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May 4, 2017 By Alison Hector 8 Comments

Is it time for a conversation about constipation?

image of lady running into bathroom constipationWhat constipation symptoms are you experiencing?

If your time on the porcelain throne is less than pleasant due to constipation, chances are you’re dealing with digestive upset that shows up as:

  • Infrequent bowel movements;
  • Bloating;
  • Rabbit pellet-type stool;
  • Straining to pass stool;
  • Flatulence;
  • Stomach pain; and
  • Incomplete evacuation.

Think about it: you eat daily, so you should have at least one complete bowel movement daily.  A sluggish bowel, especially if the condition persists for more than a few days, could be a sign of something more serious, such as fecal impaction, hemorrhoids, a prolapsed rectum, diverticular disease, or even cancer.  So, please consult your doctor if you’ve been constipated for a while now.

The Bristol Stool Chart graphically details what an ideal poop should look like, as well as constipation and diarrhea.

image of Bristol Chart showing constipation

You should be seeing (and yes, you need to look!) type 4 or type 3 daily.  They are examples of healthy stool that is well formed, indicating that you’ve effectively digested your food and assimilated its nutrients.  You should be able to pass type 3 or 4 stool without problems, and it shouldn’t have a strong smell. Type 1 is hardcore constipation; type 2 isn’t too much better. 

Why are you experiencing constipation?

 

What are you eating?

  • Processed and junk food. High in salt, unhealthy fat, and calories, and low in nutrition and fiber, this mess makes it difficult for your intestinal muscles to push waste through the colon.  Result:  constipation.
  • Gluten. Consuming white rice, white bread, and white flour can add to your constipation woes because the fiber and nutrients have been stripped from these starch-filled products.
  • A lack of good oils. When coconut, avocado, and olive oils are excluded from the diet, they can’t work in synergy with the bowel to help prevent constipation.
  • Incorrect levels of fiber.  For some people, too much fiber can cause constipation, but in most cases, the converse is true.

Stress

Don’t discount the powerful effect of external stress on our digestive system.  It’s often said that the gut is the “second brain,” and our emotions play a huge role in many gastrointestinal disorders, including constipation.  The gut and brain interact closely, so the knots you feel in your stomach from tension at work or at home can often show up as constipation.

Not enough exercise

If you’re inactive, you’re paving the way to a constipated life.  Exercise decreases the time it takes for your meals to traverse the large intestine.  A limited amount of water is absorbed into the body from stool when you don’t exercise, so you create hard stool, which is much more difficult to eliminate. 

Not going when you should 

If we’re in a meeting or in traffic, we can’t go potty as soon as we want to.  But if we make a practice of not going when we should, the body soon acclimatizes itself and your colon and entire intestinal tract can become lazy to the point that constipation becomes your default setting or–even worse–it sets the stage for more serious health problems.

Dehydration

If you’re not properly hydrated, your bowel will be less able to move waste out efficiently.  So, by the time you feel dehydrated, you’ve been so for too long, and your gut is suffering.  Bear in mind that stool is 75% water, so if there isn’t enough water flowing through the digestive system, constipation is inevitable.

Medication 

It’s really important to talk to your doctor if you’re on medications that may increase constipation.  Pain and blood pressure medications, antacids, antidepressants, iron and calcium supplements, and diuretics are all known to cause constipation. 

Not eliminating completely

Our normal way to “go” has been to sit on a toilet, but our “throne pose” might be working against our bodies’ natural functioning.  Our puborectalis muscle needs to be fully extended for us to make a complete bowel movement.  To do that, we need to be squatting rather than sitting.  Squatting allows us to fully evacuate our bowels. 

image graphic of colon and intestines re: constipation

How can you remedy constipation? 

 

Proper food choices

Fiber-rich foods, especially fresh, low-glycemic fruits and vegetables, are a top choice.  Fiber bulks up your stool and makes it easier to pass. Removing junk and processed foods will curb the amount of refined sugar, chemicals, and additives that the bowel has  to work through. Foods to incorporate:  

  • Fruits:  Prunes, berries, pears, green apples, mangoes, papaya, avocado, figs;
  • Veggies: leafy greens, carrots, artichokes, broccoli, Brussels sprouts, squash;
  • Nuts/seeds:  almonds, pistachios, pecans, sesame seeds, flax seed, chia seeds.

Reduce or remove gluten.  Eliminate grains like wheat, barley, and rye.

Include fermented foods like sauerkraut, kimchi, and kefir.  They will act as probiotics and improve your gut microbiome while lessening the burden on your digestive system.

Get to squatting!

My colonic therapist recommended getting a bathroom stool, often advertised as a Squatty Potty or a Step and Go.  The simple shift from sitting to squatting can make a huge change regarding constipation.  

Exercise

I’m a big fan of rebounding!  It will wake up your bowels and send you to the bathroom with the quickness.  🙂   But any activity–including walking and yoga–but especially aerobic exercise, will crank up your heart rate and make your intestinal muscles contract more efficiently.  Contracting muscles = quickly moving stool.  

Water

Make water a main plank in your anti-constipation campaign.  Aim to start the morning with 8-16 ounces and keep chugging throughout the day. Watch your bowel respond by moving things along quickly in the bathroom.  You can boost your water total by adding water-heavy foods like veggies, berries, and soups. 

Magnesium

Magnesium citrate supplements in divided doses of up to 400 milligrams daily are known to help most people with constipation problems.  Magnesium is a relaxant and brings water to the bowel, helping to make stool softer and easier to pass.  You may have to play around with the dosage to see what works best for you. 

So, how’s your constipation conversation going?  Have you overcome constipation, or are you still struggling with it?

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About Alison Hector

Hi, I’m Alison, a certified health coach. Let's journey together in search of a healthier, happier you! Along the way, we'll find simple ways to serve up good food for your body, bring positive change to our careers, build lasting and meaningful relationships, deepen our spiritual practices, and find creative ways to incorporate physical activity each day.

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Comments

  1. Tamara says

    May 4, 2017 at 10:50 am

    The chart cracks me up. My nutritionist friend uses it and it’s funny how type 3 and type 4 look so happy compared to the others! I don’t often have problems, but when I do, I can usually attribute it to stress. Luckily it’s rare and I think all of us struggle with having an occasional 1, 2, 5, or 6 but it should never be the norm!
    Tamara recently posted…30 Minute Meal: Bacon-Wrapped PorkMy Profile

    Reply
    • Alison Hector says

      May 8, 2017 at 4:31 pm

      I’m with you on the stress-induced problems. Nine times out of ten, cherchez la stress!
      Alison Hector recently posted…Is it time for a conversation about constipation?My Profile

      Reply
  2. Christine Carter says

    May 4, 2017 at 12:26 pm

    This topic is near and dear to my….er… colon. LOL. I struggle GREATLY with constipation, so this was super helpful and insightful for me! I have tried all these things, but know that exercise is a necessity I am not regular with these days. I just took my Magnesium this morning…

    Thank you for this!
    Christine Carter recently posted…Tis The Season For Wedding Plans and Anniversary Celebrations!My Profile

    Reply
    • Alison Hector says

      May 8, 2017 at 4:30 pm

      Okay Chris, I’m going to hold your feet to the fire re: exercise! Even small spurts of activity every day will make a big difference.
      Alison Hector recently posted…Is it time for a conversation about constipation?My Profile

      Reply
  3. Novelette Morton says

    May 5, 2017 at 2:35 pm

    Hi Alison

    Constipation is not an issue for me as I am fairly regular for the most part. I drink lots of water and eat raw oats …. that combined with exercise I suppose are of great help to me. However, there are times when I am irregular so I usually step up on the water intake for sure.

    Thanks for sharing. It will certainly keep me on my toes.

    Novelette

    Reply
    • Alison Hector says

      May 8, 2017 at 4:29 pm

      Good for you! Glad to hear that it’s not a problem, and you’re right to target water when it is a problem.
      Alison Hector recently posted…Is it time for a conversation about constipation?My Profile

      Reply
  4. Zoe Campos says

    March 15, 2021 at 6:13 am

    Thanks for explaining to me that consuming unhealthy fat and calories can result in constipation. Admittedly, I haven’t been able to eat enough fruits and vegetables recently and this habit shows in my stool. It might be a good idea to consult a specialist and see if I should start looking for Enema devices for sale.

    Reply
    • Alison Hector says

      March 16, 2021 at 8:03 pm

      Increasing your water, fruit and veggie intake is a great first step, Zoe. Enema devices are probably better to consider if the former don’t give you the desired results, at which time you probably should consult your doctor.

      Reply

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