BOWEL

NORMAL BOWEL FUNCTION

Understanding Normal Bowel Function

Bowel movement frequency can vary widely among individuals. It is generally considered normal to have bowel movements anywhere from several times per day to 2-3 times per week.

Signs of Healthy Bowel Movements:

When you empty your bowels, you should ideally experience:

  • Ease of Passage: Your bowel movements should be easy and smooth, with no need for straining or excessive pushing.

  • Complete Emptying: You should feel that your bowels are fully emptied after each movement.

  • Absence of Pain: There should be no pain or discomfort during or after bowel movements.

BOWEL INCONTINENCE & URGENCY

Faecal Incontinence

Faecal incontinence refers to the involuntary loss of solid or liquid stools. This condition can range from occasional leakage to a complete inability to control bowel movements, impacting daily life and personal well-being.

Faecal Urgency

Faecal urgency is characterised by a sudden, intense urge to have a bowel movement that can be difficult to control. This overwhelming need to open your bowels can make it challenging to reach the bathroom in time.

Flatal Incontinence

Flatal incontinence is the involuntary loss of gas (wind) from the rectum. It can occur unexpectedly and may be accompanied by discomfort or embarrassment.

CONSTIPATION

Constipation

Constipation is characterized by irregular and infrequent bowel movements and may involve straining or pushing to pass stools.

Symptoms of Constipation Include:

  • Less Than 3 Bowel Movements Per Week: Significantly reduced frequency of bowel movements.

  • Hard or Lumpy Stools: Stools that are dry, hard, or have an irregular shape.

  • Straining During Bowel Movements: Difficulty or excessive effort required to pass stools.

  • Sensation of Incomplete Emptying: Feeling that your bowels are not fully emptied after a movement.

  • Need to Manually Assist: The need to push near the anus, bottom, or vaginal wall to aid bowel movements.

How Pelvic Floor Dysfunction Contributes:

Pelvic floor dysfunction can play a role in constipation. This occurs when the pelvic floor muscles contract instead of relaxing when you attempt to have a bowel movement. This contraction can hinder the process of bowel emptying, making it difficult to pass stools effectively.

Related Issues:

Constipation can also be associated with other conditions such as:

  • Haemorrhoids: Swollen blood vessels in the rectal area, which can cause pain and discomfort.

  • Anal Fissures: Small tears in the lining of the anus that can lead to pain during bowel movements.

  • Pelvic Pain: Discomfort or pain related to bowel dysfunction and pelvic floor issues.

Addressing pelvic floor dysfunction through targeted therapies can help alleviate constipation and improve overall bowel health. If you’re experiencing these symptoms, consider consulting with one of our physiotherapist’s for a thorough evaluation and personalised treatment plan.

PHYSIO TREATMENT

How Physiotherapists Can Help with Pelvic Floor Dysfunction and Constipation

Assessment and Retraining:

  • Pelvic Floor Function: Physiotherapists can assess your pelvic floor muscles to determine if they are functioning properly. This includes evaluating their ability to relax when needed to facilitate bowel movements.

  • Retraining: Through targeted exercises and techniques, physiotherapists can help retrain your pelvic floor muscles to ensure they relax appropriately during bowel movements, which can help ease constipation.

Diet and Fluid Intake:

  • Nutritional Advice: Physiotherapists can provide guidance on dietary habits that support optimal bowel health. This may include recommendations for fiber-rich foods and proper hydration to promote regular bowel movements.

Toilet Positioning:

  • Optimal Positioning: Advice on how to position yourself on the toilet can improve bowel emptying. Techniques may include proper posture and using tools like a footstool to mimic a squatting position, which can help facilitate easier bowel movements.

Routine and Habits:

  • Regular Routines: Establishing consistent bowel habits and routines can help promote regular and effective bowel movements. Physiotherapists can help you develop a schedule and strategies to support this.

By addressing both the physical aspects of pelvic floor function and practical habits related to bowel health, physiotherapists can play a crucial role in managing and improving constipation and related symptoms. If you’re experiencing these issues, consult a physiotherapist to create a personalised plan tailored to your needs.