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Are we supposed to push when we poop?

Published in Digestive Health 2 mins read

Generally, you shouldn't need to push forcefully when you poop. While some straining is normal occasionally, consistent and excessive pushing can lead to health problems.

Here's a breakdown:

  • Occasional Straining: Everyone experiences some straining from time to time, which is typically not a cause for concern. This can happen due to diet or temporary changes in bowel habits.

  • Chronic Straining is Problematic: Regularly straining during bowel movements is not healthy and can indicate underlying issues.

Why is Excessive Pushing Bad?

Excessive pushing can lead to several complications:

  • Hemorrhoids: Increased pressure on the veins in the rectum and anus can cause them to swell, leading to painful hemorrhoids.
  • Anal Fissures: Forceful pushing can tear the lining of the anus, resulting in anal fissures, which are small cuts that can cause pain and bleeding.
  • Rectal Prolapse: In severe cases, excessive straining can weaken the muscles supporting the rectum, causing it to prolapse (protrude) from the anus.
  • Other Complications: Other issues like diverticulosis can be exacerbated by straining.

What To Do Instead of Pushing?

Instead of pushing, focus on these techniques:

  1. Relax: Try to relax your anal sphincter muscles.
  2. Proper Posture: Consider using a squatting stool to elevate your feet, which can help relax the puborectalis muscle and straighten the anorectal angle, making it easier to pass stool.
  3. Take your Time: Don't rush the process.
  4. Breathe Deeply: Deep breathing can help relax your body and facilitate bowel movements.
  5. Address Underlying Issues: If you are consistently struggling with constipation, address the underlying cause.

Preventing Constipation and Straining:

  • Fiber-Rich Diet: Increase your intake of fiber-rich foods like fruits, vegetables, and whole grains. Fiber adds bulk to the stool and makes it easier to pass.
  • Hydration: Drink plenty of water to keep your stool soft and prevent constipation.
  • Regular Exercise: Physical activity helps stimulate bowel movements.
  • Don't Ignore the Urge: Go to the bathroom when you feel the urge to defecate. Ignoring the urge can lead to constipation.
  • Consider a Stool Softener: If dietary changes aren't enough, talk to your doctor about using a stool softener.

In summary, while occasional, mild straining is generally harmless, consistently pushing forcefully during bowel movements is not recommended and can lead to various health problems. Focus on maintaining a healthy diet, staying hydrated, and adopting a relaxed posture to facilitate easier bowel movements. If you experience chronic constipation or pain, consult with a healthcare professional.