![]() ![]() ![]() Such unwarranted referrals expose the patients to unnecessary risks and discomforts and put a strain on an already over-stretched healthcare resources. People with irritable bowel syndrome (IBS) may develop thinner stools. Since diarrheal states are much more common than CRC, in the absence of authentic symptomatology of CRC, such as rectal bleeding, change in the bowel habit, tenesmus, left-sided abdominal cramps, anemia, etc., the referral of these patients for colonoscopy based solely on "decreased stool caliber" is unwarranted. Narrow stool, sometimes called pencil-thin, may occur occasionally and is of no concern. Diarrhea During COVID-19 Infection: Pathogenesis, Epidemiology, Prevention. They can be harmless, occurring as a result of a low fiber diet or temporary infection. Our own everyday experience shows that low caliber stool is noticed whenever we have loose stool. Cover Image - Clinical Gastroenterology and Hepatology, Volume 21, Issue 8. Right Care Digestive Health Narrow Stools: Causes, Symptoms, and Treatments What it is Causes When to contact a doctor Symptoms Diagnosis Treatment Healthy bowel movement Summary Narrow stools occur due to changes in bowel movements. ![]() Nevertheless, this misconception somehow permeated the standard textbooks of medicine and even the newer editions of text-books of gastroenterology. In the absence of reliable data to support this concept, the authors of gastroenterology textbooks in the mid-twentieth century practically dismissed the concept. presence of tumor results in narrowing of the colon, which in turn decreases the caliber of the stool-was conceived late in the nineteenth century. A review of the literature reveals that this rather lay misconception-i.e. Over the past several years, primary care providers have been referring a large number of their patients to gastroenterologists for colonoscopy because of "low caliber stool" or "pencil thin stool." Most textbooks of internal medicine and gastroenterology consider "small caliber stool" as one of the presenting signs of colorectal cancer (CRC). ![]()
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