Poo and You
We
all do it. For some, it’s a necessary inconvenience. For others, it’s a
pleasant and satisfying part of the digestive process. It has fascinated toddlers
since time immemorial, and there’s a reason for that, Going number two might
not be the prettiest topic for a dinner party, but there’s a lot to learn from
this mundane, yet mysterious, process. In the end (no pun intended), it’s
simply a part of our functioning body.
So, what exactly is poo?
Well, it’s mostly just undigested food, proteins,
bacteria, salts, and other substances that are produced and released by
intestines. Although everyone is unique in the size, shape, and smell of their
poop, there are a few things that indicate a healthy (or unhealthy) poo.
What is normal poo?
Healthy poo can be as varied and as unique as
the individuals who make it. But there are a few general rules to follow if you
want to assess your poo artistry for optimum health.
Colour
The poo emoji has one thing right — the brown
colouring. Bilirubin, which is a pigment compound formed from the breakdown of
red blood cells in the body, gets the credit for this oh-so-lovely shade of
brown.
Shape
A somewhat log like shape is how most poo
should come out due to its formation within the intestines. There are a
variation of shapes that poo can have, when they differentiate from the
log/sausage shape, that’s when your poo is trying to tell you something’s up.
Size
Poo shouldn’t come out in small pellets but
instead should be a couple inches in length, comfortable and easy to pass.
Consistency
Anywhere between a firm and soft consistency
is pretty much normal. If it sways one way or another, it could suggest some
digestion or fibre issues.
Length of time (how long it takes)
A commonly heard joke is that when someone
takes too long in the bathroom, it must mean they’re pooing. A healthy poo,
however, should be easy to pass and take only a minute to push out.
That said, some people do spend a bit more
time on the toilet, so as a general rule, a poo should take no more than 10 to
15 minutes.
Frequency (how often)
Fun fact: Did you know most people poo around
the same time every day?
On average, a person with healthy digestion,
will poo anywhere between every other day to three times a day. Any less could
suggest possible constipation. This means you need some more water to move the
“boat.”
What is the Bristol Stool Scale?
This scale is an overarching indicator of how
and why different types of poops look or feel a certain way. It’s broken up
into seven categories based on a 2,000-person study, and it makes poop
knowledge basic and easy to understand.
Type 1
Appearance: Hard and separate little lumps
that look like nuts and are hard to pass
Indicates: These little pellets typically mean
you’re constipated. It shouldn’t happen frequently.
Type 2
Appearance: Log-shaped but lumpy
Indicates: Here we have another sign of
constipation that, again, shouldn’t happen frequently.
Type 3
Appearance: Log-shaped with some cracks on the
surface
Indicates: This is the gold standard of poop,
especially if it’s somewhat soft and easy to pass.
Type 4
Appearance: Smooth and snake-like
Indicates: Doctors also consider this a normal
poop that should happen every one to three days.
Type 5
Appearance: These are small, like the first
ones, but soft and easy to pass. The blobs also have clear cut edges.
Indicates: This type of poop means you are
lacking fibre and should find ways to add some to your diet through cereal or
vegetables.
Type 6
Appearance: Fluffy and mushy with ragged
edges.
Indicates: This too-soft consistency could be
a sign of mild diarrhoea. Try drinking more water and fruit juice to help
improve this.
Type 7
Appearance: Completely watery with no solid
pieces.
Indicates: In other words, you’ve got the
runs, or diarrhoea. This means your stool moved through your bowels very
quickly and didn’t form into a healthy poop.
What does a person’s poo colour mean?
As with size and consistency, poo’s colour can
be a helpful signal about what’s going on within your body. As we previously
mentioned, varying shades of brown are what’s considered the norm.
According
to Mayo Clinic, even a hint of green is considered healthy. But if your poo is
veering toward other ends of the rainbow, you might want to assess.
Black
If you’ve had liquorice, iron supplements, or
bismuth medications (such as Gaviscon) that could be the explanation behind
black stool. If you haven’t had any of that, black poo could be a sign of
bleeding in the upper gastrointestinal tract.
It may seem like red would be a more likely
colour for this sort of concern, but since it’s taken a while to travel down,
it’s older and therefore darker.
Green
Like we mentioned, hints of green are actually
quite normal. But when it’s pretty much turned from brown to full green, it
means one of two things. Either you’ve added lots of green foods like spinach
to your diet, or your stools passing through you too fast. When it doesn’t pick
up as much of the brown-tinting Bilirubin, it has more bile salts that turn it
this colour.
Pale, white,
or clay-colour
If your poo is a chalky light shade, it
probably means you’re lacking bile. Bile is a digestive fluid that comes from
your liver and gallbladder, so if you’re producing white stool, it probably
means your duct is blocked.
Pale poo could also be a side-effect of
certain medications like anti-diarrhoea medicine. Either way, if it continues,
you should probably consult a doctor.
Red
You’re probably not surprised to hear that red
poop can mean bleeding, either due to haemorrhoids or to bleeding in the lower
intestinal tract. If your stool is red, though, there’s no need to immediately
fret.
There are other less-serious reasons for the
change in colour. Foods like beets, cranberries, red gelatine, or tomato juice
can turn poo red as well.
Yellow
Greasy, stinky, yellow stool is typically a
sign of too much fat. This could also be a direct relation to a malabsorption
disorder like celiac disease, where your body isn’t absorbing enough nutrients.
What does it mean when your poop floats?
Every now and again, when you take a look in the
toilet bowl, you’ll see poo bobbing like a toy boat in the bathtub. As alarming
as this seems, all it means is that the stool is less dense than the others
that sink.
One potential reason for this lack of density
can come from an increased amount of gas or water.
It’s also possible that malabsorption is, once
again, the reason for a floating turd. If this is the case, the other
abnormalities previously mentioned, like slight constipation, would also be
present.
What does constipation mean?
It may seem like you already have a good grasp
on what constipation is, but according to the Mayo Clinic, constipation is defined
as having less than three bowel movements per week.
There could be many reasons you experience
this lack of pooing. Blockages or nerve issues in and around the colon or
rectum may slow down pooping, as can problems with pelvic muscles. Conditions
that affect hormones, like pregnancy or diabetes, could also be the culprit.
If you’re experiencing this clogged-up feeling,
you can add more high-fibre foods to your diet like beans, vegetables, fruits,
and whole grains. Drinking lots of fluids, staying active and managing stress
can also all help to alleviate constipation.
When should you see a doctor?
If any less-urgent, abnormal pooping habits
carry on for more than a couple days, you should talk to a healthcare
professional. A green poo here or hard poo there happens to the best of us.
It’s when this type of irregularity carries on
for more than a day or two that you should take action and talk to a doctor.
The same goes for changes that are less concerning. like changes in colour or
consistency, or constipation.
Most seriously, chronic constipation can
obstruct the bowels, while chronic diarrhoea can make it difficult for a person
to absorb necessary nutrients from food. Both chronic constipation and chronic
diarrhoea could even be a sign for more serious conditions.
Again, the first sign of either of these
should not be immediate cause for concern, but keep an eye on it and see if it
lasts more than a few days.
That said, pay attention to any signs of
blood. If you haven’t eaten any of the foods, described above, that could
possibly turn your poop this colour, you should see a doctor immediately.
As quick as we are to write it off, our poo
can provide a wealth of knowledge about our health and ourselves. So next time
you pop a squat, take note of what’s going on. The toilet bowl is a window into
your health and you.






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