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Researchers at the Bristol Royal Infirmary—a hospital in Bristol, England—developed a visual guide for stools.

It is called the Bristol Stool Form Scale, or BSF scale for short.

The lumps are hard and abrasive, the typical diameter ranges from 1 to 2 cm (0.4–0.8”), and they‘re painful to pass, because the lumps are hard and scratchy.

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It‘s typical for people (especially young children and infirm or convalescing adults) affected by fecal impaction—a condition that follows or accompanies type 1 stools.

During paradoxical diarrhea the liquid contents of the small intestine (up to 1.5–2 liters/quarts daily) have no place to go but down, because the large intestine is stuffed with impacted stools throughout its entire length.

First, it may be difficult to control the urge, especially when you don‘t have immediate access to a bathroom.

Second, it is a rather messy affair to manage with toilet paper alone, unless you have access to a flexible shower or bidet. These kind of stools may suggest a slightly hyperactive colon (fast motility), excess dietary potassium, or sudden dehydration or spike in blood pressure related to stress (both cause the rapid release of water and potassium from blood plasma into the intestinal cavity).

It can also indicate a hypersensitive personality prone to stress, too many spices, drinking water with a high mineral content, or the use of osmotic (mineral salts) laxatives.

» Type 7: Watery, no solid pieces This, of course, is diarrhea, a subject outside the scope of this chapter with just one important and notable exception—so-called paradoxical diarrhea.It helps skittish patients and doctors to distinguish normal stools from abnormal without getting embarrassed over personal details.Transcript The normality of ones' stools is determined by comparing them to the Bristol Stool Form scale, or the BSF scale for short.Anorectal pain, hemorrhoidal disease, anal fissures, withholding or delaying of defecation, and a history of chronic constipation are the most likely causes. A person experiencing these stools is most likely to suffer from irritable bowel syndrome because of continuous pressure of large stools on the intestinal walls. The fact that it hasn‘t become as enlarged as Type 2 suggests that the defecations are regular. All of the adverse effects typical for Type 2 stools are likely for type 3, especially the rapid deterioration of hemorrhoidal disease.The possibility of obstruction of the small intestine is high, because the large intestine is filled to capacity with stools. » Type 4: Like a sausage or snake, smooth and soft This form is normal for someone defecating once daily. The larger diameter suggests a longer transit time or a large amount of dietary fiber in the diet.To this I can only say: thanks for great pictures, but, no thanks for the rest... Is it true that old stools can cause “encrustation” of the large intestine‘s walls? What is the connection between constipation and appendicitis? What is the connection between constipation and colorectal cancer? What are the most common side-effects of traditional laxatives?

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