Hemorrhoids, strain: Constipation or forceful straining with bowel movements without relaxation of the anal sphincter is the most common cause of flattened stools. A rectal exam should always be done to exclude and anorectal mass.
Answered 8/23/2020
6.1k views
Hemorrhoids: All of the things you mentioned along with hemorrhoids can change the stool appearance. If you see changes get yourself a proper evaluation to avoid the more serious problems that can cause this.
Answered 7/20/2012
6k views
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