Can't poop without pushing

Body: 

Hi ladies! I am wondering (in an anxious kind of way) if I have a long term issue. I have looked through lots of posts on not straining but not specifically found this issue. My problem is, no matter the consistency of my poo, I need to push. I would not say I am always 'straining' but definitely pushing enough to feel my cystocele move down. I now seem to have my bowels moving regularly and mostly in good condition (small and soft) - i still get constipated sometimes and occasional a bit of diarrhea. But back to the good stools....when all is well I am trying to just sit and relax, but nothing moves. I am feeling the urge, the poo is there but unless I push it will not come out. Even if I give a little push to start it moving and then just relax, everything stops again.
I read one comment that someone had help with biofeedback....does this problem sound like something that biofeedback could help? (i dont know much about it). Obviously I am keen to avoid all straining but I also need to poop - am a little nervous I have done some permanent damage from straining in my past that is now going to significantly affect my prolapse. Fyi - I use either LoPo or half squat when I do go. Anyone have any thoughts on this?

What happens if you wait longer? And not push at all. If you feel the urge to do a poo, but not a full on urge, what would happen if you went for a walk around the block & then went?

I'm pretty new to the concept of not pushing, but haven't found it to be much of an issue, so I'm sorry I can't help more. I generally never go to the toilet to poo, I go to wee, and they just come out at the same time (lucky me?)

I admit I do some controlled pushing at times. Only when I know that something is there wanting to come out, and I'm running late, and the tension of running late isn't helping. It's just a fact of our modern life. If you do push a little (as opposed to full-out straining, which hopefully you can avoid), just keep all elements of the posture. Keep the lumbar curve in place, belly as relaxed as possible, lift up and forward, taking weight off the toilet seat. - Surviving

It is so hard for me to distinguish between "controlled pushing" and straining...

Waiting for me means huge discomfort...also I have stopped to believe that my body will do the "job"...

So I think I "control pushing", instead of doing a "controlled pushing"...if it makes any sense...

I feel I lost myself in something that is supposed to be rather automatic (involuntary), but still voluntary...

I think- I think too much...
I also control too much...because "I think" it should be done the way I think...

Will I ever get it right?

Hi Folks,

I don't weigh in here very often. Have been able to return to my normal world-traipsing. My only bad enemy now is stress which I am better at monitoring all the time.

For me prebiotics have been the answer, especially for the large intestines. Had already tried the usual yoghurt and other lactofermentations. Followed it with fermented veggies as per Sally Fallons where I now use the whey of yoghurt to start the veggies. Krauts, dill pickles, yum!

Also flax seed, hemp seed or chia, 2 tbs daily however I can get them down really help.

But recently I found the answer to my regularity with prebiotics. Specifically the ones for the large intestines are inulin and oligofructose both found in chicory family (endive, escarole, frisse) and jerusalem artichokes, and in lesser amounts in leeks, asparagus, burdock (gobo), garlic, and onions, and a small amount in bananas. The probiotics that this food feeds also produce increased nutrition taken up and into the blood from the colon. You can raise calcium absorbtion by 20%!

In addition I do splint, but more importantly I breathe very deeply, about as much as I can inhale, often finding success in a meditational state.

I will continue to check in with and support Whole Woman. Fortunately life has grabbed me up again thanks to all the help on this website and Weston Price that has made me whole.

By the way, just to be counted, I eat a high saturated fat diet consisting of pasture-raised meats, dairy, and eggs and gobs of organic vegetables and very minimal carbs. No sugar, just 1/4 tsp of raw honey at a time. My health, including my cholesterol, continue to improve by leaps and bounds. I believe myself to be descended from Norsewomen. There must be others in this world like myself.

Thanks colehollow that is very informative. I too went sugar free and my cholesterol improved heaps even though I ate more saturated fats.

Have fallen back into the sugar regime after a stint in France and being tempted by so much ...

I was always a low fat eater most of my life yet had all sorts of health issues and usually whenever you see low fat you see high sugar content.

Stress lowers immunity and leaves you wide open to so many things ...
Will have to look into your suggestions.

I also find deep breathing while in WW posture to trigger 'sensations' in the intestines.

I still think we should wait for that feeling - it is a little nerve wracking when things are building up but if you tick all the boxes with good food, hydration and exercise - it will come. Nobody died from not pooing ...

When I was away I worried sometimes feeling like I 'should' go ... but found if I didn't push the issue it happened in it's own time. If the signal came and I couldn't go - it would come back later, although sometimes quite a time later ...

If you wait for the signals after doing your bit to help it - you will train your body into knowing you will respond appropriately ..

Rather than trying to control everything and not allowing nature to do it's bit.

I have tried waiting but things just seem to go away. Then the next day the poo starts to become bigger...which means more likely a need to strain. Hmmm....something maybe I need to experiment with more. I do have trouble trusting my body....maybe some good visualization and mediation could do the trick. thanks again ladies!
Oh, and on the pro and probiotics - I have been experimenting and keep getting bloated from them. Not sure why.

Does anyone else find that they just can't poo if they are in posture? I find mine is more able to slide out when slouching on the loo.

I have always pushed & am trying not to now - ( I have rectocele & low uterus ) I am noticing that the urge can go away & only when I feel rectal pressure & sometimes it is making its way out that I am going. I am finding incomplete evacuation at times, however am learning to read my body & learn - I only really became aware the other day that one can still "go" regularly, however if one is pushing more than to get going or complete - that is constipation & one of the reasons I am where I am now...
Love & health to you all
Soul Sister

A lot of the comments on this thread sound much like what has led to new research on our second brain or enteric nervous system, gut to you and me. Worth having a look at even just to be reassured you are normal (just with some real inconvenient problems).

See www.nytimes.com/2005/08/23/health/23gut.html?pagewanted=all
Or google intestine brain

Ozmama, I found probiotics could bloat (even though this is what they are meant to alleviate), among them some well advertised ones. You need the right one. I buy Micro genic, probiotic 8 (contains 8 intestinal organisms), it’s in the fridge in health food stores.

Colehollow, I am a Norsewoman too.

Aussie S.S. I found Magnesium (as recommended on this site) helped with incomplete evacuation.

Cheers Fab

Dear Fab,
Thanks very much for link to the article - it ties together the connection/influence between cerebral brain & gut brilliantly.
I will look at taking magnesium, probiotics, (coconut oil- take some already with wonderful results skin & hair & some success internally - 2 heaped tsp/day not enough for evacuation help am upping dose) apple cider vinegar & using Epsom salt baths - I was put off supplements while researching them & have been concentrating on food or external remedies. One glaring one is relaxation, meditation etc & Christine's yoga will undoubtedly help, along with wonderful support here. ( one needs a list on the fridge )!!
In our journey together
Soul Sister

I wonder if people had a problem with soiling? It happened to me on few occasions; always when I tried to wait...
It was very difficult when it happened. On two occasions I was on a phone with my friend...
But, I still WANT to regain my normal bowel functioning...
Apparently what happened has something to do with my muscles...

I have been taking for some time something called "Gluten Free Prime Selection", which contains whole foods that are broken down (pre-digested) by friendly bacteria releasing the nutrients for easier absorption and assimilation. This means you are getting pre-released nutrients, reducing the burden on the digestive tract. This product contains probiotics as well.
Since I have been taking it I have no problem with bloating.

I also take magnesium at night and something called Permavite...

I have noticed that with me all depends on stress. I get very quickly to fight/flight response, even if I feel mentally calm. I recognise that I was tense because I have more symptoms...

I try to de-stress and I am much better, but my body still responds and I don't really know how can I retrain it...

Miss Kalypso - yes, I too find it easier to poop when slouching but I think that is one more thing I needed to change. I think the slouch position partly caused my prolapse....slouching and straining together. So now I am trying to train my body to poop in posture. All part of the learning curve I guess....and after many months I now find it a comfortable position (although as I said at the beginning I still struggle not to push). In fact I previously laughed at my hubby for pushing his tummy out to release wind....then I realized he was on the right track...I was the silly one for tucking in and holding on!!!
Thanks fab for probiotics tip. I really want to take one but keep buying them and then having to stop after a week or two....will try the ones you take. I haven't heard anyone else complain of bloating before so thought it must just be me!
For the record, I have definitely found magnesium to be wonderful for me...both for a good night's sleep and softer bowels.
Also love the article on enteric nervous system - thanks for sharing!
Happy health to all you lovely ladies!

What kind of magnesium do you take?? There is something called "Calm" on the market that is popular in my area. You can get it at the Health Food store. It has Magnesium in it. It is a powder and you add it to water. Do you take supplements? How much do you take? I am interested. Thanks so much.

Hugs to you, Jaylove

Sorry Ozmama I found your past post about "Calm". I just typed magnesium in the search space. We already discussed this conversation. I didn't want to repeat something already discussed. I had forgotten. Thanks for sharing.

Jaylove

When I am in a hurry and things won't come out quick enough or if it feels simply stuck, in posture, I prod squeeze or massage the buttocks close to the anal opening where I can feel the bulge forming and elimination is then quick. Don't know if this is wrong in anyway but it works for me. I know we are all different though.

Hi Ozmama,

Have you tried increasing amounts slowly?

Funny story: I looove jersusalem artichokes, and when the crop came in this year I boiled some up like potatoes and slathered them in butter. They were so good I had seconds. Well, about 3:00 am I dreamed I was in pain and woke thinking that I would have to bee line to the emergency room. After accepting that fact I began to massage my abdomen and felt this incredible bubble work around from the right side to left and down. What followed we an incredibly long and noisy flatulence...no odor, but immediate relief. Now I have only two thin slices raw which I enjoy late in the day as so not to embarrass myself. Great topped with a bit of cheese.

Maybe I can increase this some day. Meanwhile I enjoy the other high prebiotic veggies.

I have just returned to the Forums after a few days of other things.

Seventeen new posts on this topic! Wow! You all have your thinking caps on ! This is the essence of the Wholewoman Village, women sharing their insights and contributing to their own wellbeing and the wellbeing of others.

Perhaps we need a sign on the Signpost at the Village Gates, that says,

“HEALTH WARNING!
There is TMI (Too-much-information-it is) in this village. TMI is very contagious. The symptoms are:

feelings of shock,
followed by feelings of relief,
squinting the eyes,
pursing the lips,
recoiling from the computer screen,
occasional nausea and
weird visualisations in the head.

These symptoms are initially acute and distressing, but decrease in a short time as the sufferer becomes accustomed to reading graphic accounts containing too much information.

Sufferers become progressively immune to TMI and, after they have gained immunity, much more able to understand their body and look after it.

Cooperative thinkers welcome.

If you don’t want to catch TMI, then walk on by.”

Re pushing, pushing is OK, just as in childbirth, when the urge arises. The mistake we make is straining, which is pushing extra hard when the desire to push is absent. I saw a BBC television program the other night about the brain being the most important point of difference between ape and human, with a section about birthing large headed offspring. There was, of course, the obligatory second stage of labour scene with the labouring woman on her back, propped on a couple of pillows, trying to push the baby out. She eventually succeeded with a lot of purple pushing on command of a very bossy midwife. “Man, oh, man,” I thought, “Is that woman going to have trouble later on!” Why do they do this on television programs?

This series of BBC docos is called The Origins of Us. There is one about our gut and how it evolved. There is one about our bones and how they evolved. There is a third about our brain and how it evolved.The one about bones doesn ‘t go very far into the lumbar spine and thoracic spine, but is nevertheless very interesting, and filled me once again with feelings of awe about the human body. Even if you don’t believe in evolution it is very interesting to see how different animals have different characteristics, depending on what they eat, how they develop and what they are capable of doing.

They are all on Youtube.

Colehollow, your post probiotics is great. It is yet more evidence that we should be eating fresh foods, foods that are green, and foods that are metabolised into substances that support our health. The more variety we have in our diet the better. Foods are raw materials for repair and maintenance of our bodies , and prevention of damage to our bodies. I just love Jerusalem artichokes, but they do the same thing to me. Maybe less is more, as you say? Off to the food sites on the Web to investigate further.

Ozmama, I am sorry, but I cannot remember. Do you have any food sensitivities? Have you gone back to basics and ensured that you are getting plenty of soluble and insoluble fibre, and that you are drinking plenty of water? Worry, stress and anxiety certainly play their roles too. I think meditation and visualisation are wonderful tools for reducing these. They certainly won’t do you any harm.

There are two sides to constipation that get in the way of self-management of POP. The first is the bulk of constipated stool that has water reabsorbed from it while it sits there, and becomes ‘inflexible’ and cannot move around the corners as easily. The second is prevention of constipation in the first place, so it doesn’t happen again. An occasional enema will help relieve the congestion in your abdomen, but using enemas regularly is only papering over the cracks. You might Search the Forums for foods that will help you to get your gut moving.

Miss Kalypso, Yes, pooping in posture is not completely satisfactory. Check out Lopo on the Forums. It is a concept I figured out, while watching animals defaecating. They don’t ‘hunch the top of their spine’, only the bottom , to allow the stool to come out in more of a straight line, I think. WW posture does indeed tighten the pelvic floor. When you are pooping, you do want the PF looser, to avail yourself of intraabdominal pressure to help empty the rectum, but not to bear down hard and continuously on the toilet seat to the point where you push the rectum and uterus into the vaginal space. Does this make any sense? And yes, your husband was on the right track with his tummy out farting method. Well spotted! ;-)

Ivonush, yes I have had occasional small soilings – had one the other day, but not because I was busting to go. I am not sure why it happened, although previous to discovering it I was aware of needing to go earlier in the day, but had an afternoon of visits to accountant and lawyer in the city, and was out of my normal environment, and my husband was in a hurry, yada, yada, yada, so there was an interruption of my normal response. I had a normal bowel motion with no urgency later in the evening. I am not worried about it, and I don’t think you should be either if it is only occasional. Life is full of decisions. One of them is the priority we put on listening to our bodies. Sometimes it is just impossible. If we don’t listen we pay the price. C’est la vie. It’s only a bit of poo. I don’t understand it entirely. It sounds like you are making good progress, taming your fight/flight response. It will take some time after all these years. Don’t hurry it.

Littlesheep, I think you might be onto something with your ‘prod and massage’ method of helping the poo out. Sometimes when constipated my whole anus and the area around it moves outwards. My tailbone is curved under in a kind of hook shape, so I guess it doesn’t stabilise my anus very well. Have you ever watched a horse pooping? Wow! The whole perianal area distends and kind of peels back over the stool, like the cervix over a baby’s head! It is awesome to watch if you are into that sort of thing. What was I smoking at the time?????

Thank you Louise for normalising a subject of "small soiling" for me. As it is not often and happens always when I need to go but have to postpone it for different reasons, I am trying not to make a problem of it any more.
I am learning, and my body is a good teacher...I need to be more mindful and listen to the signals it is giving to me...

Hi Ivonush - I hope you don't mind my making an observation. It's clear that you have made some good progress during the time that you were away from the Forum. I know that you are working hard to learn to trust your body, and it's time to let some of these little worries go. Like Louise said, a bit of soiling from time to time is just something that a lot of us with rectocele have learned to live with. Wear a liner, carry spares, and don't stress!

Ivonush, I would never try to tell anyone not to go to the doctor, if that is where they felt they needed to be. But it does seem like you are still relying heavily on practitioners to render their opinions about what's going on with your body, and what to do about it. Please maintain a healthy skepticism when dealing with the medical establishment. Keep up the good work. - Surviving

Surviving60,
I am ok with your comment...I am not "as bad as I used to be", but on this occasions I panicked again (which did not happen for long...)...
I am still unsure in times about my body...I have had so many symptoms and there are times I worry I will get very ill and unable to cope with life...
Recently it has been a bit worse again...

Thanks for chiming in Louise - I just love reading your posts. I have done a lot of experimenting over the past 8 months with diet. I have noticed I seem to have an intolerance to dairy (was allergic as a child). I also find I need to be careful with fiber - too much means bulky stools. I also had a parasite late last year that was treated with a big hit of an antibiotic that i think caused as much harm as good. Since then I feel like I had been making small but positive steps as I tried to stick to simple healthy foods. Stress is definitely something I need to manage more effectively. I find Christine's yoga (2nd wheel) great and I also meditate when I can. I have also started working on trusting my body - I get a bit panicky about getting poop out on the morning as I rarely have an urge any other time. But I have also noticed if less pushing required if I just chill a bit and let it come. I think the little pushing I do in lopo is ok in this instance. I also have been doing a visualizing each night - on my easy poop that will be coming the next day (how sad is that!?!? I actually do poop visualization!).
Unfortunately I ended up with an ugly infected knuckle this week so had to take antibiotics and my stimach is not liking it - terrible bloating and discomfort. A bit of constipation too.
The journey continues....

Is the knuckle OK now, Ozmama? I can relate to that. I am always taking chunks out of my hands when I am working, usually outside, in germ land.

If it is any help now, or for next time, I put the sore hand, or just the finger in a bowl of salted water that is almost too hot to bear, and suffer for a while as the finger/bit of hand heats up. I keep dipping it in and out until the water cools sufficiently to leave it in there, and I leave it to soak until the water is body temperature.

Repeat this two or three times a day. I have found that it will clear up a surface infection, or better still, clean it up when you do it, and give it a good soak or three every day, as a prophylactic measure, and infection is unlikely to happen at all. You might find it will seal over. Best to soak it open again if it does, to allow it to drain.

This is painful to do, especially if it is already infected, but you will find that in 24-48 hours it will be much better. Keep doing it for a few days, until that 'infection tenderness' goes away.

I have avoided numerous antibiotics with this method. I think germs like body temperature, not much hotter. I think the heat knocks them off. Also, the heat dilates the blood and lymph vessels, to cool the area, but a greater amount of infection fighters can get to the site of the infection.

Re pooing, some nice music through headphones might be nice in the bathroom, to help you to chill on the loo. :-)

Re the dairy products. You could do a week without dairy foods and see if it makes any difference. There's nothing quite like a short term diet experiment to find out what your body does and doesn't like. After a course of antibiotics I always try and remember to have a course of probiotics to get my bugs repopulated. I have found in the past that probiotics have fixed constipation as well as loose stools. They kind of get me regular again.

Louise

The salt water trick is great - thanks. I am newish to gardening. Don't want to be turned off by my infection! I didn't realise it was such a germy place but now I know!
I think my tummy very much needs probiotics but I bloat when I take them. I have tried taking one every second day but still end up bloated. I am going to try yakult - only one strain so maybe easier to handle?
And I definitely noticed cutting out dairy helped my tummy - dairy also causes bloating and within a couple of days of cutting it out - I am so much more comfortable. A shame though as I love my yoghurt!

I wonder if you are sensitive to the cows' milk protein, rather than the lactose, or if I am totally up the creek? Yoghurt's lactose has been fermented, but maybe not completely???? Does natural yoghurt with no additives or sugar affect you badly? what about cheese? And are you eating enormous amounts of dairy. Overloading on dairy might be the problem.

Try Yakult, and see how it affects you.

Anyway, I think you might be onto something. I would be taking my tummy's opinion as being pretty reliable. If cutting out, or cutting down, drastically on dairy food makes it happier, then I would go for it. Food sensitivities are always hard to pick because you could be sensitive to others as well, eg gluten. I would play around with it. You might not have to cut one or both out completely. You might be able to have a little of both. Also, it might not be all gluten, like coeliac disease. It might just be wheat, and it might just be refined wheat flour. You could also test each grain separately. You could also go the whole hog and cut out all gluten, which means barley, oats, corn as well as wheat.

Anyway, leave out one at a time, eh?

Louise

Ozmama, I cannot take some probiotics myself. I have been taking something called Gluten Free Prime Selection (http://www.saferemedies.net/products/probiotic_gf_primedirective.htm). It suits me really well, no bloating or any other sensations.

Ozmama, you sound like me, with being panicky about getting poop and having no urge any other time than mornings.
I like your poop visualisations :) It is definitely less sad than thinking all the time about "how difficult it is"- I do this so often :( and I think the power of this thought/imagination/sensation has enormous impact on my "pooping problem"...So it seems that you have a positive visualisation in place!

Ozama, do you have a parasite? or had one? have you retested recently?

Yes, I did have a parasite. Not been retested since treatment but the alternating diarrhea /constipation stopped so I thought it must have gone. I did read once that your son has/had one. I welcome any thoughts u have....

My PT suggested instead of pushing I instead try a breathing technique. She gave me a mental cue to use my hand and hold to my mouth as though I was blowing up a balloon and blow ALL the air out of the lungs, near the end of the breath you should feel the TA muscles engage and it might help release the poop without having to push.

the bloating makes me think you are dealing with some pretty serious imbalance in your gut. It might be worth a retest and also a test for yeast over population.

I have been wondering about the parasite but the lack of diarrhea makes me think not. I have stumbled across candida a few times and thinking that is a very real possibility - major bloating, constipation, irritable...and have had antibiotics a few times in the last year and treat my asthma with a corticosteroid.
Seem to a variety of views on how to treat yeast overgrowth. And from what I gather, not possible to actually diagnose. Guess I could try a naturopath and see what their view and approach is? I have found so many 'possibilities' for my issues - each having a different management approach, that I get a bit flummoxed! And as I have been on the journey of diagnosing and managing my symptoms I have lost a lot of weight - great to begin with but am a bit underweight now. Anyway, the journey continues....
Also as my gut issues started after finding out about POP I do wonder how much is linked to the trauma I felt for those few months before getting my head around it all. I feel so much better now mentally tho. Something else to work on in tandem with the gut issues I think...

Hi Mamamia, I just wanted to let you know that I tried the breathing technique that your PT suggested about going through the motions of blowing up a balloon, etc. and I found this did not work for me. Maybe for others - I don't know. But I wanted to share what does work for me. While leaning forward with weight on feet in WW posture - I breathe in very deeply through my respiratory diaphragm and this works for me every time. This probably has been said before on this forum. I learned about this in Christine Kent's "Saving The Whole Women" book. I'm always going back to it and it seems I learn something each time. Anyway I just thought I would share. You might want to try this also or maybe it might help someone who is newer than I.

Hugs, Jaylove

In a stool culture. And it sounds like it's possible...might be worth a test.

I wanted to share a few techniques that work for me. Although it is ideal not to strain when you have a BM, I think a lot of people do at least to some extent. I apologize for the details here, but this may be helpful. I use a massaging technique (similar to LittleSheep's comment; I thought I was the only one who did this!). I sit on the toilet so that I am leaning forward a bit, so that my butt is raised off the seat. I massage my buttocks to relax. I should probably mention here that I tend to have thick stools that are usually hard and thus are difficult to pass (I don't have any prolapse issues at this time, fortunately). When I feel the urge to push, I first use one to two fingers and press around the edge of the anus which causes it to open a bit, and then I push some. I repeat this process several times until the stool drops. I do this with bare hands, but you may want to wear gloves as there is a good chance you will get feces on your fingers/nails. For me it takes about 10 minutes to complete a bowel movement this way, but at least I'm not pushing like crazy.

Another technique I use sometimes is a standing position if I think my BM will be without too much effort. I urinate first, and then stand up and spread my buttocks a bit. I relax and allow myself to begin a bowel movement. I quickly hover over the toilet when I feel the stool is ready to drop, or keep standing and allow the stool to exit onto some toilet paper in my hand (I don't want to lose the standing position much as that interrupts things).

If you are having problems starting a BM, I would wait until you have a really urgent need, then use the bathroom. Relax and push a bit if you have to. Maybe try some of these techniques. In short, do what you have to do in order to have a bowel movement; some amount of pushing is only natural.

Again I apologize for all the details here, but I think this might be helpful to some who have a difficult time with their bowel movements.

Hi Megan and welcome. If you have thick, hard stools that are difficult to pass, have you tried to remedy this with probiotics and other dietary measures? It seems like that is the real problem in your case. If you do not have prolapse symptoms now, and thus probably are not practicing Whole Woman posture as much as you can while straining, you are asking for prolapse in my opinion. - Surviving

I haven't read this whole thread, but I just want to share. I need to take iron, if I don't, I won't. If I do I poo.......maybe get your iron checked?

I know for most people iron constipates,,,,,,,,,but of course I would be the odd one out.

Hi Megan thanks for bringing up this fantastic thread to mind and for adding your own advice. The need to avoid as much straining as possible is a major hurdle for women with prolapse to jump. And for that matter anyone wishing to avoid prolapse. We frequently worry about TMI, but if you are able to talk graphically about these things, the other forum members can better understand what you are describing and the how and why.

We are encouraged to eat a lot of fibre as an aid to elimination and at one stage it was believed to assist resistance to stomach/intestinal cancer. The advice in my memory at that point of time was to be sure to include fiber into your diet. The assumption held being, and some research showing, that people generally were eating no or little fiber. This advice seemed to slowly evolve over the decades into the present day mantra of eat lots of fiber and drink lots of water. And the popularity of this idea has spread to the extent that our public health food pyramids reflect this. Some people link this trend to the increased occurrence of IBS and other intestinal conditions. I don't have sufficient knowledge to comment on this.

However, I do think we can overdo the fibre and it can sometimes be problematic in getting the fiber/water ratio correct so that the promised elimination benefits are obtained. And some of us have found that as we have gotten older (some not so old) and with on-going exploration that it is better to limit the amount of fiber and choose the compatible type of fiber we consume and until things start to work smoothly supplement with a good probiotic and where needed magnesium citrate as a stool softener. If you are totally against supplements, Colehollow above talked about probiotic and prebiotic foods which may be of interest to you.

Thanks for the input on prolapse, diet, etc.. In my case, I'm probably borderline IBS-C; I usually go once a day, but it is difficult when I have a BM. I am always looking for ways to have easier BMs without pushing as much. I have focused more on positions and techniques and haven't looked at diet as such, except for increasing fiber somewhat which hasn't helped that much. For the most part I just deal with the fact that I have slow bowel movements and find positions that work best. I'm usually able to hold off the need for a BM until I get home, but have done these positions in public restrooms on several occasions when I've really needed to go and I just have to get rid of that poop. Its good to know that I'm not the only one who has issues with bowel movements. And its one of those things that is not easy to talk about with friends as they really don't want to hear about your struggles when you have a BM.

In reading some of the other posts on a different thread here, squatting is mentioned. I tried this, squatting on the bathroom floor. Its a natural position and seems to work, so I will add this to my list of positions to choose from. As I didn't want to lose the positioning, I used a low height plastic basin on the floor to catch the waste. But if I do this again I need to put water in the basin, as exposed poop really smells. :-(

Thanks for getting back.

You did not mention whether your difficulty in elimination was because of the constitution of the stool itself alone or some difficulty with your intestines, or both. Borderline IBS-C, I should imagine, includes a bit of both. Thick stools usually indicate an infrequent elimination (accumulation for a few days), or consumption of a lot of fiber. If your difficulty is due to the former, than diet needs to be looked at, if the latter, again, your diet can help. Your aim being to achieve a decent stool.

Positioning for elimination is definitely something to be looked at and your ideas were helpful. I’m not sure whether you have a pelvic organ prolapse. It is for the sake of avoiding any further worsening of the prolapse that on the other thread we suggested alternatives to squatting. And on that other thread each of the women had a different type of prolapse.

All we can do is offer advice on the knowledge we have, what you choose to do with that is up to you. It’s not really just simply a difference of opinion. Everyone is entitled to their opinion and to do their own thing. What we try to do is present ideas which we believe are helpful and will do no harm. And if someone wishes to prove us wrong in any instance we still do not have any egg on our faces. For some people squatting does harm.

Hi Megan Girl

That is great that you are developing your own techniques for bowel emptying. Thanks for your candidness.

Just be careful with full squatting unless you have been squatting from birth. People who squat daily for elimination, and just to keep their butts out of the mud develop different facets on their leg, ankle and foot bones as they grow and develop. This allows more flexion of the knee, ankle and foot bones, so the centre of gravity can be kept further forward than those of us who have chairs to sit on from our toddlerhood.

If you don't have these squatting facets you will have to straighten your lumbar curve, and tilt your pelvis backwards when squatting, in order to keep your centre of gravity forward of the centre of your feet and prevent toppling over backwards - most distressing while you are having a poo! This directs a lot of intraabdominal pressure down into the pelvic cavity, towards the vagina. This can damage fascial tissue with any straining, especially as you are disposed to it by already having POP.

I would prefer to have you half-squat like a sumo wrestler, http://www.sarahremmer.com/healthy-weight-loss/are-you-eating-like-a-sum... , with feet and legs well apart and turned out, hands on knees and elbows bent. This gives you a little more control over the degree of pelvic tilt and the direction of intraabdominal pressure. Remember, that sumo wrestling is all about *stability*. I know it looks gross to most of us, but the principle is the same as WW posture. This squat is deeper than firebreathing, but the arrangement of body parts and the position of the pelvic organs will be identical.

Use the Search box to look for 'LoPo' and 'animal kingdom'. These posts use this half squat, and repeat it during the day. LoPo seems to straighten out the rectum.

Thanks everyone for your comments. The whole concept of prolapse is new to me, so if any of my suggestions may be problematic then kindly disregard them. I am looking at these positions from a different perspective, not prolapse-related.

Hi Megan - I just want to point out that somewhere around 75% of women will end up with prolapse. If you're a woman, then the prolapse perspective is relevant to you. Any woman, and particularly any woman who has had any kind of elimination issues at all, needs to learn all she can about this. - Surviving

When I sit in a sumo am I rolling the spine or curving?

keep the natural lumbar curve in your back while doing the sumo. Get your rear up high and your torso nearly horizontal and parallel with the floor. Those organs will then settle in your lower belly and get out of the vaginal area. When you start to sit down a bit on the toilet to poop, then you can round your back some and flatten the curve some at that point in order to let the anus open up and slacken some to pass the bowel movement. But still lean forward towards your thighs to keep the organs hanging towards the belly.

I saw your other question, YES the enhancement materials will be added to the course you have. I know you have a language barrier and probably can’t understand all that’s being said but please be patient I think you will be pleased when it all comes together.

I had to Google this, but I assume you are talking about a beanbag chair of one type or another. We have no way of knowing what your chair is like, or how you are sitting in it. But once you understand Whole Woman, YOU will be able to answer these questions for yourself. Several of us, including Christine herself, have suggested that you get to work on your own for awhile. Please give it a try. - Surviving

My answer was in response to looking back in this thread and seeing the link to the sumo squat that Louise added to this thread.

You could be right UnCloudyDay, as I had not reviewed this entire thread prior to posting. Either way, I do believe it is time for the endless questions to fade away, and for Kalanit to start studying on her own. We all did it, Kalanit, and you can too. No more questions for awhile, please? - Surviving

Surviving60 its really "nice" to know you're tired of my questions,
thank you UnCloudyDay for your patience
Surviving60 i started the work already
If you see unclouday respond you will understand why i am asking so much...

If this is really about a language barrier problem, then a translator needs to be brought it in. I have suggested this to you before, Kalanit, but you said you didn't need one, and that you understood it well enough.

So then, what is actually going on here? You don't understand the whole woman concepts? Many of us didn't, so we studied, we went over our videos, we read the forum and site materials, and we did the work.

The forum is here for support, not a consulting service for one person who is obviously not doing the actual studying for herself.

If you truly do not understand the work, you need to take the next step and book a consult with one of our practitioners.

Or, really knuckle down and start studying, like we did.

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