firm-to-loose stools during a bowel movement (?)

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Regular Member

Date Joined May 2012
Total Posts : 41
   Posted 5/15/2012 5:47 PM (GMT -7)   
Hi guys,

I am new here, so please let me introduce myself. I am 22 years old; currently a senior in college. I was diagnosed with UC via colonoscopy earlier this year.
I was put on prednisone and lialda. I've tapered off the Prednisone and am now taking 2400 mg mesalamine (lialda) each day.

Recently I've noticed 2 things going on. (1) My stools are getting looser with each BM. In the mornings, my BM would be completely fine and normal. Throughout the day, I would go a few more times, but with each successive time, my stools would more and more watery! By the end of the day, it is completely diarrhea! (2) Even during a single bowel movement, i notice this trend. The first half of my BM would fine (solid) and the second half would be loose and watery.

In fact, this was precisely why I went to see my doctor in the first place 4 months ago. What is going on? I'll be visiting my doctor later this week.

Has this happened to anyone else here??!?!

Much and many thanks in advance,

Elite Member

Date Joined Feb 2004
Total Posts : 20577
   Posted 5/15/2012 8:33 PM (GMT -7)   
I have had exactly what you're describing and on occassion I will still have the one "sitting" that will consist of starting out solid and getting softer/looser as wel,l I refer to it as a "mudslide" since it's formed mixed with loose...from my experiance it's the nature of the beast...I am flaring.

I wouldn't stress too much over it but definitely let your doc know that it's still happening to you...good luck!
bee propolis caps 500mg one cap twice/day
omegas 369 caps one cap twice/day
probiotics 10 billion cfu once/day
vitamins C-calcium ascorbate (easy on the gut) and vitamin A each once/day
Prodiem fibre supplement one cap before bed
I've also altered my diet (no junky stuff at all, processed, fast-foods, refined sugars, ect) and exercise regularly.
I went from 30+ bloody BM's/day with lots of lower back pain to an average of 5/day no bleeding no back pain and completely formed stools, still have severe urgency issues.
~~~~~~~~My bum is broken....there's a big crack down the middle of it! LOL :)~~~~~~~~

Regular Member

Date Joined Jan 2011
Total Posts : 189
   Posted 5/16/2012 12:24 AM (GMT -7)   
That was pretty common for me... I figure the solid front part had been "in line" longer so more time for water to be absorbed and firm it up.
~ Ulcerative Colitis diagnosed November 2010 ~

Current meds: Apriso x 4, Endocort x 3, Bentyl/Lomotil as needed

Remicade : 4 infusions
Critical Colon 80billion probiotics

Not UC related: Lamotrigne x 50mg (tapering off), Quasense (birth control - 4 periods a year!)

Veteran Member

Date Joined Feb 2011
Total Posts : 3915
   Posted 5/16/2012 8:27 AM (GMT -7)   
Yes, I would not make too much over the better stool in early morning. When active during the day, stool moves more quickly through you system, with less time for the colon to absorb water.

I think the main message is that you may need a higher dose of Lialda. Did you have left-sided or pancolitis? In my case Lialda cleared my right and transverse colon, but the left side and sigmoid were getting worse the whole time. I had to use rectal meds to get the heat out for the rectum and sigmoid colon. Unfortunately nothing seems to be doing a lot for my let colon. I am hoping the Lialsa eventually gets there with the help of probiotics and other meds/supplements.

Catching flares early is very helpful. I would discuss more aggressive treatment with your GI, and also try to notice any foods that might be a bit irritating for you (some folks find a vacation for gluten or dairy can be helpful when flaring).

Regular Member

Date Joined Jun 2011
Total Posts : 28
   Posted 5/17/2012 2:36 AM (GMT -7)   
I have exactly the same issue. My stool starts out relatively solid and formed (I even had to strain to pass it early in the week - oh the excitment), but then by the end of the movement it is in small soft lumps. I also tend to have a much bigger volume of stool indicating that it is not compacted as much.

What is confusing me though is the suggestion that it might be due to inflammation. My colonoscopy last year showed my inflammation was restricted to my rectum and sigmoid. Since then I have been on oral and rectal pentasa - is it possibel that my inflammation has now moved higher up? giving me the soft stool at the end of a movment? I should also say that at the moment I am generally only going once or twice a day (although my GI doc seems convinced I am on the cusp of a big flare up).
Confirmed diagnosis of ulcerative proctitis (24/08/11).
Flare April - Sept, then Nov - Dec 2011.
Current meds: Pentasa enema 1g/ twice day, Oral Pentasa 2g twice daily, Asacol suppositories in morning. Inner Health Plus and IBS support (probiotics) once daily each, Tofranil (for anxiety). Currently (mostly) dairy free.

Forum Moderator

Date Joined Apr 2004
Total Posts : 23549
   Posted 5/17/2012 5:01 AM (GMT -7)   
Yep, that is completely "normal" for Uc. One of the main reasons we have diarrhea is that with inflammation, it doesn't allow our colons to absorb the water from the stool like it should. When you're sleeping, the stool sits in the colon longer which allows more of the water to be absorbed but once we wake up, so does the colon and the cycle continues. Once your flare is under control or you enter remission, you should start seeing more solid stool.
Moderator-Allergies/Asthma and Alzheimer's, Co-moderator-UC
Diagnosed Left sided UC in '92 - meds: 6mp, Colazal, Remicade and Bentyl*Unable to tolerate ALL mesalamines*, in '11 diagnosed with IBS, Diverticulosis, Fibromylagia..I also have Sacroiilitis, Scoliosis, Raynauds, OA, PA, Rosacea, Psoriasis, Dry Eye and allergies controlled by Zyrtec and Singular

New Member

Date Joined Sep 2013
Total Posts : 1
   Posted 9/27/2013 9:37 AM (GMT -7)   

My problem and solution.

Hello everybody for the past year I had loose stool after a bowel movement. Whenever I went to the bathroom I would have a normal stool with no blood, no pain in the stomach and everything was normal , the only thing was that I had to wipe so much to get it cleaned, the real problem was when after taking a bowel movement and cleaning then after an hour I would go for a walk and after walking 10 minutes It would get real itchy and greasy and I would have to go to the bathroom and wipe again and sometime there would be blood in it also . This kept on happening for a year and I got fed up so I went to the doctor, I got tired of wiping so many times a day and walking became a problem because I love to walk. So when I went to the doctor he recommended me to use preparation H and I used it for 2 weeks and that didn’t work so then I got a colonoscopy and that showed minor inflammation of the colon but I still had no symptoms of any pain of any blood in the stool, so then we went to another doctor and we had a another colonoscopy and that showed no signs of inflammation but my problem was still there with the loose stool after bowel movement. I tried everything, I tried Metamucil, changed my diet and I was so sad and hopeless because nothing worked, then one day a guy at work told me to use a product called ISABGOl but then I forget about it then about 2 months later I asked him again becase nothing was working and I was hopeless, so I was like let me try this product so I went out and bought it , so that night I took 1 tablespoon with yogurt and in the morning before going to work I took 1 tablespoon with water and then after taking my stool that morning I was cured forever, You don’t know how shocked and happy I was, this simple natural product cured everything, I spent all of this money on doctors, colonoscopy, diets and worrying and this simple tasting power cured everything. I am not here to sell any product, I just wanted to tell and share my story to anyone who is suffering, this product called ISABGOl it comes from India so people from USA or EUROPE might not have any clue about it or where to get it. I live in NYC so I was able to get it. Again if you have any symptoms like me please use it, it costs around $5 dollars and it will last you a month , the only diet change I had to make was stop drinking coffee so I started drinking tea with milk everything else I eat, please try it if you have my symptons, $5 is nothing to try it out, it is all natural product so it won’t hurt you in any way, before you take this product please consult with your doctor that you don’t have any serious inflammation in your colon then take it. It is white power and no taste to it, please take 1 tablespoon the night before with yogurt and in the water 1 tablespoon with water. Here is some info about the product and you can buy this product easily online. I will put some links on it.


This is how the box looks, make sure you get this one with the green box


some more info about the product



You can easily get this product online, amazon has it really cheap, if you live in any major city with an Indian grocery store will also carry it, please try it . thanks

New Member

Date Joined Jan 2017
Total Posts : 1
   Posted 1/12/2017 6:36 AM (GMT -7)   
Thank You Sumner78, I tried what you recommended and it really helped me. I found ISABGOl in a local India Bazaar shop in Florida.

Regular Member

Date Joined Mar 2014
Total Posts : 258
   Posted 1/12/2017 3:55 PM (GMT -7)   
I don't get it. Isabgol and metamucil are petty much the same thing.

Regular Member

Date Joined Nov 2016
Total Posts : 24
   Posted 1/12/2017 6:44 PM (GMT -7)   
I know this thread is old, but I wanted to know what the opposite means. I have very loose stool at first, and then it becomes more solid toward the end. Sometimes it just goes back and forth during a BM. What does this mean?

Forum Moderator

Date Joined Aug 2012
Total Posts : 10818
   Posted 1/13/2017 5:00 AM (GMT -7)   
"Sometimes it just goes back and forth during a BM. What does this mean?" It means you have ulcerative colitis wit active inflammation. It's notoriously inconsistent. We can start a bm solid and end it diarrhea or vice versa. As you heal, things get more and more consistent.
Moderator Ulcerative Colitis
, 38, in a minor flare, UC Proctosigmoiditis
Rx: Remicade @5mgs/kg/6wks; 50mgs 6MP, 4.8g Mesalamine DR, 5mgs pred (tapering)

Tips for surviving UC: learn to laugh as it helps, get a good pair of running shoes for bathroom runs, and appreciate the small things.

Regular Member

Date Joined Jun 2016
Total Posts : 21
   Posted 1/13/2017 9:20 AM (GMT -7)   
Was happening to my son until we added metamucil capsules to diet and now that problem has resolved.
12 yr old diagnosed with pancolitis in 2016
--Following diagnosis did prednisone for 3 months with 6MP, VSL, and daily Rowasa enema. Liver couldn’t tolerate 6MP switched to 3 (now 4) lialda daily.
--Current: Daily SFRowasa enema, 4 Lialda, VSL#, 4 Metamucil capsules, flax seed, turmeric, Calcium w Vit D, multi vit w methyl folate, fish oil
--Diet: Gluten-free, limited lactose free, no emulsifier
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