Constipation – the uncomfortable truth

Bowel habits are a crucial indicator of a person’s overall well-being. They can become disturbed when a person is out of their natural environment. In the hospital setting, several factors influence patients’ bowel movements, including changes in diet and fluid intake, reduced mobility, certain medications, psychological stress, and disruptions to their everyday routine.

The Bristol Stool Chart is a clinical assessment tool (used in hospitals and clinics) that was made in 1997. There are 7 types of stools (poop) according to the chart. The type depends on how long it is spent in your colon. What you see in the toilet reflects your diet, fluid intake, medication and lifestyle. We’re all a little different, but the goal is to have stools that are soft, easy to pass and regular like type 3 or 4 on the chart.

  • Type 1-2 indicate constipation,
  • Type 3-4 are ideal stools as they are easier to pass
  • Type 5-7 may indicate diarrhoea and urgency

We often hear the term “being regular”, but what does it really mean when it comes to gut health? A healthy bowel doesn’t mean you have to go every day. It’s totally normal to have a bowel movement:

  • Anywhere from 3 times a day to 3 times a week
  • As long as it’s comfortable, well-formed, and easy to pass
  • So, being “regular” is more about how you go than how often.

Signs of a good bowel function in adults:

  • You can hold it for a little while after feeling the urge 
  • Once you sit down, you’re able to go within about a minute
  • You don’t need to strain and the stool isn’t hard or dry
  • You feel fully empty after, no need to go again right away 

What about kiddies?

Children are often trained by around 3 years old but of course occasional accidents can happen. Why do kiddies soil? It’s actually usually linked to constipation. If poo builds up in the bowel, it can “stretch” the bowel and reduce the urge to go. Soft or runny stools can leak out around hard stools and you might see “skid marks” or full accidents, even if it seems like the child isn’t constipated. And please know, this is more common than you think. If this continues, it’s a good idea to chat to your local paediatrician or dietitian. They can help identify whether hydration, fibre intake or emotional factors may be playing a role.

Sources:

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