Regularity
is defined as the easy passage (without straining) of well formed
stools (neither too hard, not too soft) occurring at least once every
two to three days without the use of assistive devices (such as laxatives).
One movement of well formed stool a day may be considered the optimum.
A well formed stool is soft and flexible.
It has good volume and weight, measuring about one and a half inches
in diameter and about four to seven inches in length. Well formed
stools make a clean exit from the body and hold their shape. Color
varies from light to dark brown and may appear slightly green with
the digestion of some foods. Particles of insoluble fiber (such as
corn)
are sometimes apparent.
Dietary fiber, fluids, muscular activity,
healthy intestinal bacteria, a healthy colon lining and speedy stool
transit time are important components of regularity. These elements
work in concert to produce well formed stools. A prompt response to
the defecation reflex ensures this outcome.
Just prior to elimination, muscular
activity in the colon pushes feces down into the flexible rectal sack
which expands to accommodate the stools. Nerve endings, stimulated
by the expansion, activate the defecation reflex indicating to the
body that it is time to move the bowel. However, if stools are with
held, they remain in the expanded sack becoming dried out and hard
keeping the rectal sack expandedstretched out. Over time, if
stools are repeatedly with held, the rectal sack can loose its ability
to spring back to normal size and loose the sensitivity to activate
the defecation reflex. The result
is an enlarged rectal sack which can lead
to problems with chronic constipation. Long term neglect of the defecation
reflex can cause it to fail to function. This can lead
to impaction.
To maintain the responsiveness of the
reflex, and to maintain the shape of the rectal sack, it is important
to move the bowels as soon as possible once the reflex has been activated,
and, to avoid with holding stools. The reflex is activated whenever
stools are made ready by the body for elimination. It is most commonly
stimulated about thirty to forty-five minutes after eating. This is
due to activity that is generated in the gastrointestinal tract when
food enters the stomach. It also commonly occurs about thirty minutes
after rising from bed in the morning, or after a few minutes of light
exercise such as walking.
Because individual bowel function is
unique, the frequency of moving the bowels varies from individual
to individual. Some individuals will move their bowels every day,
even several times a day, while others will move their bowels once
every two to three days. This is normal. |
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Frequency
of moving the bowels can change over time. There are a number of factors
that can affect the frequency of bowel movements and influence stool
formation:
- Diet: Low dietary fiber intake,
intake of highly refined, instant or fast foods, a
diet high in animal products such as meat, cheese, and eggs.
- Fluids: Inadequate fluid intake,
use of diuretic medications, dehydration.
- Activity: Lack of daily exercise,
prolonged bed rest, or confinement to bed during recovery.
- Stool Withholding: With holding
stools by ignoring the defecation reflex.
- Medications: Some prescription
Medications, some over the counter medications and some health
supplements.
- Lifestyle and Life Choices: Pregnancy,
stress, emotional upset, anxiety, fear, nervousness, travel, smoking,
& alcohol.
- Disease & Illness: In addition
to diseases of the gastro intestinal tract, the presence of, or
treatment for, many other chronic illnesses can affect the G.I.
Tract.
- Aging: Many organs, including
the G.I. tract, slow down due to the aging process.
Loosely
formed stools, watery stools (diarrhea), pencil thin stools, pellet
like stools, sandy stools, dense-putty-like stools, dry or hard stools
(constipation), an inability to move the bowel with out bowel interventions
(such as a laxative, enema, suppository, or digital stimulation) are
some indicators that stools are not being properly formed.
Fruit-Eze pure fruit regularity
blend can help you to achieve and maintain regularity, avoid constipation,
and constipation leading to impaction.
Fruit-Eze fruit blend does not
interfere with medications and, unlike laxatives, it does not require
additional fluid intake. Because it is portable, it is convenient
to take with you wherever you go.
Article
by Carole Engel
Director of Outreach,
© 2003, Fruit-Eze, Inc.
Reviewed by Dr. David Taylor, G.I.
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