Risks of Holding in Bowel Movements

Jun 14, 2025

Overview

This lecture discusses the risks and health effects of regularly holding in bowel movements, the process of digestion, and strategies for managing bathroom needs.

Digestion and Bowel Movements

  • Digestion starts in the stomach, where food is broken down.
  • Nutrients are absorbed in the small intestine; remaining waste moves to the large intestine.
  • The large intestine absorbs water, forming stool which moves to the rectum.
  • The rectum sends signals to the brain when it is time to defecate.

Risks of Holding in Poop

  • Occasionally holding in poop is generally harmless, but making it a habit can be risky.
  • Regularly ignoring the urge can cause constipation, making stool hard and difficult to pass.
  • Severe constipation can lead to impaction, where stool gets stuck and may need medical help.
  • Passing hard stool can strain the body and lead to painful external hemorrhoids.
  • Discomfort may cause psychological aversion to pooping, especially in children.
  • Persistent holding stretches and swells the rectum, reducing the urge to go.
  • Loss of normal sensation may result in unintentional leakage known as fecal incontinence.
  • Chronic holding can cause colon inflammation and, rarely, increase colon cancer risk.

Tips for Managing Bathroom Needs

  • Seek nearby restrooms or public facilities if the need arises.
  • Communicate needs to others for assistance if necessary.
  • Plan ahead and use the restroom before activities with limited access.

Additional Facts

  • Poop is about 75% water; the remainder is bacteria, undigested food, fiber, and waste.

Key Terms & Definitions

  • Constipation — Condition where stool becomes hard and difficult to pass.
  • Impaction — Stool blockage in the colon or rectum requiring medical intervention.
  • Hemorrhoids — Swollen, painful veins in the lower rectum or anus.
  • Fecal incontinence — Unintentional leakage of stool.
  • Rectum — Last section of the large intestine that stores stool.

Action Items / Next Steps

  • Remember to listen to your body and avoid regularly ignoring the urge to defecate.
  • Plan bathroom breaks before long activities as needed.