28/05/2026
Ok. It’s time to talk about p**p 💩
I had quite a few conversations this week about how important it is for good pelvic function, to not be constipated.
If we imagine the pelvis like a bowl, the main contents of that bowl for women are the bladder and urethra, uterus and ovaries and the re**um and a**s, supported by muscles, ligaments and fascia. They’re all jostling around in there for space. If you get constipated, space in the pelvis gets taken up by hard, lumpy 💩 (types 1-3 on the Bristol stool chart). If you are prone to any type of urinary incontinence (stress or urgency), or you have a prolapse, constipation is going to exacerbate those symptoms.
So. What to do? You’re always aiming for a number 4 💩. If this is tricky you can:
🥝Make sure your fibre intake is adequate (25g daily is the RDI for women, it’s actually A LOT!).
💦Make sure your fluid intake is adequate (if drinking water is hard, remember that food can also be a source of fluid, so consider lovely soups, stews, congee, porridges etc to increase both fluid and fibre).
💃 move well and often (walking is fab).
💊 consider probiotics and probiotic rich foods.
💆🏻♀️ Chill out. 💩only makes an appearance if you’re in rest and digest mode. If you are constantly in sympathetic drive (think fight or flight), your body is not actively sending signals to your digestive system to “digest”, it’s diverting resources elsewhere.
Seek help if you’re unsure. Nurses really care about 💩! Probably more than any other profession (apart from plumbers I guess 🤷🏻♀️), so feel free to book a pelvic health consult with me if you want help with your bits (link to book is in my bio).
When I’m not in the clinic, I make art ( ). I painted this Bristol stool chart for my beautiful peeps so 💩isn’t scary or boring for little people who are struggling. Now perhaps we need one for
