Bristol Stool Chart Faecal Continence Foundation of Australia

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Bristolstoolchart
Thereareseventypesofstools(faeces)accordingtotheBristolStoolChart.TheBristolStoolChart
orBristolStoolScaleisamedicalaiddesignedtoclassifyfaecesintosevengroups.

Whatshouldmystoolslooklike?
Thetypeofstoolorfaecesdependsonthetimeitspendsinthecolon.Afteryoupassfaeces,what
youseeinthetoiletbowlisbasicallytheresultofyourdiet,fluids,medicationsandlifestyle.Youcan
usetheBristolStoolCharttocheckwhatyourstoolsaretellingyou.
TheBristolStoolChartshowssevencategoriesofstool.Everypersonwillhavedifferentbowel
habits,buttheimportantthingisthatyourstoolsaresoftandeasytopassliketypes3and4
below.
Type12indicateconstipation(/pages/constipation.html)
Type34areidealstools(/pages/aboutyourbowel.html)astheyareeasiertopass,and
Type57mayindicatediarrhoeaandurgency.(/pages/diarrhoea.html)

ReproducedwithkindpermissionofDrKWHeaton,formerlyReaderinMedicineattheUniversityof
Bristol.20002014,Norginegroupofcompanies.
Reference:Heaton,KW&Lewis,SJ1997,'Stoolformscaleasausefulguidetointestinaltransit
time'.ScandinavianJournalofGastroenterology,vol.32,no.9,pp.920924.Retrievedon2/3/2007.

Whatarethesignsofahealthybowel?
Beingregularisawayofdescribinggoodbowelhabitsornormalbowelfunction.Weoftentalk
aboutourbowelsbeingregularbutthisisoftenmisunderstoodasmeaningthatyougotothetoilet
topassfaeceseveryday.Itscommonforpeopletoemptytheirbowelonceaday,althoughitsstill
normaltobemoreorlessoften.Beingregularreallymeansthatsoftyetwellformedbowelmotions
areeasilypassedandthatthishappensanywherefrom13timesadayto3timesaweek.
Thebowelusuallywantstoemptyabout30minutesafterameal(commonlybreakfast),butthiscan
varyfrompersontoperson.

Goodbowelfunctionforadults

Goodbowelfunctionforadults
Theresmoretogoodbowelfunctionthanjustbeingregular.Forexample,youshouldbeableto:
holdonforashorttimeafteryoufeelthefirsturgetogotothetoiletthisallowstimetogetthere
andremoveclothingwithoutanyaccidentallossoffaeces
passabowelmotionwithinaboutaminuteofsittingdownonthetoilet
passabowelmotioneasilyandwithoutpainideally,youshouldntbestrainingonthetoiletor
strugglingtopassabowelmotionwhichishardanddry,and
completelyemptyyourbowelwhenyoupassamotionyoudonthavetogobacktothetoilet
soonafter,topassmore.
Peoplewhopassbowelmotionsatthewrongtimeorinthewrongplacemaybeexperiencingpoor
bowelcontrol,orfaecalincontinence(/pages/faecalincontinence.html).Theymayalsopasswind
whentheydon'twantto.
Poorbowelcontrolismorecommonthanyoumaythinkaboutonein20peopleexperiencepoor
bowelcontrol.It'softennottalkedabout,butbothmenandwomencanhavepoorbowelcontrol.It's
morecommonasyougetolder,butyoungpeoplecanalsohavepoorbowelcontrol.Sometimes,
peoplewithpoorbowelcontrolalsohavepoorbladdercontrolandmayleakurine.

Goodbowelfunctionforchildren
Childrenusuallydeveloptheabilitytobetoilettrainedbyaboutthreeyearsofage.'Soiling'iswhen
thebowelsareemptiedinplacesotherthanthetoilet.Evenafterachildistoilettrained,theremay
beoccasionalaccidentswithsoiling(poo)inyourchild'sunderwear.
Ifachildisunabletobetoilettrainedorhasregularpooaccidentsaftertheageofthreetofour
years,thentheyshouldbemedicallyassessed.Ifachildhasbeentoilettrainedandatalaterstage
startstosoil,thisalsoneedsmedicalassessment.
Howmanychildrengetsoiling?
About13%ofchildrencanhavethisproblemandsomeofthemmayhavewettingaswell.Itismore
commoninboys.
Soilingmayvaryfroma'skidmark'tolargeramountsthatneedtoberemovedfromunderwear
beforeitcanbewashed.
Whydochildrensoil?
Inalmostallcasessoilinghappensbecausethelargebowelisnotemptyingproperlyandthechildis
constipated.Constipation(/pages/constipation.html)isverycommonandoccursatsometimeinup
to25%ofchildren.Ifitisnotrecognisedandtreated,bowelactionsmaybecomeharderandless
frequent.Overtime,stretchingofthebowelmakesitlesssensitive,sothechildmaynotfeelwhen
pooneedstocomeoutandthereforehasanaccident.Itisquitepossiblethatthereishardpoo
insidethebowel,butthesoilingissoftrunnypooleakingaroundthehardmass,andsoyoudon't
realisethatconstipationistheunderlyingproblem.
Readmoreonchildren(/pages/children.html)

Quicktips

Makesuretospeakwithyourdoctorifyouthinkyouhaveconstipationordiarrhoeaandurgency.
Sometreatmentoptionsinclude:

Usingalaxative
Ahealthydietcontainingplentyofdifferentfibrerichfoods
Drinkinglotsoffluids
Incorporatingexercisetokeepbowelshealthyandregular.

Tofindoutwhichfoodsarebesttoeat,takealookattheHealthyDietandBowels
(/resources.php/01tG000000FQuDpIAL/healthydietandbowels)factsheet.

Readmore
Wehaveanumberoffactsheetsavailablefordownloadonbladderandbowelhealth.Visitour
Resourcespage(/resources.php?keyword=bowel&language=English&submitted=Search#results)for
amoreadvancedsearchorhavealookatsomeofthepopularfactsheetsbelow.
PoorBowelControl(/resources.php/01tA0000001b1e1IAA/03poorbowelcontrol)
HealthyBladderandBowelHabits(/resources.php/01tA0000001b1buIAA/healthybladderand
bowelhabits)
Lookingafteryourbowel:Aguidetoimprovingbowelfunction
(/resources.php/01tA0000001b1daIAA/lookingafteryourbowelaguidetoimprovingbowel
function)
Usingabladderorboweldiary(/resources.php/01tA0000001oVHpIAM/usingabladderdiaryora
boweldiary)

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