Diabetes: Early Signs & Symptoms

 Diabetes Overview

Diabetes mellitus refers to a group of diseases that affect how the body uses blood sugar (glucose). Glucose is an important source of energy for the cells that make up the muscles and tissues. It's also the brain's main source of fuel. The main cause of diabetes varies by type. But no matter what type of diabetes you have, it can lead to excess sugar in the blood. Too much sugar in the blood can lead to serious health problems.

Chronic diabetes conditions include type 1 diabetes and type 2 diabetes. Potentially reversible diabetes conditions include prediabetes and gestational diabetes. Prediabetes happens when blood sugar levels are higher than normal. But the blood sugar levels aren't high enough to be called diabetes. And prediabetes can lead to diabetes unless steps are taken to prevent it. Gestational diabetes happens during pregnancy. But it may go away after the baby is born. Diabetes symptoms depend on how high your blood sugar is. Some people, especially if they have prediabetes, gestational diabetes or type 2 diabetes, may not have symptoms. In type 1 diabetes, symptoms tend to come on quickly and be more severe.

Some of the symptoms of type 1 diabetes and type 2 diabetes are:

• Feeling more thirsty than usual.
• Urinating often.
• Losing weight without trying.
• Presence of ketones in the urine. Ketones are a byproduct of the breakdown of muscle and fat that happens when there's not enough available insulin.
• Feeling tired and weak.
• Feeling irritable or having other mood changes.
• Having blurry vision.
• Having slow-healing sores.
• Getting a lot of infections, such as gum, skin and vaginal infections.

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Early Signs and Symptoms of Diabetes

Diabetes happens when your blood sugar (blood glucose), which is your body's primary energy source, is too high. There are two types of diabetes:

• Type 1 diabetes means your body doesn't make enough insulin. Doctors usually diagnose the condition in kids and young adults, but you can get it at any age. You'll need daily insulin.
• Type 2 diabetes is the most common type, and it means your body doesn't use insulin the right way. Your chances of getting the disease go up if you are overweight or obese or if other people in your family have diabetes.

What Are the Early Signs of Diabetes? Both types of diabetes have some of the same telltale warning signs:

• Increased hunger
• Fatigue and tiredness
• Peeing more often
• Frequent thirst
• Dry mouth
• Itchy and dry skin
• Unintentional weight loss
• Can diabetes cause headaches?

Early Warning Signs of Type 1 Diabetes vs. Type 2 Diabetes - How can you tell if you have diabetes? Most early symptoms are due to higher-than-normal glucose levels in your blood. While symptoms of type 1 and type 2 diabetes are the same, there's a difference in how they appear. In type 1 diabetes, symptoms show up quickly, in just a few days or weeks, especially in children. Type 2 diabetes symptoms may be mild and develop more slowly, especially early on in the disease. It's possible to go for years without realizing you have the condition.

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Type 1 Diabetes

What is Type 1 diabetes? Type 1 diabetes is a chronic (life-long) autoimmune disease that prevents your pancreas from making insulin.

Insulin is an important hormone that regulates the amount of glucose (sugar) in your blood. Under normal circumstances, insulin functions in the following steps:

• Your body breaks down the food you eat into glucose (sugar), which is your body’s main source of energy.
• Glucose enters your bloodstream, which signals your pancreas to release insulin.
• Insulin helps glucose in your blood enter your muscle, fat and liver cells so they can use it for energy or store it for later use.
• When glucose enters your cells and the levels in your bloodstream decrease, it signals your pancreas to stop producing insulin.

If you don’t have enough insulin, too much sugar builds up in your blood, causing hyperglycemia (high blood sugar), and your body can’t use the food you eat for energy. This can lead to serious health problems or even death if it’s not treated. People with Type 1 diabetes need synthetic insulin every day in order to live and be healthy. Type 1 diabetes was previously known as juvenile diabetes and insulin-dependent diabetes.

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Type 1 Diabetes

Type 1 diabetes, once known as juvenile diabetes or insulin-dependent diabetes, is a chronic condition. In this condition, the pancreas makes little or no insulin. Insulin is a hormone the body uses to allow sugar (glucose) to enter cells to produce energy.

Different factors, such as genetics and some viruses, may cause type 1 diabetes. Although type 1 diabetes usually appears during childhood or adolescence, it can develop in adults. Even after a lot of research, type 1 diabetes has no cure. Treatment is directed toward managing the amount of sugar in the blood using insulin, diet and lifestyle to prevent complications.

Type 1 diabetes symptoms can appear suddenly and may include:

• Feeling more thirsty than usual
• Urinating a lot
• Bed-wetting in children who have never wet the bed during the night
• Feeling very hungry
• Losing weight without trying
• Feeling irritable or having other mood changes
• Feeling tired and weak
• Having blurry vision

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Type 1 Diabetes

Type 1 diabetes is a condition in which your immune system destroys insulin-making cells (beta cells) in your pancreas. That means your body can't make enough insulin or any at all.

Insulin is a hormone that helps move glucose (sugar) from your blood and into your cells so it can be used for energy. Because type 1 diabetes is often diagnosed in kids and young adults, it used to be called juvenile diabetes. In the past, it was also called insulin-dependent diabetes.

Symptoms type 1 diabetes can come on very quickly. They include:

• Extreme thirst
• Increased hunger (especially after eating)
• Dry mouth
• Upset stomach and vomiting
• Frequent peeing
• Unexplained weight loss (despite eating and often feeling hungry)
• Feeling tired or weak for no reason
• Vision changes
• Heavy, labored breathing (your doctor may call this Kussmaul respiration)
• Repeated infections of your skin, urinary tract, or vagina
• Mood changes

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Type 2 diabetes

Type 2 diabetes is a condition that happens because of a problem in the way the body regulates and uses sugar as a fuel. That sugar also is called glucose. This long-term condition results in too much sugar circulating in the blood. Eventually, high blood sugar levels can lead to disorders of the circulatory, nervous and immune systems.

In type 2 diabetes, there are primarily two problems. The pancreas does not produce enough insulin — a hormone that regulates the movement of sugar into the cells. And cells respond poorly to insulin and take in less sugar. Type 2 diabetes used to be known as adult-onset diabetes, but both type 1 and type 2 diabetes can begin during childhood and adulthood. Type 2 is more common in older adults. But the increase in the number of children with obesity has led to more cases of type 2 diabetes in younger people. There's no cure for type 2 diabetes. Losing weight, eating well and exercising can help manage the disease. If diet and exercise aren't enough to control blood sugar, diabetes medications or insulin therapy may be recommended.

Symptoms of type 2 diabetes often develop slowly. In fact, you can be living with type 2 diabetes for years and not know it. When symptoms are present, they may include:

• Increased thirst.
• Frequent urination.
• Increased hunger.
• Unintended weight loss.
• Fatigue.
• Blurred vision.
• Slow-healing sores.
• Frequent infections.
• Numbness or tingling in the hands or feet.
• Areas of darkened skin, usually in the armpits and neck.

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Type 2 Diabetes

Type 2 diabetes happens when your body can’t use insulin properly. Without treatment, Type 2 diabetes can cause various health problems, like heart disease, kidney disease and stroke. You can manage this disease by making lifestyle changes, taking medications and seeing your healthcare provider for regular check-ins.

Type 2 diabetes (T2D) is a chronic condition that happens when you have persistently high blood sugar levels (hyperglycemia). Healthy blood sugar (glucose) levels are 70 to 99 milligrams per deciliter (mg/dL). If you have undiagnosed Type 2 diabetes, your levels are typically 126 mg/dL or higher. T2D happens because your pancreas doesn’t make enough insulin (a hormone), your body doesn’t use insulin properly, or both. This is different from Type 1 diabetes, which happens when an autoimmune attack on your pancreas results in a total lack of insulin production.

What are the symptoms of Type 2 diabetes? Symptoms of Type 2 diabetes tend to develop slowly over time. They can include:

• Increased thirst (polydipsia).
• Peeing more frequently.
• Feeling hungrier than usual.
• Fatigue.
• Slow healing of cuts or sores.
• Tingling or numbness in your hands or feet.
• Blurred vision.
• Dry skin.
• Unexplained weight loss.

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Symptoms of Diabetes

Symptoms of Type-1 Diabetes 

Increased/Abnormal thirst (Polydipsia)

Frequent urination (Polyuria)

Extreme/Frequent hunger (Polyphagia)

Dramatic weight loss in a short period of time

Mood changes and irritability

Weakness and fatigue

Blurred vision

Bedwetting

Symptoms of Type-2 Diabetes:

• Sores that take a long time to heal
• Infections that occur frequently
• A feeling of numbness or tingling in the hands or feet
• Skin itching, including itching around the genitals
• Slow healing of cuts or wounds
• Having frequent yeast infections (Thrush)
• Skin disorders such as psoriasis or acanthosis nigricans
• Darkened areas of the skin, usually in the armpits and on the neck

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Diabetes

Diabetes mellitus, often known simply as diabetes, is a group of common endocrine diseases characterized by sustained high blood sugar levels. Diabetes is due to either the pancreas not producing enough insulin, or the cells of the body becoming unresponsive to the hormone's effects. Classic symptoms include thirst, polyuria, weight loss, and blurred vision. If left untreated, the disease can lead to various health complications, including disorders of the cardiovascular system, eye, kidney, and nerves.[3] Diabetes accounts for approximately 4.2 million deaths every year,[9] with an estimated 1.5 million caused by either untreated or poorly treated diabetes.

he major types of diabetes are type 1 and type 2. The most common treatment for type 1 is insulin replacement therapy (insulin injections), while anti-diabetic medications (such as metformin and semaglutide) and lifestyle modifications can be used to manage type 2. Gestational diabetes, a form that arises during pregnancy in some women, normally resolves shortly after delivery. As of 2021, an estimated 537 million people had diabetes worldwide accounting for 10.5% of the adult population, with type 2 making up about 90% of all cases.

The World Health Organization has reported that diabetes was "among the top 10 causes of death in 2021, following a significant percentage increase of 95% since 2000." It is estimated that by 2045, approximately 783 million adults, or 1 in 8, will be living with diabetes, representing a 46% increase from the current figures. The prevalence of the disease continues to increase, most dramatically in low- and middle-income nations. Rates are similar in women and men, with diabetes being the seventh leading cause of death globally. The global expenditure on diabetes-related healthcare is an estimated US$760 billion a year.

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Type 1 diabetes

Type 1 diabetes (T1D), formerly known as juvenile diabetes, is an autoimmune disease that originates when cells that make insulin (beta cells) are destroyed by the immune system. Insulin is a hormone required for the cells to use blood sugar for energy and it helps regulate glucose levels in the bloodstream. It results in high blood sugar levels in the body prior to treatment. The common symptoms of this elevated blood sugar are frequent urination, increased thirst, increased hunger, weight loss, and other serious complications. Additional symptoms may include blurry vision, tiredness, and slow wound healing. Symptoms typically develop over a short period of time, often a matter of weeks if not months.

The cause of type 1 diabetes is unknown, but it is believed to involve a combination of genetic and environmental factors. The underlying mechanism involves an autoimmune destruction of the insulin-producing beta cells in the pancreas. Diabetes is diagnosed by testing the level of sugar or glycated hemoglobin (HbA1C) in the blood. Type 1 diabetes can typically be distinguished from type 2 by testing for the presence of autoantibodies and/or declining levels/absence of C-peptide. There is no known way to prevent type 1 diabetes. Treatment with insulin is required for survival. Insulin therapy is usually given by injection just under the skin but can also be delivered by an insulin pump. A diabetic diet and exercise are important parts of management. If left untreated, diabetes can cause many complications. Complications of relatively rapid onset include diabetic ketoacidosis and nonketotic hyperosmolar coma. Long-term complications include heart disease, stroke, kidney failure, foot ulcers and damage to the eyes. Furthermore, since insulin lowers blood sugar levels, complications may arise from low blood sugar if more insulin is taken than necessary.

Type 1 diabetes makes up an estimated 5–10% of all diabetes cases. The number of people affected globally is unknown, although it is estimated that about 80,000 children develop the disease each year. Within the United States the number of people affected is estimated at one to three million. Rates of disease vary widely, with approximately one new case per 100,000 per year in East Asia and Latin America and around 30 new cases per 100,000 per year in Scandinavia and Kuwait. It typically begins in children and young adults but can begin at any age.

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Type 2 diabetes

Type 2 diabetes (T2D), formerly known as adult-onset diabetes, is a form of diabetes mellitus that is characterized by high blood sugar, insulin resistance, and relative lack of insulin. Common symptoms include increased thirst, frequent urination, fatigue and unexplained weight loss. Symptoms may also include increased hunger, having a sensation of pins and needles, and sores (wounds) that do not heal. Often, symptoms develop slowly. Long-term complications from high blood sugar include heart disease, stroke, diabetic retinopathy, which can result in blindness, kidney failure, and poor blood flow in the lower-limbs which may lead to amputations. The sudden onset of hyperosmolar hyperglycemic state may occur; however, ketoacidosis is uncommon.

Type 2 diabetes primarily occurs as a result of obesity and lack of exercise.[1] Some people are genetically more at risk than others. Type 2 diabetes makes up about 90% of cases of diabetes, with the other 10% due primarily to type 1 diabetes and gestational diabetes. In type 1 diabetes, there is a lower total level of insulin to control blood glucose, due to an autoimmune induced loss of insulin-producing beta cells in the pancreas. Diagnosis of diabetes is by blood tests such as fasting plasma glucose, oral glucose tolerance test, or glycated hemoglobin (A1c). Type 2 diabetes is largely preventable by staying at a normal weight, exercising regularly, and eating a healthy diet (high in fruits and vegetables and low in sugar and saturated fat).

Treatment involves exercise and dietary changes. If blood sugar levels are not adequately lowered, the medication metformin is typically recommended. Many people may eventually also require insulin injections. In those on insulin, routinely checking blood sugar levels (such as through a continuous glucose monitor) is advised; however, this may not be needed in those who are not on insulin therapy. Bariatric surgery often improves diabetes in those who are obese. Rates of type 2 diabetes have increased markedly since 1960 in parallel with obesity. As of 2015, there were approximately 392 million people diagnosed with the disease compared to around 30 million in 1985. Typically, it begins in middle or older age, although rates of type 2 diabetes are increasing in young people. Type 2 diabetes is associated with a ten-year-shorter life expectancy. Diabetes was one of the first diseases ever described, dating back to an Egyptian manuscript from c. 1500 BCE. Type 1 and type 2 diabetes were identified as separate conditions in 400–500 CE with type 1 associated with youth and type 2 with being overweight. The importance of insulin in the disease was determined in the 1920s.

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Hematuria: Blood in urine

Hematuria is the presence of red blood cells in the urine. If there are enough red cells, the urine can become bright red, pink or cola colored. Often, however, the urine appears completely normal because there is not enough blood to cause a color change. In this case, the condition is called "microscopic" hematuria. There are many possible causes of hematuria, including:

• Urinary tract infection — Hematuria can be caused by an infection in any part of the urinary tract, most commonly the bladder (cystitis) or the kidney (pyelonephritis).
• Kidney stones
• Tumors in the kidney or bladder
• Exercise — Exercise hematuria is a harmless condition that produces blood in the urine after strenuous exercise. It is more common in males than females.
• Trauma — Traumatic injury to any part of the urinary tract — from the kidneys to the urethral opening (the connection between the bladder and the outside world) — can cause hematuria.
• Drugs — Hematuria can be caused by medications, such as blood thinners, including heparin, warfarin (Coumadin) or aspirin-type medications, penicillins, sulfa-containing drugs and cyclophosphamide (Cytoxan).
• Glomerulonephritis — Glomerulonephritis is a family of illnesses that are characterized by inflammation of the glomeruli, the filtering units of the kidneys. Glomerulonephritis is a rare complication of certain viral and bacterial infections (including strep throat). It can also occur in people with certain auto-immune diseases, systemic lupus erythematosus (lupus or SLE) and vasculitis. Sometimes there is no identifiable cause.
• Bleeding disorders — This includes conditions such as hemophilia and von Willebrand's disease.

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Nocturia: Excessive Urination at Night

Nocturia is a condition that causes you to wake up during the night to pee. This condition is also called nocturnal urinary frequency — having to pee more often at night. Nocturia becomes more common as people age (usually older than 60) and occurs in all genders and sexes, sometimes for different reasons. It can be common for people to wake up once during the night to pee, but peeing more frequently may be a sign of an underlying condition or problem.

When a person pees too much during the daytime, but can limit the amount of trips to the bathroom at night, it’s referred to as frequent urination. Nocturia is strictly using the bathroom multiple times after bedtime and before you wake up in the morning. Whether it’s happening due to an underlying medical condition or something else, it can leave you feeling tired because your regular sleep cycle is disrupted.

How common is nocturia? Nocturia is a common condition affecting more than 50% of adults after age 50. It’s more common in men and people assigned male at birth (AMAB) after age 50. Before 50, nocturia is more common in women and people assigned female at birth (AFAB). It affects up to 1 in 3 people over the age of 30.

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Pneumaturia: Gas in urine

What Is Pneumaturia? Having small bubbles in your urine is called pneumaturia. It isn’t a diagnosis on its own but can be a symptom of certain health conditions. Common source causes for pneumaturia include urinary tract infections (UTIs) and passageways between the colon and the bladder (called fistula) that don’t belong.

If you have pneumaturia, you’ll feel gas or a bubbling sensation interrupting your urine stream. Your urine may appear to be full of small air bubbles. This is different than urine that looks foamy, which is usually an indicator of too much protein in your urine. Since pneumaturia is a symptom of other conditions and not a condition all by itself, you may want to look out for other symptoms that sometimes come along with it, such as:

• burning sensation while urinating
• difficulty urinating
• feeling the need to “go” all the time
• discolored urine

All of these symptoms could indicate an infection in your urinary tract. Common causes:

• One common cause of pneumaturia is infectious bacteria. Pneumaturia can indicate a UTI, as the bacteria create bubbles in your urine stream.
• Another common cause is a fistula. This is a passage between organs in your body that doesn’t belong there. A fistula between your bowel and your bladder can bring bubbles into your urine stream. This fistula can be an outcome of diverticulitis.
• Less often, deep sea divers will have pneumaturia after a period of time underwater.
• Sometimes pneumaturia is a symptom of Crohn’s disease.

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Diabetes: Early Signs & Symptoms

Diabetes mellitus refers to a group of diseases that affect how the body uses blood sugar (glucose). Glucose is an important source of energy for the cells that make up the muscles and tissues. It's also the brain's main source of fuel. The main cause of diabetes varies by type. But no matter what type of diabetes you have, it can lead to excess sugar in the blood. Too much sugar in the blood can lead to serious health problems.

Chronic diabetes conditions include type 1 diabetes and type 2 diabetes. Potentially reversible diabetes conditions include prediabetes and gestational diabetes. Prediabetes happens when blood sugar levels are higher than normal. But the blood sugar levels aren't high enough to be called diabetes. And prediabetes can lead to diabetes unless steps are taken to prevent it. Gestational diabetes happens during pregnancy. But it may go away after the baby is born. Diabetes symptoms depend on how high your blood sugar is. Some people, especially if they have prediabetes, gestational diabetes or type 2 diabetes, may not have symptoms. In type 1 diabetes, symptoms tend to come on quickly and be more severe.

Some of the symptoms of type 1 diabetes and type 2 diabetes are:

• Feeling more thirsty than usual.
• Urinating often.
• Losing weight without trying.
• Presence of ketones in the urine. Ketones are a byproduct of the breakdown of muscle and fat that happens when there's not enough available insulin.
• Feeling tired and weak.
• Feeling irritable or having other mood changes.
• Having blurry vision.
• Having slow-healing sores.
• Getting a lot of infections, such as gum, skin and vaginal infections.

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Hematochezia: Blood in Stool

Blood is supposed to stay in your body. Seeing blood in your bowel movement is very frightening. It is an indication that something is not working right, but it is not always a herald of colon cancer. Rectal bleeding has many causes, but only one of them is colon cancer.

When You Note Blood in the Stool - The best action you can take now, to advocate for yourself, is to pay attention to this symptom and be prepared to discuss it with your doctor. Ask yourself these questions:

• Was the blood in the stool, toilet bowl or on the toilet paper?
• Was the blood bright red or dark red?
• Approximately how much blood did you see? (Keep in mind, a drop of blood in a toilet bowl will turn all of the water red.)
• Did you have to strain to pass the bowel movement?
• How frequently do you have bowel movements?
• Do you have other symptoms?
• When was your last colon screening exam or colonoscopy?
• Do you have a history of polyps or a family history of polyps?

Causes of Blood in the Stool:

• Hemorrhoids
• Inflammatory Conditions
• Colon Polyps
• Constipation
• Bowel Infections
• Colon Cancer

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Constipation and Urinary Incontinence

Bloating and cramps are two common symptoms of constipation

Being constipated means your bowel movements are tough or happen less often than normal. You might be constipated if you have less than three bowel movements per week.

Constipation is very common. Around 2.5 million people visit their doctor each year in the U.S. because they are constipated. It's usually not serious, and home remedies can get you back on track. How often should you poop? The normal length of time between bowel movements varies from person to person. Some people have them three times a day. Others have them just a few times a week.

But going longer than 3 days without one is usually too long. After 3 days, your stool gets harder and more difficult to pass. Constipation Symptoms You may have:

• Few or no bowel movements
• Trouble having a bowel movement (straining to go)
• Hard or small stools
• A feeling that everything didn’t come out
• Belly bloating
• A feeling like your rectum is blocked
• A stomachache or cramps

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Acupressure Points for Constipation

Acupressure can help in relieving constipation symptoms such as abdominal pain, bloating and gas by applying pressure to specific points on the body. The following are the commonly used acupressure points to relieve constipation that you can do on your own. Instead of pressing with your fingers, you can also use acupressure stick:

• Tianshu (ST25) - Tianshu can improve digestion. You can place three fingers parallel and alongside the centre of the belly button. Tianshu is located at the edge of the last finger, away from the belly button. Use your thumb or forefinger and apply pressure or you can do circular motion with finger.
• Guanyuan (CV4) - Guanyuan is used for relieving abdominal pain and diarrhea. It is located at 3 inches below your belly button. Use your thumb or forefinger and apply pressure or you can do circular motion with finger.

• Zhigou (TE6) - Zhigou is an effective pressure point for relieving chronic constipation. It is located at 3 inches up the back of your arm from the crease of your wrist. Use your thumb and apply pressure or you can do circular motion with thumb. This procedure should have been repeated for the other wrist.
• Zusanli (ST36) - Zusanli can strengthen the digestive system. It is located on the outer calf, about four finger widths under the knee bone. Use your thumb or forefinger and apply pressure. This procedure should have been repeated for the other foot.

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15 signs your stomach is functioning badly

A queasy feeling in the pit of your stomach, dreading even the idea of food, and having to constantly run to the washroom; these are all unpleasant symptoms of stomach issues. There are all sorts of reasons why you may have a poorly functioning stomach. Sometimes, it’s from food poisoning or a gastro bug going around; however, if your stomach is chronically upset, it might be a sign of a bigger problem. If you are experiencing any of these 15 signs that your stomach is functioning badly, be sure to make an appointment with your healthcare provider:

• Frequent and chronic diarrhea
• Blood in your stool
• Severe cramps after eating
• Chronic constipation
• Frequent heartburn
• Difficulty swallowing
• Loss of appetite
• Unexplained weight loss
• Sudden intense abdominal pain
• Feeling full after eating a small portion
• Swollen abdomen
• Anemia
• Fatigue and weakness
• Frequent vomiting
• Skin issues

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What your poop tells you about your health

5 Things Your Poop Can Tell You About Your Health

Having a bowel movement is a critical part of digesting the food we eat. Stool formed by the large intestine is the body's way of getting rid of waste.

While you should talk to your doctor about any concerns, changes in poop color and consistency could show what is happening inside your digestive system:

• Rocks and Pebbles - Poop that is hard and shaped like tiny rocks or pebbles is likely just a sign of constipation. You can still be considered constipated even if you are able to pass a small amount of stool. The large intestine helps to concentrate waste by absorbing water. If muscle contractions in the large intestine are not working properly, waste left in the colon becomes even more concentrated, resulting in harder stool.
• Color Changes - A change in stool color is one of the most common concerns patients ask about. The foods you eat and the kind of bacteria living in your colon can both cause such changes and added food colorings are frequent culprits. This is one reason why patients preparing for a colonoscopy are instructed to avoid food and beverages with certain added colors the day before. Doctors note that when they perform a colonoscopy, they can actually tell what color the beverage was that the patient drank during their preparation for the procedure. Most changes in the color of stool are not cause for concern. The exception is poop that appears black or bloody, which could signal other problems with the digestive system.
• Black and Tarry - The most common cause of black and tarry poop is taking iron supplements or a medication containing bismuth, such as Pepto-Bismol. However, it could mean you're losing blood somewhere in your gastrointestinal tract, such as in the stomach or small intestine.
• Oily or Greasy Stools - If you have poop that appears oily, has a greasy consistency and is difficult to flush, it could be a signal that your body is not able to properly digest fat. The consistency changes could be caused by an infection, nutrients not being digested due to celiac disease or a problem with the pancreas, such as pancreatic cancer or pancreatitis.
• Pencil Thin - Stool that is only occasionally very thin is not a cause for concern. It is likely due to muscle contractions in the large intestine as it helps to concentrate waste. If there is a sudden and consistent change in your stool always being thin, it could mean there is a blockage in your colon, and you should see your doctor.

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