
Bajs - vad är normalt?
Granskad av Dr Krishna Vakharia, MRCGPSenast uppdaterad av Victoria RawSenast uppdaterad 7 Aug 2024
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Att bajsa är en viktig kroppsfunktion. Det finns en stor variation i hur ofta vi bajsar och hur hårda eller mjuka våra bajs är. Så hur ofta - eller hur sällan - är normalt och när behöver du prata med en läkare?
Your poo is affected by a huge range of factors. Some of these you can't influence. Even if we eat an identical diet, some people would open their bowels more often than others. And no matter how much you want to, you can't influence ageing - förstoppning becomes more common with age.
Some of this is down to being less active or having a higher chance of taking medication that slows your needing to have a poo down. But with age, your gut may move digested food along less efficiently.
How many poos a day is normal?
Most people have a fairly regular pattern of going to the toilet. Most of us go between 3 times a day and 3 times a week. Many people tend to go at about the same time every day.
Some medical conditions - such as inflammatorisk tarmsjukdom (Crohns sjukdom och ulcerös kolit) or divertikelsjukdom - can lead to frequent, loose poos. But if you don't have an underlying medical condition that affects many of the factors that determine how often you open your bowels relate to your diet and lifestyle.
Fysisk aktivitet helps stimulate co-ordinated movements of the rings of muscle around your bowels that propel food through your digestive system (peristalsis). So being physically active doesn't just strengthen your heart and lungs - it can help keep you regular too.
What can affect the consistency of poo?
Many medicines can cause looser poos or constipation as a side effect - common examples include:
Codeine-based painkillers, sometimes called opioids - this includes combination painkillers such as co-codamol and co-dydramol, as well as very strong painkillers such as morfin.
Some antidepressiva. Tricyclic antidepressants such as amitriptyline are more likely than other types to cause constipation - these are often prescribed not just for depression but for nerve pain, such as trigeminal neuralgia eller postherpetic (post-shingles) nerve pain.
Some medicines used for overactive bladder.
Parkinsons sjukdom treatments.
If you're taking medication and you feel it might be linked to constipation, your pharmacist will be able to help you.
Your poo is made up of a combination of food that hasn't been absorbed into your system, waste products, and bacteria that live naturally in your gut and water. Changes to your diet and lifestyle can alter all of these.
Fiber in your diet - wholemeal and whole grain foods, vegetables, fruits, pulses, beans and lentils are all good sources. These help bulk out your poos, allowing you to go more regularly and with less straining.
If you're dehydrated, more water from your gut will be reabsorbed into your system. This makes poos smaller, harder and more difficult to pass.
How to get rid of constipation
Constipation is a common reason for people to see their doctor. It's often a long-term problem, which can be helped by making changes to your level of physical activity, as mentioned above. But if you're unwell for another reason, you may have a fever - which makes you lose more fluid - be less active, go off your food and take medicine such as strong painkillers, which can all lead to constipation.
Bowel movements and IBS
Irritabel tarm (IBS) can cause bloating and tummy pain as well as constipation, diarrhoea or a combination of the two. It's a functional bowel problem. This means there's no abnormality in the structure of any individual bit of your gut, but the various parts don't work smoothly together.
Lifestyle changes and medication can help. You may be referred to a dietitian to help find foods that don't cause symptoms, but still allow you to get all the nutrients you need. Never assume your symptoms are down to IBS if you've never had them before. Speak to your doctor, who may arrange investigations to exclude other causes.
Causes of diarrhoea
Magproblem och food poisoning are the most common causes of diarré. Other symptoms which often go hand in hand with the diarrhoea include feeling - or being - sick, tummy cramps and sometimes fever. Most of these settle within a few days without complication.
However, changes in your poos or going to the toilet that do not settle, or that are accompanied by any 'red flag' symptoms, should always be checked out by your doctor. That's because it could be a warning sign of cancer of the bowel.
Symptoms to look out for include:
Losing weight without meaning to.
Being off your food.
Severe or persistent tummy pain.
Problems swallowing, or severe pain on swallowing.
Persistent vomiting.
Feeling very tired or looking pale.
Also, you'll usually need to be referred straight for medical assessment at the hospital if you experience:
Vomiting blood or black 'coffee grounds'.
Passing blood in your poo or black, tarry poos.
Bowel screening
Across the UK, the NHS will send you a home bowel screening test kit - faecal immunochemical test (FIT). You collect a small sample of poo, send it to a lab and they will check it for any blood which can be a sign of polyps or bowel cancer.
You will receive your FIT kit at different ages depending on where you are in the country:
England - 54 to 74-year-olds. This is now being expanded to include people aged 50-53.
Northern Ireland - 60 to 74 year olds.
Scotland - 50 to 74 years.
Wales - 51 to 74 years. This is being expanded to include 50 year olds in the future.
Med tack till tidningen 'My Weekly' där denna artikel ursprungligen publicerades.
Patientval för General digestive health

Matsmältningshälsa
What does your poo say about you?
Let's face it. Whilst we'll happily chat away about our aches and pains with friends, most of us don't talk about bowel movements, even with our nearest and dearest. But this tendency to avoid the subject - even with our doctor - can lead to the worsening of existing health problems, and continuance of discomfort that might otherwise have been relieved. So - brace yourself - it's time to talk about the brown stuff.
av Gillian Harvey

Matsmältningshälsa
Vad gör bukspottkörteln?
The pancreas is an organ in the upper tummy (abdomen). Chemicals (enzymes) made by cells in the pancreas pass into the gut to help digest food. The hormones insulin and glucagon are also made in the pancreas and help to regulate the blood sugar level.
av Dr Roger Henderson, MBBS
Om recensentenVisa fullständig biografi

Dr Krishna Vakharia, MRCGP
Medicinsk chef för hälsa, Optum UK
MBChB, MRCGP(2013), BMedSci (hons), DFSRH, DRCOG, PGDipDerm (Distn)
Dr Krishna Vakharia är en NHS-läkare. Hon är också en regelbunden examinator för den postgraduate Diplom i Praktisk Dermatologi vid Cardiff University samt Chief Medical Officer för hälsa på Optum UK.
Artikelhistorik
Artikeln finns också på Engelska, Tyska, Spanska, Franska, Italienska, Portugisiska, Hindi, Hebreiska, Arabiska, och Svenska.
Next review due: 8 Aug 2027
7 Aug 2024 | Senaste versionen
26 Sept 2022 | Ursprungligen publicerad
Författad av:
Dr Sarah Jarvis
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