Factors affecting stool

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Questions and Answers

What does the consistency of stool primarily depend on?

  • Frequency of stool elimination
  • Presence of medications taken
  • Time of day the stool is passed
  • Amount of dietary intake and fluid consumption (correct)

Which color of stool is indicative of possible liver or gallbladder dysfunction?

  • Dark brown
  • Bright yellow
  • Greenish
  • Grey (acholic) (correct)

What might long, thin, pencil-like stools suggest?

  • Presence of digested blood
  • Narrowing of the rectum or anal opening (correct)
  • Increased peristalsis
  • Dehydration of the patient

What does the presence of fresh red blood in stool generally indicate?

<p>Rectal or lower colon bleeding (C)</p> Signup and view all the answers

What is the average daily amount of stool typically passed by individuals?

<p>60-300 g (A)</p> Signup and view all the answers

What can increased peristalsis lead to regarding stool characteristics?

<p>Liquid, unformed stools (B)</p> Signup and view all the answers

What is an abnormal stool odour often associated with?

<p>Presence of microorganisms (C)</p> Signup and view all the answers

What does a decrease in stool frequency indicate?

<p>Inadequate dietary intake (A)</p> Signup and view all the answers

What is the primary component that affects stool shape?

<p>Shape of the colon interior (D)</p> Signup and view all the answers

Which condition may cause separate hard lumps in the stool?

<p>Dehydration of the patient (D)</p> Signup and view all the answers

What does the presence of pus in stool most likely indicate?

<p>Inflammation or infection (C)</p> Signup and view all the answers

What does floating stool typically suggest?

<p>Undigested fats (B)</p> Signup and view all the answers

Which type of odour is associated with melena?

<p>Sweet smell (D)</p> Signup and view all the answers

What does a putrid odour in stool suggest?

<p>Dyspepsia (C)</p> Signup and view all the answers

What is suggested by the presence of undigested food in stool?

<p>Digestive system malfunction (A)</p> Signup and view all the answers

Which characteristic is typical of a stool that indicates it is less dense?

<p>Floats in water (A)</p> Signup and view all the answers

What condition is indicated by a black stool?

<p>Upper gastrointestinal bleeding (B)</p> Signup and view all the answers

What might be the underlying cause of acid odour in stool?

<p>Some types of diarrhoea (D)</p> Signup and view all the answers

What should be investigated if segments of tapeworms are found in stool?

<p>Presence of intestinal parasites (D)</p> Signup and view all the answers

Flashcards

Flatus

Gaseous discharge that accompanies bowel movement with a strong odour.

Stool Density

Stool consistency, measured by the weight of waste products in relation to water.

Floating Stools

A condition where stools float in water, often indicating undigested fats.

Putrid Odour

A strong, foul odour often associated with dyspepsia, indicating painful digestion.

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Sweet-smelling Stool

A sweet, unusual odour in stool, often indicating melena (digested blood).

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Acidic Odour

A sour or acidic odour in stool, often indicating diarrhoea.

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Pus or Mucus in Stool

The presence of pus or mucus in stool, suggesting infection or inflammation in the digestive system.

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Undigested food in Stool

The presence of undigested food in stool, indicating a potential digestive malfunction.

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Enterorrhagia

Fresh blood in stool, indicating lower gastrointestinal bleeding.

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Melena

Black stool, indicating upper gastrointestinal bleeding or nasogastric bleeding.

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Frequency of Stool Elimination

The frequency of bowel movements, typically ranging from once or twice a day to twice or three times a week.

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Consistency of Stool

The consistency of stool can vary from soft and formed to liquid or hard and dry, depending on dietary intake, fluid intake, and speed of peristalsis.

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Amount of Stool

The amount of stool passed daily varies based on diet. Normal amount is 60 to 300 grams.

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Stool Color

Normal stool color is yellowish-brown due to the presence of bile. Abnormal color can indicate gastrointestinal problems or changes in the stool's contents.

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Grey Colored Stool (Acholic Stool)

Gray stool, often called acholic stool, indicates a lack of bile in the stool, suggesting a possible issue with the liver, gallbladder, or bile ducts.

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Dark, Black, or Tarry Stool (Melena)

Dark, black, or tarry stool, known as melena, signifies digested blood in the stool, potentially due to bleeding in the upper gastrointestinal tract or swallowed blood from an injury.

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Bright Red Blood in the Stool (Enterorrhagia)

Bright red blood in the stool, called enterorrhagia, indicates rectal or lower colon bleeding, potentially from hemorrhoids or cancer.

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Yellow or Greenish Stool

Yellow or greenish stool suggests the presence of microorganisms, indicating a potential infection.

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Shape of Stool

The shape of stool typically reflects the shape of the colon. Round, oval, or cylindrical are common shapes.

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Odor of Stool

Stool has a characteristic odor, which may be altered by dietary factors or medical conditions.

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Study Notes

Stool Assessment for Nursing

  • Frequency and Regularity: Nurse observes how often and regularly the patient eliminates stool. Some individuals eliminate stool once to twice daily, others twice or three times weekly.
  • Consistency: Stool firmness/density. Influenced by diet, fluid intake, and peristalsis speed. Normal stool is soft and formed. Decreased peristalsis results in hard, dry stools; Increased peristalsis results in liquid, unformed stools.
  • Amount: Varies with diet. Average is 60-300g per day.
  • Color: Typically yellowish-brown due to bile. Changes in color may indicate issues.
    • Grey (acholic): Lack of bile, suggesting liver, gallbladder, or bile duct problems.
    • Dark/Black/Tarry (melena): Presence of digested blood, indicating upper GI bleeding (e.g., ulcers) or swallowed blood.
    • Bright Red (enterorrhagia): Lower GI bleeding (e.g., hemorrhoids, rectal/colon cancer).
    • Yellow/Greenish: Abnormal microorganisms, likely infection.
  • Shape: Generally round, oval, or cylindrical; reflects colon shape. Abnormalities (e.g., pencil-like shape) may indicate narrowed rectum or anal opening, possibly tumor. Hard, lump-like stools suggest dehydration.
  • Odor: Characteristic but can change with medications, strong foods, or abnormal microorganisms.
    • Acidic: Some diarrheal conditions.
    • Sweet: Melena (digested blood).
    • Putrid: Dyspepsia (indigestion).
  • Density: Normally sinks in water. Floaters indicate undigested fats (oily appearance).
  • Abnormal Components: Presence of specific components can indicate issues.
    • Pus/Mucus: Inflammation or infection.
    • Undigested Food: Digestive issues.
    • Fresh Blood: Lower GI bleeding.
    • Black Stool: Upper GI or nasogastric bleeding.
    • Parasites: Tapeworms or segments.

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