If there is no obvious discomfort, 4 times a day, usually normal, due to diet and other physiological factors, if accompanied by abdominal distension and abdominal pain and other symptoms, usually considered gastrointestinal diseases, is not normal. Usually, the frequency of normal stool is usually one to two times a day or once every two days, four times a day, belonging to the increase in the number of stools. If there is no abnormality in the character and color of the stools, and no obvious discomfort, it may be due to eating more food rich in dietary fiber, such as fresh fruits and vegetables, coarse grains, etc., or overeating, eating more greasy and other difficult-to-digest food, or the abdomen is cold and other physiological factors, generally in the improvement of lifestyle and dietary habits will be gradually relieved, which is generally normal at this time. If the patient’s bowel movement 4 times a day is accompanied by obvious abdominal pain and bloating, nausea and vomiting, loss of appetite and other symptoms, or the stool is not shaped, and the appearance of blood, pus and other abnormal substances, we should consider gastrointestinal diseases, such as gastroenteritis, gastrointestinal dysfunction, irritable bowel syndrome, inflammatory bowel disease, gastrointestinal polyps and so on. This is usually abnormal at this point and needs to be taken seriously. If the patient suddenly appears to poop 4 times a day, and accompanied by discomfort or abnormal stools, it is recommended to consult a doctor in a timely manner to identify the cause of the disease and carry out targeted treatment to avoid delaying the condition.