By Dr. Mercola
When it comes to toileting habits, the topic is not exactly a favorite among Americans – at least for those above the age of four. Mention poop and you can easily clear a room – or at the least, generate some unusual facial expressions, nervous laughter, and wisecracks about "too much information."
But your bodily emissions are an important health topic that deserves serious attention, regardless of the "ick factor." In fact, if you ignore what you deposit in your toilet, you could be flushing your health down the drain!
Did you know the average person generates about five TONS of stool in his or her lifetime? Turns out, there is much to be learned from this mountain of poop.
The shape, size, color, and other fecal features can tell you a great deal about your overall health, how your gastrointestinal tract is functioning, and even give you clues about serious disease processes that could be occurring, like infections, digestive problems, and even cancer. Poop comes in just about all the colors of the rainbow... and please forgive me for using the words poop and rainbow in the same sentence.
Although there is a certainly a wide variety of stool colors, textures and forms that are considered "normal," there are definitely things that, if seen or experienced, warrant immediate medical attention. With this in mind, the overview that follows covers what you need to know about what's normal and not normal in the bathroom department.
What is Normal Stool?
Your stool is about 75 percent water. The rest is a fetid combination of fiber, live and dead bacteria, miscellaneous cells and mucus.1, 2 The characteristics of your stool will tell you a good deal about how happy and healthy your digestive tract is – the color, odor, shape, size, and even the sound it makes when it hits the water and whether it's a "sinker" or a "floater" are all relevant information.
The Bristol Stool Chart is a handy tool that may help you learn what you're going for. Ideally, your stool should approximate Types 3, 4 and 5, "like a sausage or a snake, smooth and soft" to "soft blobs that pass easily." Type 4 is the Holy Grail.3
Fiber tends to bulk up your stool and acts like glue to keep the stool stuck together, instead of in pieces. If your stool is on the softer side, short of diarrhea ("soft serve," as some call it), it could be related to lactose intolerance, artificial sweeteners (sorbitol and Splenda), or a reaction to fructose or gluten.
Look, Listen and Smell Before You Flush
What's normal and what's not when you look into the toilet? The following table will help you narrow down what to look for, so that you aren't needlessly alarmed. Of course, there are a few signs that ARE cause for concern, and those are listed too. If you have a change in stools accompanied by abdominal pain, please report this to your physician.4
| Medium to light brown
|| Stool that is hard to pass, painful, or requires straining
| Smooth and soft, formed into one long shape and not a bunch of pieces
|| Hard lumps and pieces, or mushy and watery, or even pasty and difficult to clean off
| About one to two inches in diameter and up to 18 inches long
|| Narrow, pencil-like or ribbon-like stools: can indicate a bowel obstruction or tumor – or worst case, colon cancer; narrow stools on an infrequent basis are not so concerning, but if they persist, definitely warrant a call to your physician5
| S-shaped, which comes from the shape of your lower intestine6
|| Black, tarry stools or bright red stools may indicate bleeding in the GI tract; black stools can also come from certain medications, supplements or consuming black licorice; if you have black, tarry stools, it's best to be evaluated by your healthcare provider
| Quiet and gentle dive into the water...it should fall into the bowl with the slightest little "whoosh" sound – not a loud, wet cannonball splash that leaves your toosh in need of a shower
|| White, pale or gray stools may indicate a lack of bile, which may suggest a serious problem (hepatitis, cirrhosis, pancreatic disorders, or possibly a blocked b