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Stool Diary 508

The document provides a stool diary template for patients to record details about their bowel movements over the course of a week including time, consistency, urgency, incontinence, use of pads, and any medications or comments. The consistency is described using a scale from type 1 to type 7.

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Baranikumar
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1K views1 page

Stool Diary 508

The document provides a stool diary template for patients to record details about their bowel movements over the course of a week including time, consistency, urgency, incontinence, use of pads, and any medications or comments. The consistency is described using a scale from type 1 to type 7.

Uploaded by

Baranikumar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Stool Diary

Please record your stool habit for 1 week: Name:

Urgency
Stool
Stool unable to
Time of Bowel Consistency Use of
Date Incontinence Seepage or postpone BM Medications Comments
Movement (BM) (Type 1–7, Pads
Staining for more than
see below)
15 minutes

Yes/No Yes/No Yes/No Yes/No

Use the following descriptors for describing stool consistency:


Type 1: Separate hard lumps, like nuts. Type 5: Soft blobs with clear-cut edges.
Type 2: Sausage-shaped but lumpy. Type 6: Fluffy pieces with ragged edges, a mushy stool.
Type 3: Like a sausage or snake but with cracks on its surface. Type 7: Watery, no solid pieces.
Type 4: Like a sausage or snake, smooth and soft.

Stool consistency descriptors reproduced with permission from Lewis SJ, Heaton KW, Scandinavian Journal of Gastroenterology, 1997; 32(9):920–924. ©1997 Informa Healthcare.

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