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Cracking the Colon Color Code

By Riva Preil

Recently, I had the opportunity to discuss the medical information that can be gleaned from one’s urine (refer to What Version is Your Urine? April 11, 2014). Today, I have a similar opportunity to do so regarding … bowel movements! Warning: If you are enjoying my blog while eating your lunch, or if you are about to do so, you might want to hold off until you have finished eating. Just thought you would appreciate that public service announcement.

That being said…stool is the body’s garbage. Waste products, dead blood cells, bile, gastrointestinal bacteria, and other non-absorbable items (remember that time that you accidentally swallowed that penny? Yep, that’s what I’m referring to) are excreted in one’s bowel movements. Stool is covered in a mucus sheath to help it slide out of the body. Those who don’t drink enough water may experience straining and discomfort while passing a bowel movement, because mucus production is dependent on adequate water intake (8 cups a day).

The color of one’s stool may provide valuable information regarding one’s health.

  • GREEN stool may indicate sensitivity to Anise oil, an ingredient found in some licorice candies. It may also indicate that stool is passing through the large intestine (aka colon) too rapidly for bile (which aids in the digestion of fats) to be fully broken down. This may also occur when one consumes large amounts of green leafy vegetables and/or artificial food colorings.
  • WHITE or clay colored stool may indicate a bile duct obstruction, perhaps by a gallstone, enlarged lymph node, or scarring of the bile duct. Other symptoms that accompany bile obstruction include abdominal pain, dark urine, and jaundice.
  • YELLOW stool that smells like sour eggs and appears greasy may indicate excessive amounts of fat in the stool. This is a common symptom of Celiac Disease, during which bile does not properly break down fat
  • BLACK stool could be a result of too much Pepto-Bismol, black licorice, or even beer. However, if the stool is black, sticky, and foul smelling, it may also be a result upper gastrointestinal tract bleeding. One should seek medical attention if they experience the aforementioned symptoms.
  • BRIGHT RED stool, as with black stool, may simply be the result of overconsumption of certain foods (ex. beets, cranberries, tomato juice, red gelatin, or Kool-Aid)…or it may indicate lower gastrointestinal tract bleeding. Once again, one should consult with their physician if they suspect anything “out of the ordinary.â€

For more information check out this article, “What Your Poop Is Trying to Tell You,” on Gizmodo!

—FAQ

Frequently Asked Questions

Pelvic Floor Disorders and Treatment

What is pelvic floor dysfunction and why does it happen?

Pelvic floor dysfunction is extremely common and occurs when the muscles, tissues, or nerves of the pelvic floor are weakened, tightened, or injured by trauma, chronic strain, or overuse. Pelvic floor disorders can result from traumatic injury such as a fall, from sporting activity, surgery, or childbirth. They can also happen from more chronic issues, such as infection or chronic inflammation such as endometriosis. Pelvic floor disorders can be a consequence of poor alignment or posture, overuse, or improper movement. The pelvic floor muscles surround the urethra, rectum, vagina and prostate; therefore, if there is a dysfunction in these muscles it can result in urinary, bowel, or sexual dysfunction in people of all ages.

Who should I see to get a proper diagnosis?

Many healthcare providers don’t assess – or don’t know how to assess – the pelvic floor muscles and nerves, so it’s important to get a proper diagnosis from a practitioner who specializes in pelvic floor dysfunction and pelvic pain. Too often patients tell us that they’ve been to 10 different doctors and healthcare providers and their symptoms have not improved, or have worsened. Find a specialist right away and get on the path to healing as quickly as possible.

Why do healthcare providers miss (or misdiagnose) pelvic floor dysfunction?

Long story short, the medical practice is divided into areas of the body: Urology. Orthopedics. Gynecology. But the body itself doesn’t have walls; every system interacts with everything else. Sometimes providers are so laser-focused on what they treat that they miss the whole picture. 

As more and more research emphasizes the importance of physical therapy as part of a complete treatment regimen, more and more physicians are learning how to recognize and treat pelvic floor disorder. In the meantime, if you’re not getting relief from your current treatment, make an appointment with a pelvic floor specialist to learn more.

How does pelvic floor dysfunction affect sex?

Pelvic floor muscles have a huge impact on sex. Muscles that are shortened or tight and are unable to elongate will not allow for good blood flow into the genitals. This can result in pain, weaker erections, diminished sensation, inability to orgasm, and even decreased lubrication. Pelvic floor PT can help with these issues by enhancing blood flow and improving muscle function. 

How can pelvic floor dysfunction cause bloating?

Pelvic floor dysfunction, a condition characterized by the inability to correctly relax and coordinate pelvic floor muscles, can significantly contribute to bloating due to its impact on gastrointestinal functions. When these muscles are not functioning properly, it can impact the ease of emptying and make it difficult for your body to pass stool and gas through the intestines. This obstruction leads to an accumulation of waste and gas in the gastrointestinal tract, causing bloating and abdominal discomfort.

Is it true there’s internal massage?

There can be. We do perform internal soft tissue mobilization of the pelvic muscles that are inside your pelvis and are accessible only through the vagina or rectum. We never do internal treatment without your consent and understanding.

What makes someone a pelvic floor PT vs a regular PT?

All pelvic PTs get additional training in pelvic floor internal treatment through continuing education and at our clinic. 

We pride ourselves on the level of training we provide, not just at the beginning but throughout the time our therapists spend at Beyond Basics. We know that learning is a life-long process.  We also provide additional training in physiology of the GI system and urinary system as well as sexual health and function and nutritional training. Most PT programs and schools do not provide the depth and breadth of knowledge that we provide all our PTs at Beyond Basics.

Get help now from a pelvic floor therapist.

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