‘Crap-e’ Diem! 5 Tips for AM Poo

What partially inspired this topic was an experience we had while in our dietetic internship (for those unfamiliar, to be a registered dietitian-nutritionist one has 4 years of medical training and then a year of paying, not paid, internship). Between our collective stress as a cohort and our lifestyle factors, which included adult beverages and dancing at bars on weekends, it’s no wonder that, while walking with a friend to meet with our program director, she had a grimace on her face. When asked what was wrong, she grouchily responded, “I haven’t had my morning poo”. We were flabbergasted. Though we were far from the Bridgerton-era of delicate sensibilities, no one talked about poo. Ever. She helped to change that, as her simple statement helped illustrate how integral a morning routine, with a healthy bowel movement, could be. Lest you ever find yourself grimacing because you too have not had a good morning poo, we’ve got you, boo.

Pooping is a common problem in the United States, affecting all ages and populations. About 16% of adults, and 33% of adults 60 and older have symptoms of constipation.

What are symptoms of constipation?

< 3 bowel movements per week

stools that are hard, small and difficult to pass

a feeling of having incomplete bowel movements

Who could be at risk for Constipation?

Pretty much everyone. But more specifically:

• Pregnant women and those who have recently given birth

• People who are not getting enough fiber

• Those taking certain supplements or medications (including iron supplements or diuretics, calcium channel blockers, depression, and pain medication)

• If you’re stressed you’re probably not going to be pooping very well

• Those with certain health conditions or gastrointestinal disorders (e.g. IBS)

Constipation can be a sign of a medical problem so you’re going to want to talk with your doctor or healthcare provider to rule more serious issues out.

5 Tips for a Good Morning Poo

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1. As a general principle, you want to ensure you are drinking enough water. This seems basic and so many people skip over this, but don’t. When the body isn’t properly hydrated, it draws water out of the colon, which results in hard, dry stools.

2. This goes along with #1; get enough fiber into your diet. Plant foods are a great way to achieve this; however, if you increase your fiber intake without getting enough water, you’re going to have more ‘plumbing’ issues. Adults should get at least 25 grams of fiber per day.

3. Move your body and get your bowels moving. Whether it’s a light morning jog, walk, or even jumping jacks, this could help move things along your digestive tract.

4. Hot beverages. The heat from tea, coffee, or hot water and lemon can help stimulate a bowel movement. The high levels of caffeine in coffee are known to stimulate the bowels. A word of caution, you don’t want to have to rely on this.

5. Squat it out. A toilet stool or Squatty Potty can put your body in a position to make elimination easier.

Remember, talk with your friendly registered dietitian-nutritionist to investigate the amounts and types of fiber in your diet as well as to plan more fiber-rich meals.

So try these tips and ‘Crap-e’ Diem everyday!

The Straight Poop on Stool

Everybody poos. Are we getting awkward yet? Fantastic. Yes, we each have our own bathroom habits and the information your unique #2 supplies can help you, and your healthcare practitioner, explore gut issues and even food sensitivities.

What is poo made of? Though some females claim it’s all glitter and unicorn smiles, nope; it’s the pretty much the same as our male counterparts. Stool is about 75% water with the remainder being a combination of fiber, live and dead bacteria, body cells, and mucus. Yay! (Bowel) Moving on…

Often times, our BMs (bowel movements) have established themselves in a certain way for most of our lives and we’ve never stopped to examine them. Have you ever wondered what is “normal” in terms of consistency and frequency? 

Next time, before you ‘flush and dash’, take a look….what is the shape, texture, and color? Does it float or sink?  Each of these factors can give insight into hydration, food sensitivities, digestive issues and more.

Oprah has her microphone, plumbers have plungers, fortune tellers have crystal balls, and dietitians..well we have the Bristol Stool Chart! Behold this amazing tool that can help you categorize your BMs and problem-solve to make them into everything you’ve ever dreamed your digestion could produce.

Disclaimer:  these poos are not real. No poo was harmed in the creation of this blog.

Poo Types
1: hard, rabbit-like pellets that are hard to expel
2: a contiguous piece but lumpy and still a bit hard
3: a smoother sausage-like poop with cracks
4: sausage or snake-like, smooth and soft
5: soft pieces, clearly separated
6: mushy stool, ragged edges, not well-defined
7: entirely liquid stool

I think mine was a ‘4’ – is that okay? Gold star for you, perfect pooper! In general, the goal is to stay within types 3-5.

Why is poo brown? When red blood cells break down, there’s a pigment called bilirubin which is made. The bacteria in the intestines transforms the combination of bilirubin, iron (from the red blood cells), and waste into a brown poo.

But what if my poo is red/yellow/green/tarry/mucus-y? Oh gosh, pull up a stool…er, chair…okay, bright red can be from a bleeding ulcer, hemorrhoids, or even eating beets. The first two are worth seeing a doctor about, the third is just a reminder of something you ate within the past few days and isn’t serious. Yellowish-green color can be caused by the green bile that combines with the waste products in the gut but move too quickly through the intestines to turn brown before making the exit. This color, which is typically involved in a malabsorption disorder (i.e. celiac disease), is associated with excess fat in the stool. The green color can also be caused by eating lots of leafy greens, food coloring, or iron supplements. Black tarry stools can indicate that there has been blood which, along its route in your intestines, dried up. This can signal internal bleeding and is worth a trip to the doctor.

Mucus can be clear or vary from white to yellow and looks a bit like jelly. Gawd, can this get any more gross? Yes, because even though mucus is normal to have in your gut to help move things along without much friction, sometimes this can get out-of-hand when there are ulcers or inflammation in the intestines. You may want to let your healthcare provider know if this is an issue for you.

How often should I go? Disturbingly enough, a pediatrician once asked a young dietitian-to-be how often she had a BM; the answer of “once every 3-4 days” was met with a response of “that’s normal, everyone is different.” Only later in her studies did the young one find that having 3-4 days worth of toxins in one’s gut is not normal nor healthy. This is why a dietitian worth her sea salt is going to ask you about not only what goes into your mouth, but what comes out the other end. Because we ❤ you and want you to feel amazing. To answer your question though – ‘normal’ will vary from 3x a week to 3x per day. Generally transit time from eating to expelling runs about 18-72 hours. 

Get a handle on what’s going on inside your guts by paying attention and talking with a healthcare professional about your digestive concerns.

Ready for more? Here’s Part Deuce: Stool Chart & Everyone’s Poop Questions 

Stay tuned! We have topics and problem-solving around diarrhea and constipation as well as tips on how to have the perfect poo!