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Do we need to number two daily? Serious poos-perts weight in

Yes, while everyone number twos, the question of frequency is an adult discussion we should have. One without giggling. Poo. Lol.

 

 

Let’s have an adult conversation. Going to boom-boom every day is not a constant thing. Sometimes you have to go more than once, some days not at all. While everyone poops, is there a basic daily minimum we have to meet?

We asked five experts if we have to, you know, every day. Spoiler alert, they all said no. Flush our your assumptions, as here’s why.

Christopher Hair, Gastroenterologist

The human body is complex, which helps to explain why so many “normal” functions differ between people, including sleep, urination, and defecation. What is perceived as normal for many, is out of normal for others. Pooping is one such example of this range. What is normal is well defined yet broad. In many studies into normal ‘healthy’ defecation, normal pooping ranges from three times per day to three times per week. Less than 40% of healthy people poop once a day.

Pooping out of the normal for an individual might signify illness such as infection (pooping more) or cancer (pooping blood). Sometimes not pooping at all might indicate illness, such as a metabolic condition.

Damien Belobrajdic, Research Scientist

Opening your bowels every day is not essential for the proper functioning of your digestive system. However, long periods without bowel movements (fewer than three stools per week) can cause a number of complications such as haemorrhoids, anal fissures, or faecal impaction. Constipation can be caused by many factors, including a range of medical conditions, some medications (such as opioids, some antacids), nutritional supplements (such as iron) and of course, a diet low in fibre.

The best way to promote optimal digestive health and regular bowel motions is to drink plenty of water and consume high fibre foods at every meal. This can be achieved through a varied diet including wholegrain breads and cereals, legumes, nuts and seeds, vegetables, and fresh fruits.

Dan Worthley, Gastroenterologist

In a recent large study of 4,775 people reporting “normal” bowel patterns, it was found that about 95% of people move their bowels between three and 21 times weekly. So between three times a day and three times a week is what I like to call the “Goldilocks zone for pooping.”

But just as important as frequency, is form. To describe our stool consistency, we use the Bristol Stool Form Scale which uses a seven-point scale ranging from Type 1 “separate hard lumps, like nuts” to Type 7 “watery no solid pieces.” Type 4 (“Like a sausage or snake, smooth and soft”) is the Nirvana of all bowel actions, but 50% of normal patients report some variation from this.

Jakob Begun, Gastroenterologist

Stool is the end product of our gut metabolizing our food, and it consists of non-absorbed material, microbes and water. Each week the average person produces between 500 and 1,100 grams of stool. The frequency of defecation is governed by many factors including diet, the intrinsic motor activity of the gut, the rectal capacity, behavioral factors, as well as the gut microbiome. Studies have generally confirmed the “three and three” rule—that normal bowel frequency varies between three times a day, and once every three days.

When assessing whether people have constipation there’s an emphasis on symptoms in addition to stool frequency. So a person who moves their bowels less often than once a day, but does not have any discomfort, straining, or other symptoms, is normal.

Vincent Ho, Gastroenterologist

Studies in the UK and Sweden found almost all patients had a frequency of bowel motions between three times per week and three times per day. So this is thought to be the normal range for how often you should go to the toilet. Experiencing temporary changes in bowel frequency or consistency is normal. Many non-disease factors are known to affect the frequency of bowel motions including fluid intake, physical activity, diet, age, and social factors such as embarrassment in going to the toilet at work.

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