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Published on: 3/5/2025

What Are the Signs of Incomplete Stool Evacuation and How Can It Be Addressed?

Incomplete stool evacuation means feeling like you haven't finished emptying your bowels after a bowel movement, and it can be helped by changes in diet, behavior, and sometimes specific therapies like pelvic floor training.

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Explanation

When someone experiences incomplete stool evacuation, they often report feelings of still having stool in their rectum even after going to the bathroom. Other signs include needing to strain, spending a lot of time on the toilet, and having frequent urges to go again. Studies show that these symptoms can be linked with problems in the way muscles in the pelvic floor work during defecation. For example, one study found that the way people feel about their stool and evacuation is often related to muscle patterns that do not work well together, a condition sometimes called dyssynergia. Another study noted that people with diabetes might report these symptoms along with hard stools and fecal urgency. To help address this, doctors often suggest increasing water and fiber in the diet, establishing regular bathroom habits, and sometimes using pelvic floor physical therapy or biofeedback techniques. These measures can help improve muscle coordination and make bowel movements easier and more complete.

(References)

  • Ingemansson A, Walter SA, Jones MP, Sjödahl J. Defecation Symptoms in Relation to Stool Consistency Significantly Reflect the Dyssynergic Pattern in High-resolution Anorectal Manometry in Constipated Patients. J Clin Gastroenterol. 2024 Jan 1;58(1):57-63. doi: 10.1097/MCG.0000000000001794. PMID: 36730549.

  • Ihana-Sugiyama N, Nagata N, Yamamoto-Honda R, Izawa E, Kajio H, Shimbo T, Kakei M, Uemura N, Akiyama J, Noda M. Constipation, hard stools, fecal urgency, and incomplete evacuation, but not diarrhea is associated with diabetes and its related factors. World J Gastroenterol. 2016 Mar 21;22(11):3252-60. doi: 10.3748/wjg.v22.i11.3252. PMID: 27004003; PMCID: PMC4790001.

  • Costilla VC, Foxx-Orenstein AE. Constipation in adults: diagnosis and management. Curr Treat Options Gastroenterol. 2014 Sep;12(3):310-21. doi: 10.1007/s11938-014-0025-8. PMID: 25015533.

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