Bowel Movements Conversations are Embarrassing, But You’ve Got To Do It
Yesterday I was visiting a friend who has two young children, one of whom is a toddler that’s still in nappies. We were happily playing with some blocks when he got up and started running around saying “poo poo poo poo” over and over again. No embarrassment, no concern. And it didn’t concern the rest of us either. Toddlers need a lot of help in that area and it’s something that is considered perfectly okay to talk about.
But as we get older, things start to change. Young children are rather fascinated by poo and will happily tell you about the big one they produced after going to the toilet. But slowly that fascination ends (for most people) and they stop telling everyone that’s what they did. Even more so with girls, who are meant to smell nice and not have ‘nasty’ habits.
One of the defining characteristics of IBS is bowel movements. Some people mostly experience constipation, some people mostly experience diarrhea, some people routinely switch back and forth between the two, and some people have no regular pattern and have very random bowel movements.
Unfortunately, many of us don’t quite know what is normal and what isn’t. And that’s where the real problem lies. If you don’t realize that what you’re experiencing isn’t normal, you don’t seek help. But since we stop talking about toilet habits as we get older, we stop understanding what’s normal and what isn’t.
What is a normal bowel movement?
A ‘perfect’ bowel movement, according to the Bristol Stool Scale, is sausage-like and smooth, and is soft to pass. But most people won’t have bowel movements like that every single day. It’s also okay to have a sausage-like poo that isn’t quite so smooth and has some cracks on the surface, so long as it’s still easy to pass. And on the other side, it’s also okay to pass smaller soft blobs that are still distinct pieces, rather than being a long sausage, so long as it’s not mush.
If your bowel movement goes on either side of this, then it’s considered ‘abnormal’ and could indicate a problem. For instance, if it’s really lumpy and hard to pass, that’s constipation. On the other side, if it’s very mushy or watery, then that’s diarrhea.
What does an ‘abnormal’ bowel movement mean?
Experiencing constipation or diarrhea occasionally isn’t a concern because bowel movements do change from day to day based on what you eat, how much fluid you drink and how healthy your body is. But if you constantly experience constipation or diarrhea, or if your bowel movements regularly switch between them and are rarely in the ‘normal’ category, then it’s time to talk to a doctor.
Abnormal bowel habits don’t always mean you have IBS and can sometimes indicate other more serious conditions, so please don’t self-diagnose. Instead, feel confident talking to your doctor and other health professionals about it. Tell them what’s going on. They’re trained to listen to this, even if everyone else prefers not to talk about it. And even if you’re not sure if what you’re experiencing is normal, that’s fine too. Start the conversation by asking “is this normal?” and then telling them what’s going on. It might feel a little embarrassing at first, but it’s the only way you’ll get answers.
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