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Secret Weapon Against Constipation
Photo: Stocksy/ Raymond Forbes LLC
Gabrielle Kassel of the website Well + Good reached out to me for some tips on avoiding constipation and alleviating its symptoms when it does occur. In short, we discussed how your pelvic floor can be a secret weapon against constipation. Here is a brief synopsis of the article along with a link to the full article below.

Heather Jeffcoat, DPT

Looking for a Secret Weapon Against Constipation?

Look to Your Pelvic Floor.

Constipation can be physically uncomfortable, but it can also be downright frustrating. Whether factors like dietary habits, dehydration, or stress trigger your constipation, it can be tempting to fight it by forcing a bowel movement. Straining, however, isn't a great idea. It's not super effective, and it can increase your risk of anal fissures and prolapse.

Instead, a key to relieving constipation might actually involve relaxing your pelvic floor.

For the uninitiated, your pelvic floor is a hammock-like group of muscles resting in your pelvis that support your organs and control how and when you go to the restroom, according to the Mayo Clinic. Your pelvic floor muscles need to relax and release to expel poop, says Heather Jeffcoat, DPT, a pelvic floor therapist and Femina PT. Relaxation allows the anal sphincter muscle to open, so you're able to have a bowel movement.

Yes, straining and squeezing the muscles you use for the bathroom (like the sphincter, lower diaphragm, and core) can sometimes help get things moving, but it can also make you tighten your muscles, which in turn makes it harder to pass stool, Dr. Jeffcoat says. So, to help you relax your pelvic floor, Dr. Jeffcoat offers the following suggestions:

1. Practice deep breathing before, during, and after

Deep breathing is one of the primary exercises Dr. Jeffcoat recommends if you're sitting on the toilet with no luck. To start: Inhale slowly and feel your rib cage expand, then gently exhale, Dr. Jeffcoat says.

Repeat this a few times; with each breath, think about inhaling all the way down into your pelvic floor. Both your diaphragm and your pelvic floor should drop and lengthen as you inhale."

Dr. Jeffcoat recommends you start doing this before you're in the bathroom; stage fright is a real thing. Continue breathing when you're in the bathroom, but she adds that if you don't go within 5 minutes, it's a good idea to try again later.

2. Try not to sit on the toilet for too long

It can be upsetting when time passes, and you're just not going. Instead of sitting there, grab some water, eat fiber-rich food, and try gentle movement like walking before attempting to go again. If you're dealing with frequent consipation, Dr. Jeffocat recommends meeting with a nutritionist or dietician to find a diet that alleviates your symptoms.

For more tips on how your pelvic floor is your secret weapon against constipation, click here to continue to the full article.

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What Our Patients Have to Say

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Testimonial by R.M., Age 40

I can’t speak highly enough of the theapists at Femina Physical Therapy and how much they have helped me grow, discover, and love my body. I had had painful sex for my entire life, and didn’t know that there was anything that could be done about it. It was at the point where my husband and I were not having sex for MONTHs, because it was just too frustrating, and I hated feeling like I was the ONLY woman out there who had this problem, especially at my age. I finally brought it up to my doctor because I was turning 40 and my husband and I were barely having enough sex to conceive. And she brought up pelvic floor, PT. I didn’t even know this was a “thing”.

Read more: Testimonial by R.M., Age 40

Testimonial by Fritzette H.

I went to Heather after the birth of my third child. It was lucky, really, that I was referred to her, because my doctor had referred me to a surgeon for a possible hysterectomy or pelvic wall rebuild. Thankfully, I went to Heather before undergoing either surgery, she was able to fix the problem. She has studied extensively in women's health--even written a book about it--and was able to diagnose my problem, suggest a course of treatment (6 weeks), and then follow through with said treatment. By the end, as she said, I was as good as gold. Boy, was it worth it! Though uncomfortable to talk about, much less write about, it is worth getting the word out there. If you have painful intercourse, especially after birth or other trauma, the treatment may be as simple as Physical Therapy (with Heather, of course). I highly recommend her.

-- Fritzette H., 3/24/16 via Yelp!

Testimonial by Julie T.

Femina PT (née Fusion Wellness & Physical Therapy) has honestly changed my life. Before receiving treatment at Femina, I was going doctor to doctor to try and find the answer to my pelvic pain. It has taken me YEARS to find someone that can help fix this. It wasn't until my gynecologist recommended your clinic that I finally felt relief. My pelvic pain is almost gone, and granted I still have a lot more to work on with Laureen (my PT), my original problem is nearly cured. I am so grateful to her.

What is even better is she gave me practical exercises to do at home that were not tedious and provided instant (and lasting) relief. Although I mainly work with Laureen, my interaction with the owner (Heather) has been great. She is very generous, kind, and committed to her business.

It hurts to know there are women out there suffering who will never know or have the opportunity to work with women like Laureen and Heather because this issue is hardly talked about and this field is so rare. I hope more doctors and physical therapists see the value in this work and can relieve more woman of their pain.

-- Julie T., 12/4/16 via Yelp!

Testimonial by Amanda W.

Heather's unique physical therapy program literally changed my life! After years of struggling with vaginismus, a condition that made it impossible for me to have intercourse and very difficult to use tampons without pain, a gynecologist referred me to Heather. I was nervous for my first appointment, but Heather's professional and friendly demeanor put me at ease. She did a great job explaining each technique she was using to help my muscles relax. Heather uses a combination of internal and external stretches and exercises to relax the pelvic floor and build muscle strength. Her specially developed home program helped me quickly recover from an issue that seemed insurmountable before meeting Heather. She was optimistic about my progress and incredibly encouraging. Less than 6 months after my first session, I was able to have pain-free sex for the first time in my life! If you are suffering from vaginismus or any other pelvic floor issues, I highly recommend making an appointment with Heather and reading her book!

-- Amanda W., 2/15/16 via Yelp!

Testimonial by R.D., age 38

"I had a severe tear during childbirth that was not stitched together correctly and therefore healed poorly. Even after having a surgery a year later to remove the scar tissue, I was still having pain, and no one could explain why -- there was no overt 'reason' to explain the pain. I had tried other 'specialists' and even saw another physical therapist who had me do hip / leg stretches -- what a joke! I was about to give up and just 'live with it' until thankfully I kept searching online and found Heather.

Read more: Testimonial by R.D., age 38

Testimonial by R.M., Age 40

I can’t speak highly enough of the theapists at Femina Physical Therapy and how much they have helped me grow, discover, and love my body. I had had painful sex for my entire life, and didn’t know that there was anything that could be done about it. It was at the point where my husband and I were not having sex for MONTHs, because it was just too frustrating, and I hated feeling like I was the ONLY woman out there who had this problem, especially at my age. I finally brought it up to my doctor because I was turning 40 and my husband and I were barely having enough sex to conceive. And she brought up pelvic floor, PT. I didn’t even know this was a “thing”.

Read more: Testimonial by R.M., Age 40

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