[26F] With persistent whitish mucus

Patient Description

A 26-year-old female has been experiencing passing whitish mucus without stool since February, occurring about 5 times a day, with each episode lasting just a minute. The mucus remains consistent in appearance and consistency. The patient has not identified any triggers or patterns that make the mucus worse or better. She reports no abdominal pain, changes in appetite, weight loss, or blood in her stool. However, she has been pooping more often, at least 3 times a day, and experiences nausea at the beginning of the day which then fades. Recently, she started taking probiotics, fiber supplements, and birth control, and feels the probiotics might have increased her symptoms. She has not tried stopping the probiotics or fiber supplements to see if her symptoms improve. Her typical diet includes hamburger meat, potatoes, and chicken, and she consumes about 100 mg of caffeine daily through coffee and Starbucks drinks. She has no family history of gastrointestinal diseases and no pre-existing conditions or chronic illnesses. The only medication she is taking is an oral contraceptive, which she takes every day, but she is unsure of its name and dosage.

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Arora's Assessment

Sure, Wimberly! Based on the information you've provided, here's some advice that might help you understand what's happening and what you can do next.

What might be happening

Based on your symptoms, here are some possible explanations:

  • Irritable Bowel Syndrome (IBS): IBS is a common condition that affects the digestive system. It can cause symptoms like passing mucus, frequent bowel movements, and nausea. Stress and diet can often play a role in IBS.

    • Treatment: Management typically involves dietary changes, stress management, and sometimes medications to manage symptoms.
  • Probiotic Reaction: Sometimes, starting probiotics can cause changes in bowel habits, including increased mucus production and more frequent bowel movements.

    • Treatment: If probiotics are the cause, stopping them might help alleviate symptoms.
  • Infection or Inflammation: Although less likely given the absence of pain and fever, infections or inflammatory conditions can sometimes cause mucus in the stool.

    • Treatment: This would typically require medical evaluation and possibly antibiotics or anti-inflammatory medications.

What you can do

  1. Dietary Adjustments: Consider keeping a food diary to track what you eat and how it affects your symptoms. You might find that certain foods exacerbate your symptoms.
  2. Stop Probiotics Temporarily: Since you mentioned that your symptoms might have increased after starting probiotics, you could try stopping them for a week to see if there's any improvement.
  3. Hydration and Fiber: Ensure you stay well-hydrated and maintain a balanced diet rich in fiber. However, since you're already taking fiber supplements, monitor if they might be contributing to your symptoms.
  4. Stress Management: Since stress can exacerbate gastrointestinal symptoms, consider stress-reducing activities like yoga, meditation, or regular exercise.
  5. Use MDandMe: You can use MDandMe to journal your symptoms, track your progress, get insights, and share longitudinal medical notes with your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • Blood in Stool: This could indicate a more serious condition that needs immediate attention.
  • Severe Abdominal Pain: Persistent or severe pain should be evaluated by a healthcare professional.
  • Fever or Chills: These could indicate an infection that requires medical treatment.
  • Unintended Weight Loss: This could be a sign of a more serious underlying condition.

Remember, while this advice can help you manage your symptoms, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan. If you have any more questions or need further assistance, feel free to reach out!

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4 mo ago


People Also Ask


What could be causing the whitish mucus without stool?

The whitish mucus without stool could be caused by conditions like Irritable Bowel Syndrome (IBS), a reaction to probiotics, or less likely, an infection or inflammation. It's important to monitor symptoms and consult a healthcare professional for a proper diagnosis.


Can probiotics cause changes in bowel habits?

Yes, starting probiotics can sometimes cause changes in bowel habits, including increased mucus production and more frequent bowel movements. If you suspect probiotics are causing your symptoms, consider stopping them temporarily to see if there's an improvement.


What dietary changes can help manage symptoms like frequent bowel movements and nausea?

Dietary changes that might help include keeping a food diary to identify any triggers, ensuring a balanced diet rich in fiber, and staying well-hydrated. Avoiding foods that exacerbate symptoms and managing stress can also be beneficial.


When should I seek medical attention for gastrointestinal symptoms?

You should seek medical attention if you experience blood in your stool, severe abdominal pain, fever or chills, or unintended weight loss, as these could indicate more serious conditions that require immediate evaluation.

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