Watery stool or liquid poop occurs due to a variety of factors or underlying conditions and most of them cause temporary changes in stool consistency. Some can however cause chronic changes in shape and consistency of feces as well as prolonged bowel movement disturbances.
Liquid poop can be termed as diarrhea if watery bowel movements occur more than 3 times per day and if total liquid stool volume per day is more than 200mL or 200g.
Causes of liquid poop
A few common causes of liquid poop are discussed below:
- Food intolerance: There are certain foods which cannot be digested by some people. These foods act as solutes in the patients’ bowels. They draw water into the gut and thus prevent water absorption in colon which is essential for formation of solid feces.
- The most common form of food intolerance is lactose intolerance. It occurs due to lactase enzyme deficiency and consequent inability of body to process sugars naturally occurring in milk and dairy products.
- Food intolerance is not the same as food allergies, even though both cause watery poop and other similar symptoms. Allergic reaction to foods in gut occurs as part of an inflammatory immune system reaction. It may not have any associations with enzyme deficiencies that trigger buildup of undigested nutrients in gut and cause liquid poop.
- Gastrointestinal infections: It is a major cause of liquid poop. Gastroenteritis is temporary and often caused by viral infections. Vomiting, excessive diarrhea, and pain in abdomen are severe and last for two to three days. If symptoms continue for many days or even weeks and/or occur with bloody watery poop, then it may be indicative of severe underlying infection requiring urgent medical care.
- Chronic infections with persistent liquid poop are often observed in people with compromised immune systems (HIV/AIDS). Chronic bowel infections may also occur in people with healthy immune system in cases of frequent and prolonged use of antibiotics; it is known as antibiotic associated diarrhea.
- Malabsorption syndromes: Patients with malabsorption syndromes have gut defects or diseases that prevent the absorption of nutrients from food. It can occur due to genetic or hereditary causes, but may also develop due to underlying inflammatory conditions of the bowel. Chronic inflammation of the bowels affects its usual ability to absorb nutrients.
- One of the most common types of malabsorption syndromes is fructose malabsorption, where fruit sugars cannot be absorbed by the body. As is the case with food intolerance, the nutrients that remain unabsorbed cause liquid poop and other bowel problems.
- Bowel function disorders: In this, there is no inflammation or other defects of the bowels which trigger watery stools. Instead, these are conditions wherein the functions of the bowels are underactive or overactive. A common functional bowel disorder is IBS or irritable bowel syndrome. The passage of food across the intestine is faster than normal. This causes liquid poop in patients. Also, bowel wall muscles can go into spasms, thereby causing abdominal cramping which is a very characteristic symptom of IBS.
- Bowel conditions: Prolonged and persistent bowel diseases can impair the ability of bowels to absorb nutrients, thereby causing accumulation of water in bowels. It also triggers faster passage of food across the intestines, which limits the re-absorption of water and causes liquid poop. Other symptoms include mucus in stool and bleeding. Two common chronic bowel diseases are celiac disease and inflammatory bowel disease.
- Digestive system issues: In addition to bowel conditions and malfunction, liquid poop can also occur due to diseases and problems of other digestive system organs like the gallbladder, pancreas, or liver. A few conditions of these organs that cause watery stool are gallstones, pancreatitis, and hepatitis.
- Varied foods: Certain types of foods can cause irritation of the wall of the bowels and result in liquid poop. Common culprit foods include chili and varied spices. It may also be noted that excessive intake of mild foods can also cause watery stool. Loose and liquid poop is often observed in people who have a diet full of junk foods, or refined and processed foods with minimal or no veggies or fruits. The symptoms commence just after the intake of culprit foods and hence they can be easily identified.
- Medications, contaminated food, toxins: Liquid poop can occur as a side effect of different medications. The side effect is usually mentioned in the label. Frequent and prolonged use of certain drugs like antibiotics can also harm intestinal flora and trigger watery stools. Alcohol abuse or use of narcotics may cause liquid poop as per the tolerance levels of users. Eating foods contaminated with bacteria, viruses, or parasites can result in transfer of toxins into the body which can then trigger short-term diarrhea.
- Psychological problems: Stress, anxiety, and depression can increase bowel motility, hamper water re-absorption in gut, disturb nutrient absorption and digestion of food, and cause other bowel function disturbances. All these can trigger temporary cases of liquid poop.
Treatment of liquid poop
Liquid poop is temporary and hence treatment is not required. Patients with persistent instances of watery stool need to visit doctor for diagnosis and treatment of underlying causative disease.
For mild and short-term cases of liquid poop patients may follow below listed self-care measures and home remedies:
- Probiotics for increasing good gut bacteria
- Drinking lots of water, fruit juices, and other fluids to prevent dehydration
- Meditation, yoga, and other stress alleviating techniques; regular exercising
- Eating a healthy balanced diet with lots of fruits and veggies
- Avoid foods that trigger liquid poop episodes.
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