I am looking for some help and advice on stool form. But I just want to stress at the outset I am looking for dietary / supplement advice not for a bidet to be suggested as I have tried that and it doesnt fix my underlying issue.
My issue is that when I pass a stool it is soft and mushy - sometimes formed sometimes not. This leads to a lot of stool being left around the anus when wiping (TMI apologies). This then leads to soreness but also later in the day a stickyness feeling can be felt down there. But this may just be a sensation from the soreness.
For about 18+ months I have been trying to fix this. I have tried citrucel capsules (only did it for a few days), psyllium whole husks and results were mixed. But for last 6 months i have been taking NOW psyllium husk powder twice a day - went back and forth with dosage but settled on 4g twice per day. Seemed to work ok for a while but results seem to be going off track now.
Wasnt sure whether to try PHGG - maybe swap morning psyllium for PHGG or swap altogether? Wasnt sure whether to go back to psyllium whole husks twice a day? Or maybe try chia and flax pudding for breakfast every day and if so maybe add PHGG to that or have PHGG in the evening with chia pudding in the morning? Or keep the psyllium in the evening?
Very occassionally I get a rare one wiper and things are perfect for the rest of the day.
My bowel movement is usually once per day as soon as I wake up.
I drink 2.5-3 litres water per day and nothing else.
Food is mixed but usually something like blueberries/apple/banana for breakfast around 10am. Lunch is usually a chicken salad roll with maybe a few crisps or a hard boiled egg. Dinner is mixed but usually something like chicken or mince with veg/salad/rice/potatoes (these are interchangable).
I have diverticular disease.
I have gallstones.
Was prescribed 4g colestyramine to trial which I did for a month - didnt notice much improvement other than my stools were a more normal brown than a light tan brown without it.
Have a gastro appointment coming up in January. Have a proctogram in 3 weeks too.
UK based.
Thanks in advance everyone.