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Do you poop more often when sick? The facts behind bowel changes

4 min read

According to research published in Cell Host and Microbe, diarrhea can be a defense mechanism for the body to flush out pathogens. It is very common to experience a change in bowel habits, including pooping more often when sick, as your body fights off an illness.

Quick Summary

Yes, it is often normal to experience more frequent bowel movements when sick, especially with viral or bacterial infections. The increased frequency can be a result of your body's immune response working to expel pathogens, while other factors like medication and diet also play a role.

Key Points

  • Body's Defense Mechanism: Increased bowel movements, particularly watery diarrhea, can be your body's natural method of expelling harmful pathogens and speeding up recovery.

  • Gut-Immune Connection: The gut and immune system are linked, so even non-gastrointestinal illnesses can trigger changes in your digestive patterns due to systemic inflammation or stress.

  • Stomach Bugs Are Common Culprits: Viral gastroenteritis, or stomach flu, is a primary cause of frequent and loose stools, as viruses like norovirus directly attack the gastrointestinal tract.

  • Watch for Dehydration: The most significant risk with frequent bowel movements is dehydration from fluid and electrolyte loss, making rehydration a top priority.

  • When to See a Doctor: Persistent or severe symptoms like bloody stool, high fever, or intense abdominal pain warrant medical attention to rule out a more serious underlying condition.

In This Article

The Gut-Immune System Connection

When you become ill, your body's immune system launches a coordinated response to eliminate the invading pathogens, whether they are viruses, bacteria, or parasites. This process is not confined to the area of infection but is a systemic effort that can profoundly impact your digestive system. For gastrointestinal illnesses, like viral gastroenteritis (stomach flu), this connection is especially pronounced, leading to clear and immediate changes in your bowel habits.

How Infections Trigger Digestive Changes

For many infections, particularly those affecting the gastrointestinal (GI) tract, the body's natural defense includes a strategy to physically flush out the intruders. This involves increasing the permeability of the intestinal wall, which allows more water and fluids to enter the gut. This influx of fluid, combined with increased muscle contractions in the intestines, results in the watery, frequent stools we commonly call diarrhea. This is the body's way of accelerating the removal of harmful microorganisms from your system.

Beyond the Gut: Systemic Effects

Even when the illness is not a stomach bug, other infections can influence your digestive patterns. A high fever, for example, can increase your metabolism, potentially speeding up your entire system, including digestion. Additionally, the physical stress of being sick can trigger the gut-brain axis, a communication pathway between your gut and your brain, which can cause shifts in your bowel regularity. This is why some people experience changes in bowel habits even with a common cold or the flu, which are primarily respiratory illnesses.

Factors Influencing Bowel Changes When You're Sick

Several factors contribute to why you might poop more often when you're under the weather.

  • Dietary Shifts: When you are sick, you often change your eating habits. You might consume more fluids and less solid food, or switch to bland, easy-to-digest items like broth or toast. This shift in diet can directly alter the bulk and transit time of your stool.
  • Medication Side Effects: Many over-the-counter and prescription medications can affect your gut. Antibiotics are well-known for disrupting the balance of your gut microbiome, which can lead to frequent bowel movements or diarrhea. Cold medications containing certain ingredients can also cause intestinal upset in sensitive individuals.
  • Increased Fluid Intake: The common advice to drink plenty of fluids when sick is crucial for hydration but also affects your bowel movements. Increased fluid intake can make stools softer and more frequent, particularly if you are replacing solid food with liquids.

Illness vs. Normal Bowel Movement Changes

To help you understand if your increased pooping is a normal part of being sick or a cause for concern, here is a comparison of typical symptoms.

Characteristic During Sickness Normal Variation
Frequency Often sudden and noticeably increased Generally consistent, with minor day-to-day fluctuations
Consistency Can range from soft to watery (diarrhea) Firm, formed stool (Bristol types 3-4)
Urgency Sudden, strong urges to use the bathroom Generally predictable and manageable
Associated Symptoms May include fever, nausea, cramps, and fatigue Usually none, possibly minor bloating or gas
Duration Typically resolves with the illness (days to a week) Ongoing, regular pattern without other symptoms

When to Seek Medical Advice

While common, increased bowel movements when sick can sometimes be a sign of a more serious issue. It is important to consult a healthcare provider if you experience any of the following symptoms:

  • Bloody stools: Any sign of blood in your stool is a red flag.
  • Severe abdominal pain or cramping: Pain that is intense and persistent should be evaluated.
  • High or prolonged fever: A high fever, especially one that doesn't improve, can indicate a more serious infection.
  • Signs of dehydration: This includes extreme thirst, dizziness, dark urine, or little to no urination. Dehydration is a serious complication of diarrhea.
  • Symptoms that last for more than a few days to a week: Most common viral infections resolve relatively quickly. If your symptoms linger, it's worth getting a professional opinion.

Managing Your Symptoms and Recovery

For most people, managing increased bowel movements involves supportive care to help your body heal naturally. Follow these tips:

  1. Stay Hydrated: Sip on water, clear broths, and oral rehydration solutions to replace lost fluids and electrolytes.
  2. Eat Bland Foods: Stick to easy-to-digest, low-fiber foods like crackers, rice, and toast. Avoid dairy, high-fat foods, and spicy meals.
  3. Rest: Give your body the energy it needs to fight the infection by getting plenty of rest.
  4. Practice Good Hygiene: To prevent spreading illness, wash your hands frequently, especially after using the bathroom.

For more information on common gastrointestinal infections, consult a reliable health resource like the Centers for Disease Control and Prevention.

Conclusion

It is a common and often normal part of the body's defensive strategy to do you poop more often when sick. This can be a direct result of a gastrointestinal infection or a side effect of systemic illness, medication, or dietary changes. While often a temporary and mild condition, it is crucial to monitor for more severe or persistent symptoms that may require a visit to a healthcare provider. Staying hydrated and eating bland foods are key to managing your symptoms and supporting a speedy recovery.

Frequently Asked Questions

While less common than with a stomach bug, certain viruses that cause cold-like symptoms can also affect your digestive system. Some people experience temporary changes in bowel habits, including increased frequency, due to the body's overall inflammatory response or the specific viral strain.

Yes, especially if you have a gastrointestinal infection. Your body increases the amount of water in your gut to help flush out pathogens, resulting in loose, watery stools or diarrhea. This is a common and often effective defense mechanism.

For most minor viral illnesses, symptoms should resolve within a few days to a week. If frequent bowel movements persist longer or worsen, it's best to consult a healthcare provider, as it could indicate a more serious or persistent issue.

Yes, many medications can affect your digestive system. Antibiotics are particularly notorious for altering gut bacteria balance, leading to diarrhea. Other cold and flu remedies might contain ingredients that can also cause intestinal upset.

Fever is part of your immune response. This heightened state of bodily defense can sometimes accelerate your metabolism and affect the gastrointestinal tract, causing more frequent bowel movements as your body attempts to expel the sickness.

Focus on bland, easily digestible foods like bananas, rice, applesauce, and toast (the BRAT diet). Avoid fatty, spicy, or high-fiber foods, which can irritate your stomach and exacerbate symptoms.

You should seek medical attention if you experience bloody stools, severe abdominal pain, high or prolonged fever, or signs of dehydration, as these could indicate a more serious underlying condition requiring treatment.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.