Constipation is about more than just infrequent bowel movements. The formal definition is having fewer than three bowel movements per week, but this doesn't cover all forms of constipation.
A disconnect exists between the public's understanding of constipation and that of medical professionals, leading to low satisfaction rates and patients not recognizing their own symptoms.
Symptoms of constipation can include gas, bloating, distended belly, nausea, loss of appetite, crampy abdominal pain, and fatigue.
Diagnosing constipation involves proving that the person is retaining stool and backing up, which can be done through imaging tests like X-rays or CAT scans. Anorectal manometry is another test that measures pressures of the anal sphincter muscles and sensation in the rectum.
The important point is that this test is painless and done in privacy. It can be completely life-changing for those who need it. The test helps understand the functioning of the anal sphincter and pelvic floor muscles. It can reveal if there are issues with muscle function, which can affect the microbiome. Restoring muscle function is crucial, similar to rehabilitating a muscle injury.
Dr. Will Bulsiewicz explains two advanced tests for constipation: anorectal manometry and defecography, which are reserved for patients failing traditional therapy.
He emphasizes starting with diet and lifestyle changes, such as increasing whole plant foods and reducing ultra-processed foods, to improve constipation and overall bowel health.
Dr. Bulsiewicz discusses the unexpected benefits of the ZOE program on constipation, attributing it to the program's focus on improving gut health and the microbiome.
He clarifies the misconception that daily bowel movements mean no constipation, citing incomplete evacuations and overflow diarrhea as examples of hidden constipation symptoms.
The importance of consulting a doctor, focusing on diet first, and incorporating specific foods like kiwi fruit, prunes, figs, chia seeds, and flax seeds for constipation relief is highlighted.
Dr. Bulsiewicz stresses the need for medical tests if traditional methods fail, and emphasizes the importance of consulting a doctor for personalized treatment.
Dr. Will Bulsiewicz emphasizes the importance of empowering people and encourages listeners to consult their healthcare provider for assistance.
Jonathan Wolff expresses gratitude for the learning experience and recommends Zoe's personalized nutrition program for those interested in dealing with constipation or improving their health.
Listeners are invited to visit joinzoe.com/podcast for a 10% discount on Zoe's personalized nutrition program.