Bowel Movement

Everyone has bowel movements, but not everyone knows what causes changes in their bathroom habits. While it’s normal for bowel movements to vary from person to person, certain patterns or sudden changes can sometimes point to health issues. The most common causes of bowel movement changes include infections, dietary habits, stress, digestive disorders, and underlying conditions.

Food poisoning, viral or bacterial infections, and digestive disorders—such as irritable bowel syndrome or celiac disease—can all play a part. Stress, anxiety, and hormonal changes might also trigger more frequent or less frequent bowel movements. By understanding these causes, people can spot potential problems early and better manage their digestive health.

Definition of Symptom

A bowel movement happens when the body gets rid of waste through the rectum and anus. People usually have their own pattern for how often this happens. Some may go three times a day, while others three times a week.

A change in bowel habits can mean going more or less often than normal. It can also mean stools look different, like being watery, very hard, or having a different color. Common symptoms related to bowel movements include:

  • Constipation: having fewer than three bowel movements a week or passing hard, dry stools
  • Diarrhea: frequent, watery stools
  • Irregularity: changes in the timing, look, or amount of stool

Watery stools often signal diarrhea. Infections, certain foods, or stress can cause this.

Possible Causes/Diseases Condition

Many factors and conditions can change how often bowel movements happen or make them difficult. Problems can include constipation, diarrhea, or both.

  • Constipation often means difficult or infrequent bowel movements. Not drinking enough water, eating too little fiber, being inactive, or taking certain medicines can cause constipation.
  • Irritable bowel syndrome (IBS) can cause stomach pain, bloating, constipation, and diarrhea. Stress and certain foods may make IBS worse. There are two types of diarrhea: acute and chronic.
    • Acute diarrhea starts suddenly and lasts a short time. Infections such as norovirus, rotavirus, or food poisoning from bacteria like salmonella, shigella, campylobacter, or E. coli often cause it.
    • Chronic diarrhea lasts more than a few weeks and can be linked to long-term conditions like ulcerative colitis or celiac disease.
  • Ulcerative colitis is an inflammatory condition that causes swelling and sores in the colon. This often leads to urgent diarrhea and sometimes blood in stool.
  • Celiac disease is a reaction to gluten, a protein found in wheat. It can cause chronic diarrhea, stomach pain, and poor growth in children.
  • Food poisoning happens when people eat food with harmful bacteria or viruses. Common germs include salmonella, E. coli, shigella, campylobacter, norovirus, and rotavirus. These germs can cause sudden diarrhea, stomach cramps, and vomiting.

Table: Common Causes and Associated Symptoms

Cause/ConditionCommon Symptoms
ConstipationHard, infrequent stools
IBSBloating, cramps, variable stools
Acute DiarrheaWatery stools, sudden onset
Chronic DiarrheaOngoing loose stools, weight loss
Ulcerative ColitisBloody stools, cramps, urgency
Celiac DiseaseDiarrhea, weight loss, fatigue
Food PoisoningNausea, vomiting, diarrhea

Other Non-Disease Causes

Not all changes in bowel movements come from diseases. Many everyday factors can affect how often a person goes to the bathroom. Dietary changes play a big role. Eating more fiber from fruits, vegetables, or whole grains can lead to more frequent or softer stools. Eating less fiber or more processed foods may cause constipation.

Dehydration makes stools harder and more difficult to pass. Drinking enough water is important, especially during hot weather or after exercise. Certain medicines also affect bowel habits. Iron and calcium supplements can cause constipation. Antacids with magnesium may lead to looser stools, while those with calcium can slow things down.

List: Medicines That Can Affect Bowel Movements

  • Iron supplements (can cause constipation).
  • Calcium supplements (can cause constipation).
  • Antacids (magnesium can cause loose stools; calcium can cause constipation).
  • Diuretics (may lead to dehydration and constipation).
  • Loperamide (used to treat diarrhea, may cause constipation).
  • Antidepressants (some can cause constipation, while others may cause diarrhea).

Exercise helps keep the digestive system moving. Not being active may slow down bowel movements, increasing the chance of constipation. Stress is another common factor. It can make someone go more often or less often, depending on how their body reacts. Sudden changes in lifestyle—like travel, new foods, or changes in sleep patterns—can also disrupt regular bowel habits.

How It Causes the Symptom

Many reasons can cause frequent bowel movements. Some causes are temporary, like infections or eating unfamiliar foods. Others are long-term, such as irritable bowel syndrome or food intolerances.

When food moves too quickly through the digestive system, the body doesn’t absorb water well. This causes loose stools or diarrhea. Fast movement through the intestines can also cause cramping, stomach pain, and bloating. Common symptoms linked to these bowel changes include:

  • Rectal Bleeding: Blood may appear in the stool if the lining of the bowel is irritated or damaged.
  • Bloody Stools or Bloody Diarrhea: These can signal infection, inflammation, or more serious conditions.
  • Abdominal Pain: Swelling or irritation in the gut often causes pain or discomfort.
  • Bloating: Extra gas forms when digestion is disrupted, leading to a feeling of fullness.
SymptomPossible Cause
Rectal bleedingHemorrhoids, infection, inflammation
Abdominal painGut irritation, muscle cramps
BloatingGas buildup from slow or fast digestion
Bloody stoolsInjury, infection, chronic disease
Bloody diarrheaSevere infection, inflammation

Some cases are mild and short-term, while others need medical attention.

Possible Complications

Constipation can lead to several complications if not managed well. One common problem is hemorrhoids, which are swollen veins in the rectum. Straining too much during bowel movements can cause these. Another possible issue is fecal impaction. Hard, dry stool can get stuck in the colon or rectum, blocking normal bowel movement and sometimes needing medical help to remove.

Bowel obstruction is more serious and can happen if the intestines become blocked. Causes include impacted stool, scar tissue, hernias, or tumors. Symptoms often include belly pain, vomiting, and not passing gas or stool. Rectal prolapse can also happen. In this condition, part of the large intestine slips out through the anus, often because of repeated straining.

People with ongoing bowel problems may also feel fatigue. Pain, effort, or not getting enough nutrients can cause this. Other complications can include:

  • Anal fissures (tears in the anal lining)
  • Infections near the anus
  • Fecal incontinence (trouble controlling bowel movements)

When to Seek Medical Attention

Most changes in bowel habits are minor and go away quickly. But some symptoms may signal a more serious problem. Seek medical attention if any of these signs appear:

  • Blood or mucus in the stool.
  • Sudden, severe stomach pain or cramping.
  • Ongoing nausea or vomiting.
  • Diarrhea or constipation that doesn’t get better.
  • Unexpected weight loss.
  • Stool that looks black, tarry, or very thin.
  • Fever with stomach pain or changes in bowel movements.

Call a doctor if you can’t have a bowel movement for more than a week, or if you feel severe pain with every movement. If stools change in shape, especially if they are often narrow or thin, this may point to a blockage or another issue.

Children who have fewer than two bowel movements a week, or who have hard, dry, or painful stools, should see a healthcare provider. Unusual bowel habits along with signs of dehydration—such as dry mouth, dizziness, or less urination—need quick attention.

Table: Warning Signs

SymptomPossible Concern
Blood in stoolInfection, inflammation
Ongoing painInfection, blockage
Sudden changeDigestive disease
Fever + symptomsInfection, severe illness

If you are unsure, talk to a healthcare provider.