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Bowel Diary Name Start Date Instructions When you have a bowel movement please fill in the letter s corresponding to what happened in the appropriate day and time box. Key N Normal bowel movement I Incontinence/Bowel accident P Pad or pants change S Straining to pass stool F Fingers needed to push stool out splinting Sunday Monday Tuesday Wednesday Thursday Friday Saturday Gas Meds 6am 7am 8am 9am 10am 11am 12pm 3pm 4pm 5pm 6pm 7pm 8pm 9pm 10pm 11pm 12am 3am 4am 5am Notes Type 1 Separate hard lumps like nuts Type 2 Sausageshaped but lumpy Type 3 Type 4 Type 5 Type 6 Like a sausage but with cracks on its surface or snake smooth and soft Soft blobs with clear-cut edges Fluffy pieces with ragged mushy stool. Type 7 Watery no solid pieces entirely liquid When you have a bowel movement place the number that best characterizes your stool type in the appropriate place in the table. Key N Normal bowel movement I Incontinence/Bowel accident P Pad or pants change S Straining to pass stool F Fingers needed to push stool out splinting Sunday Monday Tuesday Wednesday Thursday Friday Saturday Gas Meds 6am 7am 8am 9am 10am 11am 12pm 3pm 4pm 5pm 6pm 7pm 8pm 9pm 10pm 11pm 12am 3am 4am 5am Notes Type 1 Separate hard lumps like nuts Type 2 Sausageshaped but lumpy Type 3 Type 4 Type 5 Type 6 Like a sausage but with cracks on its surface or snake smooth and soft Soft blobs with clear-cut edges Fluffy pieces with ragged mushy stool. Type 7 Watery no solid pieces entirely liquid When you have a bowel movement place the number that best characterizes your stool type in the appropriate place in the table.

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