7 Stool Signs You Should Never Ignore

Your bowel movements offer a surprisingly accurate picture of what’s happening inside your body. Most of us don’t talk about it, but your stool can quietly reveal stress levels, digestion issues, hormone imbalances, nutrient deficiencies, and even early signs of inflammation.

Here are the key stool signs worth paying attention to and what they may be trying to tell you.

Sign 1: You don’t go every day

Going only a few times a week is not normal. Chronic constipation can affect everything from hormones to energy and skin. When stool sits too long in the colon, the body reabsorbs oestrogen, which can worsen PMS, period pain, bloating, and weight gain around the middle.

Possible causes:

  • Low magnesium

  • Slow thyroid

  • Dehydration

  • Stress or rushing meals

Sign 2: Loose stools or urgency

Needing to run to the bathroom or having stools that don’t hold shape can be a sign of gut irritation or poor nutrient absorption. Many dismiss this as “just my digestion,” but chronic loose stools are a sign something needs attention.

Possible causes:

  • Infections or overgrowth of bacteria

  • High stress

  • Poor bile flow

  • Low stomach acid

  • Food intolerances

Sign 3: Floating or greasy stools

If your stool floats, leaves an oily film, or is difficult to flush, this often signals trouble digesting fats. People with this pattern frequently report bloating, nausea after rich meals, and fatigue after eating.

Possible causes:

  • Low bile production

  • Gallbladder stress

  • Pancreatic enzyme insufficiency

  • High stress affecting digestion

Sign 4: Strong, unpleasant odour

All stool has a smell, but an extremely strong or foul odour can indicate an imbalance. It often reflects fermentation or putrefaction in the gut, where bacteria are breaking down foods improperly.

Possible causes:

  • Overgrowth of bacteria

  • Low beneficial bacteria

  • High sugar intake

  • Low stomach acid

  • Poor protein digestion

Sign 5: Visible undigested food

Seeing whole pieces of vegetables, nuts, or seeds means you are not breaking down and absorbing nutrients effectively. Over time, this can lead to low energy, cravings, nutrient deficiencies, and bloating.

Possible causes:

  • Chewing too quickly

  • Low stomach acid

  • Low digestive enzymes

  • High fibre without proper digestion

Sign 6: Mucus in stool

A slimy film or stringy mucus may be a sign of irritation in the gut lining. It often appears alongside bloating, abdominal discomfort, or alternating bowel habits.

Possible causes:

  • Inflammation

  • Infections

  • Food sensitivities

  • Stress-driven IBS patterns

Sign 7: Blood in stool

Even tiny streaks of blood should always be checked by a doctor. Bright red blood often comes from lower bowel irritation, while darker stool can signal bleeding higher up the digestive tract. Any blood in stool deserves medical attention to rule out underlying conditions.

When to take action

If you notice one of these signs occasionally, it’s usually nothing to worry about. But if patterns appear for more than a few weeks, it’s worth investigating. Your stool is often the earliest and most reliable indicator that your digestion, hormones, immune system, or stress levels need support.

And this is where stool testing becomes incredibly powerful: it moves you from guessing to knowing. A comprehensive stool test can reveal imbalances, inflammation, low beneficial bacteria, hidden infections, or digestive weaknesses that you would never spot from symptoms alone.

Understanding what’s happening inside your gut gives you clarity, direction, and a personalised plan that actually works.

Seven stool signs women should pay attention to for gut and hormone health
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