Many people struggle with irregular or uncomfortable bowel habits, with up to 20% of Americans experiencing chronic constipation. A gastroenterologist, Dr. Trisha Pasricha, argues that overthinking your pooping routine is the problem—and that simply going when you feel the urge is the solution.
Why We Make Pooping Complicated
For years, people have adhered to self-imposed or social expectations about how often they should go. This creates unnecessary anxiety and can actually worsen digestive issues. The reality is that there’s a wide range of what’s considered healthy: from three times a day to three times a week. Your ideal frequency depends on diet, activity levels, stress, and even hormonal fluctuations.
The Biological Reality: Why Women Face Unique Challenges
Women often experience more digestive discomfort than men due to having more mast cells in their gut. Hormonal shifts during the menstrual cycle also play a role. Rising and falling progesterone levels affect stomach emptying speed, and prostaglandins (responsible for cramps) can stimulate gut contractions, leading to diarrhea at inconvenient times.
The “No Judgment” Approach
Pasricha’s advice is simple: stop judging yourself or your body when the urge strikes. Many people delay going out of social embarrassment, which can paradoxically make things worse. Holding it in can lead to harder, drier stool that’s more difficult to pass.
“If you ignore the urge, your colon may stop squeezing, and you’ll have to strain harder later.”
What to Do About It
The key takeaway is to listen to your body and go when needed. Don’t worry about whether it’s “the right time” or if your stool looks “normal.” If you’re concerned, take a photo and show your doctor, but avoid unnecessary self-scrutiny.
When to Seek Help
While most variations are normal, certain symptoms warrant medical attention:
- Red, maroon, or black stool (may indicate bleeding)
- Sudden, severe abdominal pain
- Bowel movements that wake you up at night
If any digestive issue interferes with your daily life, don’t hesitate to consult a physician.
Ultimately, healthy bowel habits aren’t about rigid schedules or self-criticism. They’re about responding to your body’s natural signals without shame or overthinking.
