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Whether you call it the runs or the trots, being backed up or bunged up, irregular bowel movements are no joke. There’s no silver lining to pooping too much or too little, and no bright side to the symptoms that irregularity can cause. Cramping, nausea and an urgent need to go tend to occur with diarrhea, while bloating, abdominal pain and gas come with constipation.
You may become a little more sedentary with age, but your colon doesn’t suddenly retire, says Dr. Trisha Pasricha, assistant professor of medicine at Harvard Medical School. “However, as they get older, people develop more and more conditions and start to go on more medications,” she says. Common prescription medications that treat high blood pressure and other midlife issues may trigger diarrhea or constipation.
Schedule shifts cramp regularity
Routines and cooking habits often change in midlife as households shrink due to an empty nest, divorce or other life changes, says registered dietitian nutritionist Angel Planells, a spokesperson for the Academy of Nutrition and Dietetics.
There are at least 2.5 million doctor visits for constipation in the United States each year, according to the American College of Gastroenterology. Most episodes of acute diarrhea in this country are uncomplicated and self-limited, usually resolved with a quick fix. The good news: In most cases, you can improve irregular bowel movements with lifestyle tweaks and new habits.
Want easy, smooth, reliable, poops? We’ve collected eight steps that will keep your digestive system humming, your gut healthy and your poop A-OK.
1. Identify, then avoid, the common culprits
Caffeine, alcohol, fried foods and sugar-free gum and mints, as well as food sensitivities to dairy or gluten, may loosen stools. Combine ultra-processed foods (hello Cheesy Gordita Crunch) with low (or no) fiber and you’ll really clog things up.
2. Find more fiber in kiwifruit, peas and whole grains
“Fiber, fiber, fiber,” says Timothy Michael Vavra, an internist at Loyola University Medical Center. “Keep the fiber up and you’ll keep the bowels moving,” he tells patients.
Most of us think we eat enough fiber to meet the 25-to-30-grams daily dietary recommendation, says Dr. Brijen Shah, professor of medicine and gastroenterology, Icahn School of Medicine at Mount Sinai. Yet, in truth, the average American gets only about half that much.
Take a close look at your day-to-day diet and you’ll find room for improvements. For example, you may know that legumes like beans pack a powerful fiber punch; don’t forget about lentils and chickpeas. One half cup of cooked lentils or chickpeas delivers 7.8 or 6.2 grams, respectively. Swap green beans for cooked peas and you’ll double the grams of fiber you’re getting. Or swap in pearl barley (6 grams per cup) for brown rice (3.5 grams per cup).Dates and prunes get props, but they can cause bloating, which kiwifruit won’t do, according to Pasricha, who is also author of the forthcoming You’ve Been Pooping All Wrong: How to Make Your Bowel Movements a Joy. In fact, eating two green kiwifruit a day can take care of constipation and abdominal discomfort, according to a study published in The American Journal of Gastroenterology.
Pasricha also recommends snacking on nuts such as almonds and cashews. Increase fiber intake slowly, and make sure to hydrate, she warns, or you’ll experience GI distress.
More fiber is a win for your whole body. Besides relieving constipation, a high-fiber diet helps lower cholesterol and reduces the risk for heart disease, diabetes and colon cancer.
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