How to make a time out stool

this is a great idea. i'm doing it for my kids in the kindergarten – with 3 minutes, for brushing their teeth 🙂 i'm doing it red. I couldn't find anywhere a doll's head, so I had to improvise but it looks great. thank you so so so so much for the idea.

hugs from Croatia

Thanks so much!! You must be very artistic and talented! Love this

This is amazing! I am definitely going to try my hand at one of these! Thanks so much for such a excellent tutorial. Cheers.

How did you determine how much sand to use? How do you figure out the timing?

I am going to use 2 gallon size wine bottles, kids love to kick their feet so life expectance of this project is not long! You can cut the bottle with string and lighter fluid. I would also make the stool shorter as the kid should be able to keep his feet on the floor! Wooden napkin rings should be close in size for the connector!! You could even use metal ones!!

I saw the following in my head when I saw this shared on Facebook.

Perhaps some red sand and bronze paint? And maybe some carving 'skillz'? Just don't release the flying monkeys.

my son is now 13 when he was 2 i made the hourglasses, and found a wooden chair i painted time out on. I used the hour glasses differently, and used different brands for quicker sand as a toddler, and used a poker chip with a hole I drilled glued in middle to slow sand down. I made 3 i also got wooden discs at Micheals for bottom, i had red on one side/green on the other of two and one was Yellow and red. the yellow and red, had the slowest amount of sand, and he was a bit older, you could make them equal the time of the the other 2, i made my yellow/green for a warning if the behavior improved in the amount of yellow time we flipped it back over to green, if it did not he went into a time out with the appropriate timer..which were painted red/green. I think its great you now realize why the person selling the time out hourglass chair charged the proper amount, i couldn't afford it either, but with the 25 dollars you quoted and then the man hours, and any kind f profit, its a fair price.

oh when you're done with the "time outs" you can use red/green one for games , or yellow /green depending on how much time.prefect for outside sidewalk chalk charades, or indie for brushing teeth.. yellow for jammy time etc.. we got a lot of use out of them as kids when not in trouble love to race the clock..and my son loves cars so the red, yellow, green we used on out door race tracks as well.. have fun `Momofreed

a single mom too..

Excellent idea, but lose the fancy font on your site, very difficult to read.

My only concern is that it would only work for 1 year since most time out philosophies are 1min for every year the child is.

The font on this blog is ridiculous & so hard to read. 🙁

Hi Christine, I love this idea! We are starting to feature more artist like yourself and I would love to discuss possibly featuring this tutorial on our website. You can reach me at [email protected] or you can visit me at – I'd love to set up a time to talk with you about featuring this tutorial or if there is one that you feel would better represent you then we could discuss that. Looking forward to hearing from you soon!

instead of connecting with the dolls head wooden deal you and purchase a connector in the toy aisle with the science toys called a "Tornado Tube" which will screw the bottles together and leave room for your salt or colored sand.

How much sand did you use? And how did you know how long it would take to finish?

How much sand did you use? And how did you know how long it would take to finish?

I love the craft idea. I just wanted to share a link regarding time outs and children. We've been using the methods talke about on. this website for some time and thought you may want a different perspective on parenting options. I just love the idea of making this timer for games, like races and clean up time races that are fun and allow children to play with it. Here's the link about time outs.. Hope it will be read with an open mind. I feel so much better as a parent after reading her books too! It doesn't happen overnight, but the long term relationship you build is amazing.

1lb salt= approx 4 mins

1lb salt= approx 4 mins

I am doing this to give to my Daughter in Law for Mothers Day! lol. They have 2 little ones 15 moths apart. She will Love me! she may want me to build another one. Thank you for posting this!

I made this as instructed. My salt seems to be getting stuck. Will it stop eventually?

Maybe cut strips of adhesive vinyl run it around the bottom half bottle and mark the minutes off.

Thank you for sharing. I know a little boy who needs one of these lol

Sure would be nice if instructions were fixed so they could be printed.

It's called a 'countersink bit' that is used to seat the screw heads. Great project!

What router bits are needed for the rounding off edges of seats and making the indent? I bought a router, but need to know what bits I need for this project.

Funny, unless you changed it my font was normal. I loved your idea. Thanks for taking the time to share it!

Very creative stool, I like this handicraft work.
If you need a pillow you can click on

Hello there. I discovered your website by means of Google whilst searching for a similar matter, your website came up. It seems to be great. I’ve bookmarked it in my google bookmarks to come back then.
decoration piece

How to make a time out stool

People, let's talk about your poop schedule. Are you someone who goes like clockwork? Or are you more the type who has no idea if or when the urge to go will greet you?

Video of the Day

First thing to know: Gastroenterologists consider normal bowel movement (BM) frequency to be anywhere in the realm of three times a week to several times a day, says Baldeep S. Pabla, MD, gastroenterologist and assistant professor at Vanderbilt University Medical Center in Nashville, Tennessee.

Secondly, your body is actually programmed to want to go in the morning, and if you take advantage of that opportunity, you can get yourself into a routine.

Why is the a.m. prime time? "During sleep, colon motility generally stops," Dr. Pabla says.

That's overwhelmingly good news — no one wants to poop themselves in the night. But after you wake up, things start moving again, and stimulating waves from the colon tell your body: "time to move stool to the top of the rectum!" Once there, the rectum senses that "there's stool here!" and your brain tells you it's time to head to the toilet.

Other things help this along, including the gastrocolic reflex: Eating sends food to your stomach, and as your stomach stretches, hormones are released that signal the colon to squeeze and move things out, Dr. Pabla explains.

There's merit to maintaining a schedule.

"Pooping routinely makes way for more food for your body and decreases bloating, constipation and other GI symptoms that occur when you're retaining stool," Dr. Pabla says.

The good news is that if you want to include "have a BM" on your morning list of to-dos, there are ways you can train yourself to get there, says Amar Naik, MD, a gastroenterologist and director of the IBD Program at Loyola University Medical Center in Chicago.

1. Figure Out What's Already Working for You (or Not)

If you have no idea when you're really going, then — pro gastro tip — keep a stool diary. Yep, write down when and what you're eating, and when you're having a BM.

Monitoring yourself this way for a few weeks can help you connect the dots on how your lifestyle and habits play into regularity. You may also notice that a recent change in your diet (the amount of fruit or veggies you're eating, added fiber, eating only at certain times) has made your BMs go haywire.

2. Listen to the Urge

When you get the "gotta go" feeling, then go to the bathroom. It may sound simple, but with our busy lifestyles, it can be easy to ignore or delay your trip to the toilet — don't.

"Listening to the urge helps maintain a normal stooling pattern," Dr. Pabla says.

3. Give Yourself Time in the A.M.

This is one of the best things you can do. Because if you're rushing out the door, into the car or to a place where you don't feel comfortable having a BM, you might, in fact, ignore the urge to go.

Make it part of your morning routine and give yourself the time and space to go if your body needs to.

4. If You Don't Succeed, Try Again Tomorrow

Go to the bathroom and see if you can go. But don't sit there for a half hour on your phone — that can cause straining that can create problems.

"If you can't go, get up and do something else," Dr. Naik says.

5. Eat Breakfast

You might skip breakfast because you're not hungry in the morning, are following intermittent fasting and eating later or don't really love breakfast foods. But if you want to get onto a morning poop schedule, eating only helps because it triggers that gastrocolic reflex.

What you eat matters, too. "Higher-fat foods tend to activate colon contractions more than higher-protein and carbohydrate foods," Dr. Pabla says.

6. Maintain a Healthy Diet

This means drinking enough fluids and eating enough fiber, as both are components of healthy stools.

Aim for between 91 and 125 ounces of water a day (that's about 11 to 16 cups), per the Centers for Disease Control and Prevention (CDC). Water intake includes fluids and water-rich foods (like fruits and vegetables).

Also important is watching your fiber intake, especially if you're dealing with constipation. Adults ages 50 and younger should get between 25 and 38 grams a day, while older adults should get 21 to 30 grams, according to the Mayo Clinic. Good sources of fiber include fruits, veggies, beans and whole grains like barley and bulgur.

7. Know When to Call Your Doctor

Honestly, your bathroom habits are pretty cool — they give you a peek into what could be going on with your health. And your poop will send you some pretty crazy alarm signals when things are off.

Call your doctor for any presence of blood (every time, but especially if you have a family history of colon cancer) or drastic changes in your BMs. For example, now you have constipation when you were regular before, or you're experiencing a bout of diarrhea.

A few days of BMs gone haywire can be caused by stuff going on in your life, like stress, traveling, a change in diet, lack of sleep or an infection, Dr. Naik says, but if that change has lingered for two or three weeks, then you may need to be evaluated.

How to heal from an Anal Fissure or Hemorrhoids is a question you are likely looking for an answer to just like I was in 2011 when I had an anal fissure.

You will need to know how to soften your stools & how to avoid constipation during your home treatment.

The H-Fissures oil that I used will heal your anal fissure, but what about all of the pain you are going through every time you have a bowel movement?

The biggest problem that I had to deal with during the time I was trying to heal my fissure was trying to keep my stools soft so it would not hurt every time I had a painful bowel movement. From here on I am going to call a bowel movement a “Poop”.

In addition to the extreme pain I was in from a hard poop I would also see blood in my Poop. This was quite frightening to see, but you have to remember that whether you have an anal fissure or hemorrhoids, you have a condition at your anus that can bleed. A small amount of blood should not be cause for alarm, but if there is a lot of blood you need to see your doctor.

I knew at the time that if I was going to heal my anal fissure I had to avoid being constipated and I had to keep my Poop soft every day. I know this because if I had a hard Poop I would be in a lot of pain shortly after. Sometimes, the pain was so bad that I would just lie down and cry while I tried to get through the pain. 🙁

What I came up with to help avoid constipation and also keep my Poop soft (but not runny like diarrhea) was a combination of three ingredients.

Every day I would make a mixture of 32 ounces of water and a little bit of Metamucil & Miralax and then drink the mixture throughout the day. I drank this every day during the time I was healing my anal fissure. I eventually stopped drinking the mixture once my anal fissure was completely healed.


I made this video for you to show you how I made my water, Miralax and Metamucil mixture every day. I hope it helps you like it helped me. Please remember that this is my personal experience on what worked for me and you should consult a doctor first to make sure this will be safe for you to do as well. These ingredients are all over-the-counter products, but it is still a good idea to check with your doctor first.

It is important that you keep your Poop soft. Constipation is the other thing you must avoid. In case you do not know what constipation is, let me help you understand what causes constipation and how to relieve constipation.

Constipation is the term for when you have trouble going Poop or when your Poop is very hard and not easy to pass.

Constipation is the result of not having enough water in your stool. Other common causes include eating too much fast food (burgers & french fries), not enough fiber in your diet, taking medicine(s) that can cause constipation, and being fearful of having a painful bowel movement so that you end up holding back your Poop.

Here are some other natural ways to get rid of constipation fast at home:

1. Drink at 32-64 ounces of water every day….SO IMPORTANT!

2. Start using the Squatty Potty for proper toilet posture. Squatty Potty has solved the problem of how to get rid of constipation naturally. It is such a simple product, but probably the best way to relieve constipation fast.

By aligning your colon to the proper position when Pooping you will make it easier for your body have a smooth bowel movement and help to relieve some of the pain associated with anal fissures and hemorrhoids.

How to make a time out stool

3. Eat more fruits and vegetables.

4. Avoid eating foods like dairy products, reduce your portions of meat and stay away from processed foods.

5. Light exercise is very helpful. Try taking a walk several times per week.

I cannot stress enough the importance of sticking to a regular routine of drinking plenty of water and better eating habits. If you continue to make poor food choices you will continue to have problems healing your anal fissure or hemorrhoids.

I totally understand how difficult this can be. I’ve been there. You can get through this!!

The bowels cleanse recipe below is designed to safely detox and empty your bowels fast naturally at home. This drink is an enhanced version of our overnight toxin flush recipe, and it is ideal for cases where you need a safe instant colon cleanse, but only have one day.

As in all our body cleanse protocols, special consideration was given to safety, for the best natural colon cleanse you can safely do at home.

What to Expect

  • Drink before bedtime on an empty stomach.
  • Expect the next day to have a series of bowel movements with hard stool buildup, trapped gas and toxins being eliminated.
  • Most people feel a significant relief when the the hard stool buildup and toxins are being flushed out.

How To Clean Out Bowels : The Recipe

  1. Squeeze the juice of 1 organic lemon.
  2. Add 1 teaspoon of organic raw unfiltered apple cider vinegar.
  3. Mix both into 16 ounces of distilled water.
  4. Drink before bedtime with 4-8 capsules of oxy-powder on an empty stomach away from any foods or other supplements. Oxy-powder releases oxygen in the bowels to detoxify and loosen toxins, undigested food particles and waste buildup so they can be flushed out through normal bowel movements. This is done in a completely natural and gentle way, yet it has shown to be very potent.

If you have never taken oxy-powder before, start with 2 capsules and gradually increase if needed.

How Does The Bowel Cleanse Work?

The ingredients in the stomach cleanse drink work together in synergy to naturally detox and empty your bowels.

  • Apple cider vinegar.
    On its raw unfiltered unpasteurized form, apple cider vinegar has naturally occurring acids and good bacteria that can promote healthy digestion and gut health. Many people who drink apple cider vinegar water on an empty stomach report more bowel movements and better digestion.
  • Lemon juice.
    Lemon is well known for its cleansing and detoxification properties. Drinking lemon juice in water is a common practice used in many natural bowel and colon cleansing remedies.
  • Oxy-Powder.
    As its name suggests releases oxygen in the entire digestive tract and bowels to soften and loosen dry hard waste buildup so it can be flushed out naturally by the body through normal bowel movements.
    Overtime this waste buildup becomes drier and harder and sticks to the colon wall to a point the body can’t eliminate it through normal bowel movements. This is a common problem that causes many digestive issues such as bloating, gas and swollen large stomach. The released oxygen loosens this toxic stool waste buildup, so that the body can easily eliminate it.
  • Oxygen.
    Also known as one of nature’s most potent toxins cleanser, plays a key role in neutralizing and removing toxins from the body.

How to make a time out stool

After The Bowel Cleanse

Many people feel a sense of “great relief”. Feeling light, with many digestion issues such as constipation, bloating, body odor and gas greatly improved. What you do after the bowel cleanse can further enhance these benefits. This is where you may feel increased energy, higher clarity, a clearer skin complexion, and better mood.

For many people, the overnight bowels cleanse was the turning point and the first step on their journey to a better health.
Here are the top things you can easily do, so you get the most out of your cleanse:

  1. Eat healthy.
    Limit problematic foods such as dairy, wheat, gluten, processed foods and common allergens.
  2. Take probiotics.
    When you clean out your bowels, you get rid of accumulated waste buildup, undigested food particles and other toxins. This creates an ideal environment in your bowels that can encourage friendly probiotic growth, hence making probiotic supplements much more effective. For this reason, we highly recommend to leverage this and take probiotics for improved overall gut health.
    A good example of multi purpose probiotics to pair with the bowel cleanse is FloraTrex, which we use in many of our natural protocols.

Salt Water Flush Dangers

The idea behind the salt water flush recipe is simple.

  1. You drink water mixed with a large amount of salt on an empty stomach.
  2. The body can’t absorb such a large amount of salt in such a short time.
  3. The body is forced to make a bowel movement in order to get rid of the excess salt.

The saltwater flush is well known for its side effects and dangers. Most of the issues that people experience are directly related to the high amount of salt. Even if you use natural sea salt. For this reason, we do not recommend the salt water flush as we find it too risky.

Do you always go to the bathroom but take a lot of time to do the job? Have you ever experienced the situation that you have to poop fast because you are in a hurry for work or something? Whatever the reasons are, there are many ways to help you make yourself poop fast. Keep reading to learn more about it.

How to Make Yourself Poop Fast

There are a number of things you can try if you don’t know how to poop fast:

1. Change Your Position

That’s right. Changing your sitting position to a squatting position in the toilet will really help make you poop fast. You may not know this but sitting on the pot is not the ideal position for
pooping. When you sit on a toilet, your rectum will be in a kinked position that will exert p ressure on your rectal veins and anus, which could lead to bowel herniation, hemorrhoids and other illnesses. The best position to poop is to squat. Even when you’re on your sitting toilets, you need to adjust your position a bit by elevating your feet a bit to get into a squatting position. You can simply squat on a wastebasket or stool placed right before your toilet when having bowel movement.

2. Make Time for Bowel Movement

Select a time to have a bowel movement and stick to it. Regularity will make your body
understand that it’s time to have a bowel movement and you will be able to poop fast. You can schedule any time – in the morning after you wake up, after your afternoon meal or several times in a day. Going for a bowel movement at different times daily will confuse your body and make pooping difficult.

3. Try Olive Oil

If you don’t know how to make yourself poop fast, try olive oil. It works amazingly well to relieve constipation by stimulating your digestive system and getting things moving through your colon. Consume a tablespoon of olive oil on an empty stomach in the morning – you can also mix it with a bit of lemon juice for better effects.

4. Drink Coffee and Warm Beverages

Many runners believe that there is nothing better than a cup of coffee in the morning to get your bowel moving. You can try it as well because the caffeine helps stimulate a bowel movement. A cup of tea or warm water may also help widen the blood vessels in your digestive system to make it easier for you to poop.

5. Consume Molasses

Blackstrap molasses are quite beneficial for anyone suffering from chronic constipation, because have high levels of minerals, vitamins and magnesium that help you poop fast. Simply consuming a teaspoon of blackstrap molasses will help improve your digestion and prevent constipation. If you don’t like the taste of blackstrap molasses, you can add a teaspoon of molasses to a cup of warm water and drink like tea. Please note that the tea may not prove that effective though.

6. Let Prunes Help

How to make yourself poop fast? One of the very best cures for difficult pooping is prunes. You can also use prune juice for equal effects. The fruit has natural laxative effects on your body mainly because it’s rich in fiber and contains sorbitol as well. Sorbitol softens your stools for it has natural but hard to digest carbohydrate, which draw lots of water when passing by your intestines and add bulk to your stool. Drink a glass of prune juice (8oz.) in the morning and one at night to help you poop fast. Avoid drinking too much or it may cause gas.

7. Eat Yogurt

Healthy gut flora will ensure that you poop fast in the morning. It has become even more important today to maintain gut flora because you just cannot avoid processed sugars and foods altogether. Eating yogurt is one outstanding way to increase the number of good bacteria in your gut that promote healthy bowel movements. Simply eat a cup of yogurt with breakfast and try to eat it with snacks throughout the day for better effects.

8. Exercise and Move

Even if you try other remedies and spend your day sitting in front of your computer, you won’t get any good results. You need to exercise and move your body to ensure the stuff you eat moves through your intestines with ease. It is, therefore, important to make lifestyle changes to have a healthy digestive system. Exercising regularly will help you solve the question, “how to make yourself poop fast.” But be careful and keep in mind that it is not a good idea to exercise within an hour of eating big meals.

9. Add Fiber-Rich Foods into Diet

When you’re a victim of chronic constipation or you often find it difficult to poop, you need a long-term solution, which could be as simple as adding more fiber-rich foods to your diet. You usually need 25 g-30g of fiber every day to keep constipation at bay, and you can get enough fiber by consuming veggies, fruits, nuts, seeds and whole grains. Also, add bran, berries, plums, apples, broccoli, Brussels sprouts and cabbage to your diet.

10. Try Acupressure

The space between your anus and your genitals is called the perineum in pressure therapy. Massaging that point will help relax your muscles and make it easier for you to poop.

Can a basic butt bro like me master the fine art of crapping on command?

Shit, shower, shave: the three S’s of a successful grooming routine, but an elusive process to perfect. It takes a disciplined diet and schedule to become a same-time-every-day shitter. My own BM schedule is haphazard and borderline dangerous — too many times have I experienced the shame of the post-shower crap, ruining that fresh, clean feeling I’d just attained by bending over and blasting my ass with the shower stream.

So I wanted to know: Could a basic bathroom bro like me master the fine art of crapping on command? And what would it take to earn my brown belt?

Sarah Greenfield, a registered dietitian and coach in digestive health (who’s even given a TED Talk on poop), tells me that “getting your BMs on schedule requires you to be somewhat regimented, and you may need to do a couple things initially to get your body in the habit of pooping first thing in the morning.”

Are you ready, fellow compooptriats? Let’s get regular.

Step No. 2

Greenfield mentions some “catalysts” that can jumpstart your gastrointestinal tract for that first (of hopefully many more) 7 a.m. shits. It comes as no surprise that caffeine kicks off things. “Drink green tea in the morning,” she says. “Caffeine is a stimulant and can help get things moving.” Caffeine doesn’t necessarily aid in becoming more regular, but rather pushes that first poop through whether it’s ready or not, and primes your body into adapting to a morning poop routine.

After your first caffeine-induced poop, Greenfield says to “stop eating around 6 p.m. and continue to drink water throughout the day to avoid dehydration and constipation.” Poop hack: “If you tend to be more constipated, you can add a little aloe to it.”

At the end of the day, Greenfield suggests, take a serving of “psyllium husk or Calm (magnesium citrate) before going to bed.” This mixture of natural muscle relaxants and fiber “should help you get in the habit or train your body to poop when you wake up in the morning.” However, tread lightly, Greenfield warns. “Start slow and monitor how your body responds. Doing everything together could cause increased transit time,” and by that she means diarrhea.

The Daily Routine

Once you’ve got your catalysts, it’s time to settle into a routine. Not only “does [said routine] help things stay more regulated,” but it keeps your hormones balanced and “keeps things moving through the GI tract.”

First, she recommends doing some morning meditation. “This may sound silly, but when you wake up and extend your calm feeling, you’re getting in your parasympathetic nervous system, or your rest and digestion mode,” she says. “If you can keep it relaxed, this may help get things going.”

From there, stay active, stress-free and hydrated. Taylor Wolfram, a registered dietitian and nutritionist, details the steps to regulating your diet, both timing and food-wise: “Eating meals and snacks at consistent times can help bowel movements become more predictable, but it’s also important to eat a variety of plant-based foods including whole grains, beans, vegetables and fruits, to provide adequate fiber — plus drinking plenty of water throughout the day.”

These things “encourage ideal stool consistency, which make bowel movements easier no matter what time of day,” she says, which “might be more useful than trying to control when bowel movements happen.”

Wolfram adds that keeping your stress levels low is important, as stress can wreak havoc many people’s GI tract. Plus, “staying active helps encourage regular bowel movements. Some people, especially those who participate in endurance sports, find that exercise may induce the need to have a bowel movement.”

Greenfield agrees with this sentiment, telling me that a regular “workout routine can help create a more diverse microbiome, and thus, help with regularity.” In particular, she suggests “twisting yoga poses,” as they “can help stimulate your GI tract and get things moving.”

When You Get Thrown Off Your Cycle

Don’t be discouraged if life gets in the way of your regular poops. Travel, time zones and just eating different foods “can all be stressful on your system and change your poop schedule,” Greenfield says. If this happens, do your best to maintain your workouts, and “taking digestive enzymes daily is great when you’re traveling to stay regular. You can take them on a daily basis if you notice a difference in your digestion.”

“If you miss a meal,” she says, “you won’t be thrown off — just get back on your routine.”

Once you settle into a regimented pooping schedule, the chaos of daily life suddenly becomes a bit more manageable. But it takes focus and discipline. “Distractions, such as using a smartphone while on the toilet, could possibly lead to incomplete evacuation,” Wolfram says. “Focusing on the task at hand and being mindful about your body can go a long way.”

Quinn Myers

Quinn Myers is a staff writer at MEL. He reports on internet culture, technology, health, masculinity and the communities that flourish within.

How to make a time out stool

I’ll admit it… I like treating pooping problems. I know that grosses some people out, but it’s true. I think it’s because bowel problems really really impact people’s lives. I mean, pooping is a super basic human activity–so when it’s not working the way it should, it’s really awful.

I have recently had quite a few patients who are having difficulty evacuating their bowels. Now, there are multiple reasons why this could occur (I know, I’ve written about constipation a lot already, see here for evidence)–but today, we’re going to chat about one in particular, dyssynergic defecation or sphinctor dyssynergia.

What exactly is dyssynergic defecation?

Basically, your pelvic floor muscles work with your colon reflexively. When your colon is contracting to push the poop out, and you are sitting on the toilet ready to empty your bowels, the muscles should relax and open to allow this to occur. Sometimes, this relationship becomes dysfunctional, and basically, you think you are pushing and relaxing the sphinctor muscles, but instead, the muscles are contracting and closing the sphinctor. I know what you’re thinking– Jessica, I would know if I were actually contracting my muscles instead of relaxing them while I poop. But, no, you wouldn’t. In fact, many patients are shocked when I show them the actual coordination of their muscles.

How to make a time out stool

Typically, incoordination of the pelvic floor muscles is paired with poor coordination of the abdominal muscles, and often impaired sensation of the rectum. Dyssynergic Defecation is diagnosed typically by an anorectal examination, and anorectal manometry/defecography testing (like this, with an MRI, or by assessing muscle activity with EMG while the person attempts to expel a balloon, or other testing options)

Why does it happen?

Dyssynergic defecation is very common in people who have constipation. In fact, this review suggested that close to 40% of people with constipation have this incoordination pattern. There are several factors that can contribute to dyssynergic defecation. This review estimated that close to 30% of adults with dyssynergic defecation patterns had constipation as children, and found that 46% had frequent straining to empty hard stool. But there are other factors that can contribute as well, such as:

  • pregnancy
  • traumatic injury
  • low back pain
  • history of sexual abuse/trauma
  • poor behavioral habits related to bowel health
  • nothing (like many other things, we sometimes just don’t know why it happens)

What are the signs and symptoms?

As we discussed previously, dyssynergic defecation is extremely common amongst those struggling with constipation (typically meaning

2. Surface EMG Biofeedback training to improve muscle coordination: Biofeedback training uses surface electrodes placed at the anal sphinctor muscles and the abdominal muscles to identify the type of pattern a person uses to expel a bowel movement. Once we identify the pattern you currently use, we can work together to improve the pattern so that your sphinctor muscles relax when you generate abdominal pressure to empty your bowels. Seems pretty basic, right? But the right biofeedback training can make a HUGE difference–and the current research really supports this treatment for anyone with this problem. (See this article, this one, that one, and this one!)

3. Making sure your pelvic floor muscles are strong, FLEXIBLE, and well-coordinated. So, we’ve talked in detail about the pelvic floor muscles on this blog. Remember, we all want muscles that can contract AND relax. And, for dyssynergic defecation patterns, the relaxation component is extremely important! Often times, people who have difficulty relaxing their muscles to have a bowel movement tend to have tender, overactive pelvic floor muscles to begin with. So, treatment will also focus on improving awareness of the pelvic floor muscles, learning to relax the muscles (dropping and lengthening them), and often will include some manual therapy (yes, internal vaginal or rectal) to help reduce the tenderness and improve the mobility of the muscles.

4. Balloon retraining. People love hearing about this one… but it really is an awesome and effective treatment for so many men and women!! (Research supports it also– see here and here!) This treatment basically uses a small balloon that is attached to a catheter and is inserted into the rectum, and slowly inflated. Often times, people with dyssynergic defecation patterns have decreased sensitivity in the rectum, so they will not feel the presence of stool (or a balloon!) in the rectum when they typically should. Based on what we find initially, we can use the balloon to improve the sensation in the rectum. We can also use a slightly filled balloon to work on proper expelling techniques. I know what you’re thinking, Wow Jessica, this sounds like a super fun and awesome treatment. I know, but honestly, it’s very very helpful for people who need it!

Now, this just scratches the surface in terms of what all we pelvic PTs do to help with dyssynergic defecation. But, I wanted to get the conversation started! This tends to be a topic many people don’t talk about… in fact, I have had men and women travel SO far just to get the initial diagnosis! And, I need that to stop… hence this blog post today. Lastly, if you are having problems with constipation and think you may have this problem– Go see a GI/Colorectal Physician! Honestly, make an appointment today! And, contact your local pelvic PT. If you live in Atlanta or the surrounding area, give me a call! It’s time to get your bowels back in order (or even in order for the first time!).

I always look forward to hearing from you! So please, ask any questions or make any comments below!!

How to make a time out stool

Do you sometimes have a leak of poop spurt out when you fart?

If gooey poop leaks out only very occasionally when you pass gas, this is nothing to worry about and is probably one of the ways that the human body can be imperfect at times.

Nevertheless, it’s a real nuisance when you pass gas and can just feel some poop coming out with it, knowing that it’s on your underwear – and if anyone’s near you, they’ll be smelling it soon.

And what if the nearest bathroom isn’t near? What if you’re in your car on a highway?

If poop often comes out when you fart, it’s best that you keep some sterilized moist wipes and a few pairs of spare underwear in your car.

But on a more serious note…

Just what causes stool to leak out when someone passes gas?

“It could be a sign of a neurological disorder,” says Morton Tavel, MD, Clinical Professor Emeritus of Medicine, Indiana University School of Medicine, and author of “Health Tips, Myths and Tricks: A Physician’s Advice.”

Dr. Morton adds, “In general, however, it is more likely caused by loose or watery stools, i.e., diarrhea, and in that case, would be best dealt by determining the cause of the diarrhea and then rendering appropriate treatment.”

You’ll probably notice that when feces comes out with a fart, it’s of the consistency of watery diarrhea, “fecal juice” or just very mushy – rather than those hard pebble-like stools that you’ve certainly voided on a number of occasions.

There are many causes of long-term, very loose, mushy bowel movements such as irritable bowel syndrome, microscopic colitis and Crohn’s disease.

But what about neurological disorders causing fully-formed chunks of feces to pop out as you pass gas?

Some conditions can cause damage to the nerves that sense the presence of stool matter in the rectum.

There may also be impairment of the nerves that control the anal sphincter.

When the sensory nerves are damaged, you will not be able to sense when the rectum is full and/or when it’s time to pass gas, and/or you will not be able to hold it in before you can get to a toilet or to a private area to pass the gas.

By the time you realize that something was in your rectum and ready to be emptied or expelled, it’s too late.

The neurological conditions that can cause this include multiple sclerosis, stroke, spinal cord injury, childbirth or surgery (strain on the nerves), and frequent straining due to constipation. Diabetes can also damage the nerves.

In the absence of nerve problems, a healthy person may still suffer from passing poop when passing gas – simply because they just don’t void everything.

Make sure everything has been voided before you rise from the toilet and clean yourself.

If there’s still a little feces in there, and you’re up and about and suddenly need to let one rip, that last bit of stool could squirt out.

If this problem persists despite not having diarrhea, not having any known neurological disorders and staying on the toilet longer to make sure that voiding is complete – you should see a doctor to rule out any problems with the rectum such as prolapse.