Why Is My Poop Not Solid? Understanding Causes And Solutions

Why Is My Poop Not Solid? If you’re experiencing frequent or persistent changes in your stool consistency, like loose stools, it could be due to several factors. At WHY.EDU.VN, we provide expert insights into digestive health and can help you understand the possible causes and how to address them effectively, leading to improved digestive wellness. Exploring aspects like dietary adjustments, gut health, and potential underlying conditions, you can also learn about digestive discomfort and stool consistency.

1. What Are The Common Causes Of Loose Stools?

Loose stools can be triggered by a variety of factors, ranging from temporary dietary issues to more persistent underlying health conditions. Understanding these causes is the first step in addressing the problem effectively.

1.1. Dietary Factors

What dietary choices might be contributing to my non-solid stool? Certain foods, beverages, and dietary habits can significantly affect stool consistency.

  • Sugar Alcohols: Sugar alcohols, found in many sugar-free products and some fruits, can cause loose stools due to their laxative effect. According to a study published in the journal Molecules, sugar alcohols can draw water into the intestines, leading to diarrhea.

    Sugar Alcohol Common Sources Potential Effects
    Sorbitol Sugar-free candies, chewing gum, diet drinks Draws water into the intestines, causing bloating and diarrhea.
    Mannitol Some fruits and vegetables, such as celery and mushrooms Similar effects to sorbitol, though often less potent due to lower concentrations.
    Xylitol Sugar-free gums, mints, and oral hygiene products Can cause digestive upset, including loose stools, if consumed in large quantities.
    Erythritol Naturally found in some fruits, also used as a sugar substitute Generally better tolerated than other sugar alcohols, but can still cause issues.
  • Lactose Intolerance: Lactose, the sugar found in milk products, can cause loose stools in individuals with lactose intolerance. The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) reports that approximately 36% of people in the United States have lactose malabsorption.

  • High-Fat Foods: Foods high in fat can be difficult to digest, leading to loose stools. Fatty foods can overwhelm the digestive system, causing it to speed up the transit time of stool through the colon, resulting in less water being absorbed.

  • Spicy Foods: Spicy foods can irritate the digestive tract, leading to inflammation and loose stools. Capsaicin, the active component in chili peppers, can stimulate the bowels and cause diarrhea, according to research in Critical Reviews in Food Science and Nutrition.

  • Caffeine and Alcohol: These substances can stimulate the digestive system and increase the frequency of bowel movements, sometimes resulting in loose stools. Caffeine acts as a stimulant, increasing gut motility, while alcohol can disrupt normal digestive processes.

  • Artificial Sweeteners: Certain artificial sweeteners, such as aspartame and sucralose, can affect gut bacteria and digestive processes, potentially leading to loose stools. A study in PLoS One found that artificial sweeteners can alter gut microbiota composition.

1.2. Infections And Food Poisoning

Could an infection or food poisoning be the reason for my watery stool? Viral, bacterial, and parasitic infections can cause inflammation in the stomach and intestines, leading to loose stools.

  • Viral Infections: Viruses like norovirus and rotavirus are common causes of acute diarrhea. The Centers for Disease Control and Prevention (CDC) estimates that norovirus causes nearly 58% of foodborne illnesses in the United States, affecting 19-21 million people annually.
  • Bacterial Infections: Bacteria such as Salmonella, Campylobacter, Shigella, E. coli, and Clostridium difficile can also cause foodborne illnesses. These infections often result from consuming contaminated food or water.
  • Parasitic Infections: Parasites like Giardia and Cryptosporidium can infect the digestive system through contaminated water or food, leading to diarrhea and other gastrointestinal symptoms.
  • Traveler’s Diarrhea: Exposure to new environments and foods can introduce new bacteria and pathogens, leading to digestive upset. The CDC recommends practicing safe food and water habits while traveling to prevent traveler’s diarrhea.

1.3. Medications

Can my medications be causing loose stools? Certain medications can disrupt the normal balance of the digestive system, leading to changes in stool consistency.

  • Antibiotics: Antibiotics kill both harmful and beneficial bacteria in the gut, which can disrupt the gut microbiome and lead to antibiotic-associated diarrhea. A review in The Lancet highlights that up to 30% of patients taking antibiotics experience diarrhea.

    Medication Type Common Examples Potential Effects
    Broad-Spectrum Antibiotics Amoxicillin, Ciprofloxacin Disrupt gut flora, leading to diarrhea; can promote Clostridium difficile infection.
    NSAIDs Ibuprofen, Naproxen Irritate stomach lining, potentially leading to gastrointestinal upset and diarrhea.
    Antacids Omeprazole, Lansoprazole Alter stomach pH, affecting digestion and potentially leading to bacterial overgrowth.
    Chemotherapy Drugs Various drugs used in cancer treatment Cause severe gastrointestinal side effects, including nausea, vomiting, and diarrhea.
    Laxatives Bisacodyl, Senna Overuse can lead to chronic diarrhea and dependency.
  • Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): NSAIDs can irritate the stomach lining and increase the risk of gastrointestinal issues, including diarrhea. A study in the American Journal of Gastroenterology found a correlation between NSAID use and increased risk of gastrointestinal bleeding and diarrhea.

  • Proton Pump Inhibitors (PPIs): PPIs reduce stomach acid, which can affect digestion and increase the risk of bacterial overgrowth in the gut, leading to diarrhea. The World Journal of Gastroenterology published a study linking long-term PPI use to increased risk of Clostridium difficile infection.

1.4. Medical Conditions

Could an underlying medical condition be causing my digestive issues? Various medical conditions can affect the digestive system, leading to changes in stool consistency.

  • Irritable Bowel Syndrome (IBS): IBS is a chronic gastrointestinal disorder characterized by abdominal pain, bloating, and altered bowel habits, including diarrhea or constipation. According to the International Foundation for Gastrointestinal Disorders (IFFGD), IBS affects 10-15% of adults worldwide.

  • Inflammatory Bowel Disease (IBD): IBD includes conditions like Crohn’s disease and ulcerative colitis, which cause chronic inflammation in the digestive tract, leading to diarrhea, abdominal pain, and other symptoms. The Crohn’s & Colitis Foundation of America (CCFA) estimates that 1.6 million Americans have IBD.

  • Celiac Disease: Celiac disease is an autoimmune disorder triggered by gluten consumption. It damages the small intestine, leading to malabsorption and diarrhea. The Celiac Disease Foundation estimates that 1 in 100 people worldwide have celiac disease.

  • Microscopic Colitis: Microscopic colitis is characterized by inflammation of the colon lining, causing chronic watery diarrhea. The American College of Gastroenterology notes that microscopic colitis is often diagnosed in older adults.

  • Hyperthyroidism: An overactive thyroid can speed up the digestive process, leading to more frequent bowel movements and diarrhea. The American Thyroid Association reports that hyperthyroidism affects about 1% of the U.S. population.

1.5. Stress And Anxiety

Can stress and anxiety affect my stool consistency? Psychological stress can have a significant impact on the digestive system, leading to changes in bowel habits.

  • The Gut-Brain Axis: The gut and brain are interconnected through the gut-brain axis, meaning that psychological stress can directly affect gut function. The American Psychological Association (APA) notes that stress can alter gut motility, intestinal permeability, and gut microbiota composition.
  • Fight-or-Flight Response: Stress activates the body’s fight-or-flight response, which can disrupt normal digestive processes. This response can increase gut motility, leading to diarrhea.
  • Changes in Gut Microbiota: Chronic stress can alter the composition of gut bacteria, which can affect digestive health. A study in Brain, Behavior, and Immunity found that stress can reduce beneficial bacteria and increase harmful bacteria in the gut.

2. What Steps Can I Take To Solidify My Stool?

Regaining control over your stool consistency often involves a combination of dietary adjustments, lifestyle changes, and, in some cases, medical interventions.

2.1. Dietary Adjustments

What changes can I make to my diet to improve my stool consistency? Making strategic adjustments to your diet can significantly impact your digestive health.

  • The BRAT Diet: The BRAT diet (Bananas, Rice, Applesauce, Toast) is often recommended for people experiencing diarrhea. These foods are easy to digest and can help solidify stool. The Academy of Nutrition and Dietetics suggests that the BRAT diet can provide temporary relief by reducing bowel movements.

  • Fiber Intake: Increasing your intake of soluble fiber can help solidify stool by absorbing excess water in the intestines. Foods high in soluble fiber include oats, barley, nuts, seeds, and certain fruits and vegetables. A study in the American Journal of Clinical Nutrition found that soluble fiber can improve stool consistency and reduce diarrhea.

    Food Source Type of Fiber Benefits
    Oats Soluble Absorbs water, adds bulk to stool, regulates bowel movements.
    Barley Soluble Lowers cholesterol, promotes healthy gut bacteria, and helps solidify stool.
    Nuts & Seeds Soluble Provides healthy fats and fiber, supporting overall digestive health.
    Applesauce Soluble Gentle on the stomach, easy to digest, and helps to bind stool.
    Bananas Soluble Replenishes electrolytes, provides energy, and can help firm up stool.
    Cooked Carrots Soluble Provides nutrients and fiber, helping to regulate bowel movements.
    Psyllium Husk Soluble Absorbs water to form a gel-like mass, promoting regularity.
  • Probiotics: Probiotics can help restore the balance of gut bacteria, improving digestion and stool consistency. Foods like yogurt, kefir, sauerkraut, and kimchi are good sources of probiotics. A review in JAMA found that probiotics can reduce the duration of diarrhea caused by antibiotics or infections.

  • Avoid Trigger Foods: Identifying and avoiding foods that trigger loose stools is essential. Common culprits include dairy products, fatty foods, spicy foods, caffeine, and artificial sweeteners. Keeping a food diary can help identify these trigger foods.

  • Hydration: Drinking plenty of water is crucial for maintaining healthy stool consistency. Dehydration can lead to harder stools, while adequate hydration helps keep stools soft and easier to pass. The Mayo Clinic recommends drinking at least eight glasses of water a day.

2.2. Lifestyle Changes

What lifestyle adjustments can aid in firming up my stool? Certain lifestyle habits can significantly influence your digestive health.

  • Stress Management: Managing stress through techniques like meditation, yoga, and deep breathing exercises can improve digestive function. The American Institute of Stress highlights that chronic stress can disrupt the gut-brain axis, leading to digestive issues.
  • Regular Exercise: Regular physical activity can promote healthy bowel movements and improve overall digestive health. Exercise helps to stimulate the muscles in the digestive tract, promoting regular contractions and preventing constipation or diarrhea.
  • Proper Sleep: Getting adequate sleep is essential for overall health, including digestive health. Sleep deprivation can disrupt hormone levels and alter gut function, leading to digestive issues. The National Sleep Foundation recommends 7-9 hours of sleep per night for adults.
  • Mindful Eating: Practicing mindful eating can improve digestion by promoting better chewing and slower eating habits. This allows the digestive system to process food more efficiently, reducing the likelihood of digestive upset.

2.3. Medical Treatments

When should I consider medical treatments for loose stools? If dietary and lifestyle changes are not effective, medical treatments may be necessary.

  • Over-the-Counter Medications: Medications like loperamide (Imodium) and bismuth subsalicylate (Pepto-Bismol) can help reduce diarrhea symptoms. However, these medications should be used with caution and are not suitable for everyone.
  • Prescription Medications: In cases of chronic diarrhea or underlying medical conditions, prescription medications may be necessary. For example, antibiotics may be prescribed for bacterial infections, while anti-inflammatory drugs may be used for IBD.
  • Fecal Microbiota Transplantation (FMT): FMT involves transferring stool from a healthy donor to a recipient to restore the balance of gut bacteria. This treatment is primarily used for recurrent Clostridium difficile infections. A review in Gastroenterology found that FMT is highly effective for treating C. difficile infections.

3. What Are The Potential Complications Of Chronic Loose Stools?

Ignoring chronic loose stools can lead to several health complications. Recognizing these potential issues is crucial for seeking timely and appropriate care.

3.1. Dehydration

How can chronic loose stools lead to dehydration? Diarrhea can cause significant fluid loss, leading to dehydration. Dehydration can result in symptoms like dizziness, fatigue, and reduced urine output. Severe dehydration can be life-threatening and may require hospitalization.

3.2. Electrolyte Imbalance

What electrolyte imbalances can occur with chronic loose stools? Diarrhea can lead to the loss of essential electrolytes such as sodium, potassium, and magnesium. Electrolyte imbalances can cause muscle cramps, weakness, and irregular heart rhythms. Monitoring and replenishing electrolytes is crucial for managing chronic loose stools.

3.3. Malnutrition

How can chronic loose stools affect nutrient absorption? Chronic diarrhea can interfere with the body’s ability to absorb nutrients from food, leading to malnutrition. Malnutrition can result in weight loss, muscle weakness, and impaired immune function. A balanced diet and nutritional supplements may be necessary to address malnutrition.

3.4. Skin Irritation

Can chronic diarrhea cause skin irritation? Frequent bowel movements can cause skin irritation and breakdown around the anus. Proper hygiene and barrier creams can help protect the skin and prevent further irritation.

3.5. Weight Loss

How can chronic diarrhea contribute to weight loss? The combination of malabsorption and increased bowel movements can lead to unintentional weight loss. Weight loss can be a sign of an underlying medical condition and should be evaluated by a healthcare professional.

4. When Should I See A Doctor For Loose Stools?

Knowing when to seek medical attention for loose stools is critical for preventing complications and addressing underlying health issues.

4.1. Persistent Symptoms

When should I be concerned about persistent loose stools? If loose stools persist for more than two weeks, it is important to see a doctor. Persistent symptoms may indicate an underlying medical condition that requires diagnosis and treatment.

4.2. Severe Symptoms

What severe symptoms warrant immediate medical attention? Seek immediate medical attention if you experience any of the following symptoms:

  • Severe Abdominal Pain: Intense abdominal pain can be a sign of a serious gastrointestinal issue.
  • High Fever: A fever above 101°F (38.3°C) may indicate an infection.
  • Blood in Stool: Blood in the stool can be a sign of inflammation, infection, or other gastrointestinal issues.
  • Signs of Dehydration: Symptoms like dizziness, reduced urine output, and extreme thirst can indicate dehydration.

4.3. Underlying Medical Conditions

If I have an existing medical condition, when should I consult a doctor about loose stools? Individuals with underlying medical conditions like IBS, IBD, or celiac disease should consult their doctor if they experience a significant change in their bowel habits. This could indicate a flare-up of their condition or a new health issue.

4.4. Recent Travel

Should I see a doctor if I develop loose stools after traveling? If you develop loose stools after traveling, it is important to see a doctor. Traveler’s diarrhea can be caused by bacterial, viral, or parasitic infections and may require specific treatment.

4.5. Medication Use

If I develop loose stools after starting a new medication, should I consult a doctor? If you develop loose stools after starting a new medication, consult your doctor. The medication may be causing digestive side effects, and your doctor may need to adjust your dosage or switch you to a different medication.

5. What Questions Should I Ask My Doctor About Loose Stools?

Preparing a list of questions to ask your doctor can help you get the most out of your appointment and better understand your condition.

5.1. Possible Causes

What are the possible causes of my loose stools? Understanding the potential causes of your symptoms is essential for guiding diagnosis and treatment.

5.2. Diagnostic Tests

What diagnostic tests do you recommend? Diagnostic tests like stool tests, blood tests, and colonoscopies can help identify the underlying cause of loose stools.

5.3. Treatment Options

What treatment options are available for my condition? Discussing treatment options with your doctor can help you make informed decisions about your care.

5.4. Dietary Recommendations

What dietary changes do you recommend? Getting specific dietary recommendations from your doctor can help you manage your symptoms and improve your digestive health.

5.5. Lifestyle Changes

What lifestyle changes do you recommend? Lifestyle changes like stress management, exercise, and proper sleep can play a significant role in improving digestive health.

5.6. Potential Complications

What are the potential complications of my condition? Understanding the potential complications of your condition can help you take steps to prevent them.

5.7. Follow-Up Care

What follow-up care is needed? Knowing what follow-up care is needed can help you monitor your condition and ensure that you receive the ongoing support you need.

6. How Can WHY.EDU.VN Help Me Understand My Digestive Health?

WHY.EDU.VN is dedicated to providing comprehensive and reliable information on digestive health, helping you understand and manage your symptoms effectively.

6.1. Expert Insights

At WHY.EDU.VN, we offer expert insights into digestive health, providing detailed explanations of various conditions and their management. Our articles are written by healthcare professionals and are regularly updated to reflect the latest research and best practices.

6.2. Comprehensive Information

We cover a wide range of topics related to digestive health, including dietary recommendations, lifestyle changes, medical treatments, and potential complications. Our comprehensive approach ensures that you have all the information you need to make informed decisions about your health.

6.3. Reliable Resources

WHY.EDU.VN provides reliable resources that you can trust. We cite reputable sources and provide evidence-based information to ensure that our content is accurate and up-to-date.

6.4. Personalized Support

We understand that everyone’s digestive health needs are unique. That’s why we offer personalized support through our interactive platform. You can ask questions, share your experiences, and connect with other individuals who are facing similar challenges.

6.5. Community Forum

Our community forum provides a supportive environment where you can connect with others, share tips, and find encouragement. Whether you’re dealing with chronic diarrhea, IBS, or another digestive issue, our community is here to support you.

7. The Role of Gut Microbiota In Stool Consistency

How does gut microbiota influence stool consistency? The gut microbiota plays a crucial role in digestion and stool consistency. Understanding this role can provide valuable insights into managing digestive health.

7.1. Balance of Gut Bacteria

A healthy gut microbiota consists of a diverse community of beneficial bacteria that aid in digestion, nutrient absorption, and immune function. An imbalance in gut bacteria, known as dysbiosis, can lead to various digestive issues, including loose stools.

7.2. Fermentation Process

Gut bacteria ferment undigested carbohydrates in the colon, producing short-chain fatty acids (SCFAs) like acetate, propionate, and butyrate. These SCFAs provide energy for colon cells and help regulate gut motility. An imbalance in gut bacteria can disrupt the fermentation process, leading to changes in stool consistency.

7.3. Water Absorption

Gut bacteria influence water absorption in the colon. SCFAs produced by gut bacteria promote the absorption of water and electrolytes, helping to solidify stool. An imbalance in gut bacteria can impair water absorption, leading to loose stools.

7.4. Probiotics and Prebiotics

Probiotics are live microorganisms that can help restore the balance of gut bacteria. Prebiotics are non-digestible fibers that feed beneficial bacteria in the gut. Consuming probiotics and prebiotics can improve gut health and stool consistency.

7.5. Factors Affecting Gut Microbiota

Various factors can affect the composition of gut microbiota, including diet, medications, stress, and infections. A diet high in processed foods, sugar, and unhealthy fats can disrupt the balance of gut bacteria. Antibiotics can kill both harmful and beneficial bacteria, leading to dysbiosis.

8. Specific Diets For Managing Loose Stools

What are some specific diets I can follow to manage loose stools? Certain diets are specifically designed to help manage loose stools by providing easily digestible foods and nutrients.

8.1. Low-FODMAP Diet

The low-FODMAP diet is often recommended for individuals with IBS. FODMAPs (Fermentable Oligosaccharides, Disaccharides, Monosaccharides, and Polyols) are types of carbohydrates that can be poorly absorbed in the small intestine, leading to gas, bloating, and diarrhea. The Monash University provides extensive resources on the low-FODMAP diet.

FODMAP Category Foods to Limit Foods to Include
Fructose Honey, high-fructose corn syrup, apples, pears Bananas, blueberries, grapes, oranges
Lactose Milk, yogurt, ice cream, soft cheeses Lactose-free milk, almond milk, hard cheeses, lactose-free yogurt
Fructans Wheat, rye, onions, garlic Rice, quinoa, oats, chives
Galactans Beans, lentils, chickpeas Quinoa, rice, meat, poultry, fish
Polyols Sugar alcohols (sorbitol, mannitol, xylitol), avocados, stone fruits Carrots, green beans, spinach, potatoes

8.2. Gluten-Free Diet

A gluten-free diet is essential for individuals with celiac disease. Gluten is a protein found in wheat, barley, and rye. Consuming gluten can trigger an immune response in individuals with celiac disease, leading to damage to the small intestine and diarrhea. The Celiac Disease Foundation provides information on following a gluten-free diet.

8.3. Anti-Inflammatory Diet

An anti-inflammatory diet can help reduce inflammation in the digestive tract, improving stool consistency. This diet focuses on consuming whole, unprocessed foods that are rich in antioxidants, omega-3 fatty acids, and fiber.

8.4. Elimination Diet

An elimination diet involves removing certain foods from your diet to identify potential triggers for loose stools. Common trigger foods include dairy products, gluten, soy, and artificial additives.

9. Natural Remedies For Soothing Loose Stools

What are some natural remedies that can help soothe loose stools? Several natural remedies can help alleviate symptoms of loose stools.

9.1. Ginger

Ginger has anti-inflammatory and anti-nausea properties that can help soothe the digestive system. Consuming ginger tea or adding ginger to your meals can reduce inflammation and improve stool consistency. A study in the Journal of Alternative and Complementary Medicine found that ginger can reduce nausea and vomiting.

9.2. Chamomile

Chamomile has calming and anti-inflammatory properties that can help reduce digestive upset. Drinking chamomile tea can soothe the digestive system and reduce inflammation. A study in the Journal of Ethnopharmacology found that chamomile can relieve gastrointestinal discomfort.

9.3. Peppermint

Peppermint can help relax the muscles in the digestive tract, reducing spasms and improving bowel movements. Drinking peppermint tea or taking peppermint oil capsules can alleviate symptoms of loose stools. A review in Alimentary Pharmacology & Therapeutics found that peppermint oil can reduce symptoms of IBS.

9.4. Turmeric

Turmeric contains curcumin, a compound with potent anti-inflammatory properties. Consuming turmeric can help reduce inflammation in the digestive tract and improve stool consistency. A study in Phytotherapy Research found that curcumin can reduce symptoms of IBD.

9.5. Apple Cider Vinegar

Apple cider vinegar (ACV) has antimicrobial properties that can help kill harmful bacteria in the gut. Diluting ACV with water and drinking it before meals can improve digestion and reduce loose stools. A study in the Journal of Functional Foods found that ACV can improve gut health.

10. FAQ: Addressing Common Questions About Stool Consistency

What are some frequently asked questions about stool consistency and digestive health? Here are some common questions and answers.

10.1. What Is Considered Normal Stool Consistency?

Normal stool consistency can vary from person to person. Generally, a healthy stool should be well-formed and easy to pass. The Bristol Stool Chart is a useful tool for classifying stool consistency.

10.2. How Often Should I Have A Bowel Movement?

The frequency of bowel movements can vary from person to person. Generally, having a bowel movement between three times a day and three times a week is considered normal.

10.3. Can Stress Cause Diarrhea?

Yes, stress can affect the digestive system and lead to diarrhea. Stress can alter gut motility, intestinal permeability, and gut microbiota composition.

10.4. Is It Normal To Have Loose Stools After Eating Certain Foods?

Yes, it is normal to have loose stools after eating certain foods, especially those high in fat, sugar, or artificial additives.

10.5. When Should I Be Concerned About Changes In Stool Color?

Changes in stool color can be a sign of an underlying health issue. Consult your doctor if you notice persistent changes in stool color, especially if accompanied by other symptoms like abdominal pain or fever.

10.6. Can Probiotics Help With Loose Stools?

Yes, probiotics can help restore the balance of gut bacteria and improve stool consistency.

10.7. What Is The BRAT Diet And How Does It Help With Diarrhea?

The BRAT diet (Bananas, Rice, Applesauce, Toast) is often recommended for people experiencing diarrhea. These foods are easy to digest and can help solidify stool.

10.8. How Can I Stay Hydrated When I Have Diarrhea?

Drinking plenty of water, electrolyte solutions, and clear broths can help you stay hydrated when you have diarrhea.

10.9. Can Medications Cause Loose Stools?

Yes, certain medications like antibiotics, NSAIDs, and PPIs can cause loose stools.

10.10. What Are Some Common Causes Of Chronic Diarrhea?

Common causes of chronic diarrhea include IBS, IBD, celiac disease, and microscopic colitis.

Experiencing non-solid poop can be frustrating and uncomfortable. By understanding the potential causes and implementing appropriate strategies, you can improve your digestive health. Remember to consult with a healthcare professional for personalized advice and treatment. At WHY.EDU.VN, we are committed to providing you with the information and resources you need to take control of your digestive wellness. If you have more questions or need further assistance, visit our website at why.edu.vn or contact us at 101 Curiosity Lane, Answer Town, CA 90210, United States or Whatsapp: +1 (213) 555-0101. Our team of experts is here to help you find the answers you’re looking for.

Comments

No comments yet. Why don’t you start the discussion?

Leave a Reply

Your email address will not be published. Required fields are marked *