the instances where there is narrowing of the lumen diameter as stricture, tumor or
other issue ; stenosis or tightening of the external anal sphincter also gives the small
diameter stool.

However, the issue has to be co related with symptoms, clinical findings and supportive evidences of CT scan, colonoscopy and so forth to evaluate it precisely.

Hope this information will help you.
Thank you.

Regards.
Dr Purva

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Purva Patel (9 hours later)
I had a colonoscopy two months ago. Dr. said it looked good. In the past two weeks I have had much difficulty evacuating. I have bad gas and a restriction in that it's difficult to evacuate and the stool comes out in about one inch diameter. Stool accumulates near the rectum. Why does it release into the lower rectum but so difficult to evacuate. Drinking Miralax daily as much as 2-3 times. I have accumulations of volumes of gas and periodical urge to evacuate but can't. I have been doing enemas daily sometimes, 2 or 3 times.

There has to be an answer for this weird problem.
doctor
Answered by Dr. Purva Patel (36 minutes later)
Brief Answer:
per rectal examination is needed for anal sphincter tone evaluation.

Detailed Answer:
Hi
Thanks for the follow up.

As the colonoscopy was fine, means the issue with intestine diameter is ruled out.

The withholding of the stool at rectum is most likely due to possible spasm of the anal sphincter, which has to be examined clinically by consultant surgeon through simple per rectal examination ( because daily enema is not the definite cure of the issue ).

Thanks.
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Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Purva Patel

General & Family Physician

Practicing since :2000

Answered : 3443 Questions

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What Cause A Very Small Diameter Stool?

Brief Answer: narrowing of colon diameter,external anal sphincter possible. Detailed Answer: Hello and welcome to Ask A Doctor service. I have read your query and here is my advise. * As per my clinical experience, the small diameter of the stool depends upon the lumen counter of the large colon and external anal sphincter. * In the instances where there is narrowing of the lumen diameter as stricture, tumor or other issue ; stenosis or tightening of the external anal sphincter also gives the small diameter stool. However, the issue has to be co related with symptoms, clinical findings and supportive evidences of CT scan, colonoscopy and so forth to evaluate it precisely. Hope this information will help you. Thank you. Regards. Dr Purva