How to Normalize Stools and Restore Natural Bowel Movements Moving bowels is an instinct, not an acquired trait. You don’t need to teach newborns to move their bowels — it comes to them just as naturally as breathing or crying. Ideally, a strong sensation to move bowels is experienced after each major meal, or at least once daily. The stools are small, soft, and finger-sized, sometimes barely formed. The weight of the stools is usually no more than 100-150 grams per bowel movement. The act of defecation is an effortless, quick, and complete passing of stools. It is no more noticeable than the act of urination. There is absolutely no conscious effort or straining. When patients seek help with any of the above conditions, medical doctors commonly translate all of them into two succinct terms — constipation or irregularity.
For brevity, I’ll use the term “constipation” throughout this guide instead of an awkward and lengthy “unnatural bowel movement,” or an unspecific and tentative “irregularity. Diarrhea is also an unnatural condition, but on the opposite side of the spectrum. I was suffering while following my gastroenterologist’s advice. He had me taking fiber supplements, and laxatives and still I was having a lot of bloating, pain, constipation and diarrhea. I thought I would eventually die of a ruptured bowel obstruction. I started your Hydro C and the Morning and Evening packs of vitamins and feel I have my wonderful life back. I don’t have anymore pain or problems with constipation or diarrhea.
I just want to say THANK YOU SO MUCH. When doctors themselves seek guidance, they check out The Merck Manual of Diagnosis and Therapy, a highly influential and revered compendium of medical know-how. As you can see, according to Merck, unnatural bowel movements are perfectly acceptable. On the other hand, expecting a natural bowel movement is an “incorrect belief. Damn the endless body of human experience, damn academic knowledge, damn existing medical textbooks, and damn published research. And if patients ignore these recommendations, they are likely to be “obsessive-compulsive” and may get depressed “from the failure to defecate daily. Considering the Merck’s indisputable stature and authority, neither doctors nor patients are likely to ever question these recommendations.
This theater of the absurd plays day in, day out in medical offices everywhere. Ideally, dear, you should move your bowels every day, preferably after each major meal. Your stools are supposed to be small, light, and barely noticeable, just like when you were a baby and enjoyed absolutely natural bowel movements. We will not share your email with anyone. Constipation, irregularity, and hard stools have many causes. Your age, dear, doesn’t affect natural bowel movements directly unless you’ve been experiencing problems for a long time, and your colon, rectum, and anus have already been irreversibly damaged by large stools. Obviously, the older you are, the more profound the damage. That’s why people connect abnormal bowel movements with age. Fat is essential to stimulate defecation.
This diet-constipation connection is one of the most difficult to accept, because people commonly equate food with stools. This surprising disconnect between food and stools becomes self-evident after breaking down food staples into six basic components — water, carbohydrates, protein, fat, fiber, and ash. Water from food and drinks is completely absorbed in the small and large intestine. Protein from meat, fish, fowl, dairy, seafood and plants digests completely and is absorbed into blood as amino acids. This indigestible portion of food is called ash, and is determined by cremation. 8 grams — one-and-a-half teaspoons — of undigested food residue will reach the large intestine. The feces are kneaded into stools by intestinal peristalsis, with a generous serving of mucus secreted by the intestinal mucous membrane. The mucus binds together food residue, intestinal bacteria, and metabolic debris — dead body cells and remnants of metabolic activity shed by the liver along with bile.
In other words, if you consume a low-fiber diet, your body expels 25 grams of undigested organic and inorganic matter for each 100 grams of stools, and only eight of those grams come from food. The water in formed stools is retained by dead cells and intestinal bacteria, which are also single-cell organisms. Bacteria reside on the surface of the mucous membranes. They divide and die in huge numbers round-the-clock. 11 grams for each 100 grams of stools. When bacteria are present, fiber has a moderate effect on the size and weight of stools because the bacteria ferment up to half of the insoluble fiber, while soluble fiber gets fermented completely. 100-150 grams, because fiber attracts water up to five times its weight. According to Human Physiology by Schmidt and Thews — a textbook for medical students — people who consume fiber-rich diets excrete around 400 grams of stools daily. But that goes down to just 72 grams on a low-fiber diet, which is ideal!
Otherwise small stools quickly dry out, become costive, and get difficult to pass out. When bacteria are missing altogether, the stools are dry from the get-go. Remaining live bacteria keep devouring fiber and causing all of those prominent side effects of “rumination. These successive unconscious events are called, respectively, the gastrocolic reflex, peristaltic mass movement, and the defecation urge. Unfortunately for most Westerners, once the potty training begins, the parents and teachers work really hard to unwire this miracle of nature. As we grow up, we learn to suppress the defecation urge by constricting our rectums with our pelvic muscles.
But this essential social skill has a downside. If you keep suppressing defecation for too long, usually over a day, retained stools gradually impact, dry out, harden up, and require straining to get expelled regardless of size. When that happens, the chaffing of dry stools against the delicate lining of the anal canal causes big-time pain and scary-looking bleeding. To summarize, you should move your bowels as soon as you sense the defecation urge, usually after each major meal. In this ideal situation, stools are soft, small, and barely formed, which is perfectly normal. They weight no more than 100-150 grams. In this case, the stools accumulated over a 24-hour period are larger, heavier, and more formed, but still passable. Nonetheless, you aren’t considered constipated until you don’t move the bowels for more than three consecutive days. Thus, as long as you can keep straining to squeeze out stale, stinking, chaffing stools every three days, then, medically speaking, you are just irregular, or not yet worse enough to warrant medical treatment.
Thank you, doctor, this was a great explanation. I am beginning to understand now. But I am still not clear on how to get rid of constipation? Unfortunately, dear, there are no drugs or treatments that I can prescribe to you. And you are better off not using fiber or laxatives. So what should I do, then, doctor? I would love to help you more, but our appointment is already 30 minutes too long. Your insurance company isn’t paying me a penny for talking ‘crap’, and I have other patients waiting.
That’s where I learned these things I just told you. Find what applies to you, and follow it. You will not suffer from constipation ever again! But what about The Merck Manual, doctor? The printout I brought is the complete opposite of what you just told me. Oh, forget about this rubbish, dear It’s a pharmaceutical company, for laughing out loud! They peddle Miralax, for heaven’s sake From their perspective, if you are complaining about constipation, you are a nutcase! Would you like me to send you to a psychiatrist, dear? I am so lucky to know you!
Just get rid of that fiber! The trouble you went through in compiling this page helped a person on the other side of the world. And this I cannot thank you enough for. I appreciate the fact that you did not try and sell this information but made the first priority helping others. The world could use more people like you. This is just my honest gratification letter, I appreciate your website very very much! Bad advice: the harder they try — the faster you die That was, as I said, a best-case scenario. Reduce stress, because it contributes to constipation.
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