Are You Pooing Properly?
Redefine Normal
“Healthy pooing is not defined by how many times a day it happens. Most gastroenterologists consider anywhere from three times a day to once every three days within the range of healthy. What matters far more is whether it’s comfortable, complete and consistent. Someone who opens their bowels daily but strains, passes hard stools or feels incomplete afterwards may still meet criteria for constipation. Equally, someone who goes every other day but feels comfortable and empties fully would generally be considered to have healthy bowel function. Most guys judge digestive health by frequency alone, but that’s outdated. Comfort, control and predictability matter more than hitting a daily target.” – Laura Jennings, registered associate nutritionist
Keep It Effortless
“Going for a poo shouldn’t feel like a workout. A comfortable bowel movement does not involve pain, urgency or excessive straining. We all generate a little pressure – that’s normal – but if you’re breaking into a cold sweat, holding your breath and pushing for ten minutes, something isn’t working properly. I tell my patients: if nothing has happened after five minutes, get up and try again later. The longer you sit and strain, the higher your risk of haemorrhoids and other issues. Healthy pooing should be quick and relatively effortless.” – Dr Trisha Pasricha, gastroenterologist & author of You’ve Been Pooping All Wrong
Check The Shape
“We use something called the Bristol Stool Form Scale to categorise stool form. A Type 4 – smooth, soft and sausage-shaped – is associated with the least straining and the least urgency. When stool moves too slowly through the colon, it becomes hard and pellet-like because the colon is very efficient at extracting water. When it moves too quickly, it becomes loose and urgent. Consistency tells us a great deal about transit time, hydration and fibre intake. You shouldn’t need coffee, nicotine or other stimulants just to trigger a bowel movement.” – Laura
Get Off Your Phone
“Research shows 50% of people who bring their smartphones into the bathroom stay longer than they intended because they get distracted. What used to be a quick, functional habit has turned into a seated scrolling session. The problem is that the toilet isn’t a neutral seat. Sitting there for more than five to ten minutes increases pressure on the veins in the rectum and anal canal. Over time, that sustained pressure contributes to haemorrhoids, which are normal structures we all have, but become problematic when swollen and engorged. Distraction also interferes with your body’s natural timing. A healthy bowel movement relies on responding to the urge when it’s present. When you sit and scroll, you either strain unnecessarily because you think something should be happening, or you miss the moment altogether. If the urge fades and you stay seated anyway, stool remains in the colon longer, more water is reabsorbed, and it becomes harder to pass later. If nothing has happened after a few minutes, that’s your cue to get up and try again later.” – Trisha
Change The Angle
“The position that most effectively supports an easy bowel movement is a modified squat. The rectum isn’t a straight tube – it sits at an angle, held in place by a sling-like muscle called the puborectalis. When you sit upright at roughly 90º on a standard toilet, that sling keeps the rectum slightly kinked, which is useful for control, but less useful when you’re trying to empty. Flex the hips, raise the knees above the level of the hips, and that angle widens and straightens. Imaging studies show this reduces resistance and allows stool to pass with less straining. In practical terms, things move more easily. You don’t need to balance on the rim of the toilet. A simple footstool to lift your knees, leaning slightly forward with your elbows on your thighs, and consciously relaxing rather than pushing is usually enough.” – Laura
Go When It Hits
“Humans have developed elaborate social rules around when it’s acceptable to poo. But your body operates on physiology, not etiquette. There’s something called the gastrocolic reflex – when your stomach stretches after you eat, it signals your colon to contract. That’s why many people feel the urge within minutes of starting a meal. If you repeatedly ignore that signal because you’re in a meeting or out at dinner, stool stays in the colon longer and becomes harder. The longer you wait, the harder that poo will literally become.” – Trisha
Think About Stress
“The gut and brain are in constant conversation. When you’re stressed, your body shifts into fight-or-flight mode. Blood flow moves away from digestion, motility can speed up or slow down, and stress hormones make the gut more sensitive. That’s why you can feel bloated before a big presentation, urgent during a difficult week, or backed up when life feels relentless. The relationship also runs the other way. Ongoing gut irritation or imbalance can affect mood, anxiety and overall resilience. A calmer gut routine is surprisingly simple – regular meals, proper sleep, daily movement and eating without distraction. These aren’t niche wellness hacks – they’re foundational habits. The same behaviours that stabilise your mood and energy also regulate your digestion. Optimising one without the other rarely works.” – Dr Caitlin Hall, dietitian & head of research at Myota
Add Plants
“The cheapest gut-health upgrade is increasing plant diversity. Fibre feeds your beneficial gut bacteria, supports stool consistency and improves regularity. Aim for 30 different plant foods per week – that includes herbs, spices, beans, nuts, seeds, wholegrains, fruit, vegetables, even coffee and dark chocolate. Beans in particular are hugely underrated. Fibre isn’t just about bulk; it supports microbial diversity, immune health and even aspects of mood and metabolism. Most men dramatically overestimate how varied their diet really is.” – Laura
Drink Enough
“Hard stools are often a hydration issue as much as a fibre issue. The colon’s job is to absorb water. If overall fluid intake is low, it will continue extracting water from stool for as long as it can, which leaves it drier, firmer and harder to pass. Fibre and fluid work together. Increasing fibre without increasing fluids can actually make constipation worse. Adequate hydration helps keep stool soft, formed and easier to pass, reducing pressure on the pelvic floor and anal veins. It’s also worth looking at reliance on coffee. Caffeine stimulates bowel contractions, which is why many people associate their morning coffee with going to the toilet. But if you need coffee to trigger a bowel movement every single day, that can suggest your natural reflexes aren’t doing the job on their own. Hydration supports more spontaneous, coordinated motility. Coffee can complement that – it shouldn’t replace it.” – Laura
Lift Smart
“If you lift heavy, you’re regularly increasing pressure inside your abdomen. That pressure doesn’t just stabilise your core – it pushes downward onto the pelvic floor and the veins around the rectum. If you’re also someone who strains in the bathroom, those pressures stack up, which can make haemorrhoids more likely. You don’t need to stop training. In fact, strength work supports overall gut health. Just be mindful of chronic breath-holding and excessive bracing. If you’re bearing down hard under the bar and again on the loo, that’s a lot of repeated load in the same direction. Train hard, but don’t let poor bathroom habits undo the work.” – Laura
Skip The Supplements
“There are very limited situations in which formal medical guidelines advise probiotics – for example, in certain cases of inflammatory bowel disease or specific infections. Despite the marketing, they’ve never been shown to be useful for ‘gut health’ in general. If you’re otherwise healthy and eating a fibre-rich diet, you’re unlikely to need a daily probiotic. I’d rather see someone invest in whole foods and consistent habits than another monthly subscription. If you are considering one, it should be strain-specific and targeted to a particular issue, not taken indefinitely ‘just in case’.” – Trisha
Get It Checked
“Men are very good at minimising digestive symptoms. Persistent bloating, new changes in bowel habits lasting more than three to four weeks, ongoing reflux, fatigue alongside gut symptoms – these are often brushed off. But common doesn’t always mean normal. If there has been a sustained change from your usual pattern, especially if you have a family history of bowel cancer, that warrants assessment. Your bowel habits should be predictable, comfortable and complete. If they’re not, investigate them.” – Laura
Visit TheNutriMethod.com, TrishaPasricha.com & MyotaHealth.com. You’ve Been Pooping All Wrong Is Available to buy now.
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