Sitting on the Toilet Too Long? Why It Hurts Your Pelvic Floor

It can feel impossible to tear ourselves away from our phones. That becomes a problem when we can’t even part with them during bathroom visits.

Can Scrolling on the Toilet Really Be Dangerous?

How dangerous is it to use your smartphone on the toilet? Well, besides the fact that it is deeply unhygienic, you may pass out and become paralyzed. In 2014, The Mary Sue reported that a man who was supposedly perfectly healthy fainted and became paralyzed (allegedly). He had been on the phone while on the toilet. According to BroBible, the man’s father reported the diagnosis as cerebral edema and brain herniation. Scrolling was not the main reason (that would be oxygen deprivation). But the lack of circulation while not moving for 30 minutes may have contributed.

Why You Might Feel Faint When You Finally Stand Up

I know, I know, that example seems extreme. But no one wants to be the exception in a story like that. And granted, reports say the man was also in a tight area with sparse ventilation. But fainting while sitting too long on the toilet can also happen even in a well-ventilated space. This is due to postural hypotension, also known as orthostatic hypotension. And, in fact, one neuroscientist theorized that was what happened to the man in 2014. According to the American Family Physician, 5% of middle aged adults and 20% of older adults have OH. Society generally considers middle age to be 40-59, and AFP defines older adults as 60 and over. This means that their blood pressure tends to drop when they transition from sitting to standing.

Straining Takes a Toll on Your Pelvic Floor

Sitting on the toilet too long is also not a good idea if you want to maintain pelvic floor health. As Real Simple notes, straining to have a bowel movement will also strain pelvic floor muscles.

Hemorrhoids and Rectal Prolapse

Sitting on the toilet for extended periods of time and straining to have a bowel movement may cause hemorrhoids. You can irritate and put pressure on your veins when straining. You could also increase your risk of rectal prolapse. Rectal prolapse is when you can actually view your rectum. Why it happens is a mystery. But according to Health.com, “structural problems with nerves or muscles in the pelvic region and lower gastrointestinal (GI) tract likely play a role.”

How to Make Bowel Movements Easier

You can pass bowel movements more easily by adding more fiber and water, says The Mayo Clinic. You should also go when you have the urge rather than ignoring it. Go even if that means using a public restroom. Heck, I even joke around with my patients that I’ll poop on a plane if I have to! Don’t mess around when the urge comes a calling. Waiting will only make it more difficult to pass a BM later on.

When the Phone Is the Real Problem

Maybe you aren’t struggling with constipation. But social media sucks you into its black hole when you’re on the toilet. If so, you may need to speak with a mental health professional.

Make the Bathroom a Screen-Free Zone

Remember that the toilet isn’t a place to hang out. It’s a place to have a bodily function. It may be hard to pause that video game or stop texting your friend while on the throne. But the consequences of sitting there too long simply aren’t worth risking. There are many places that we already consider screen-free zones. The sidewalk, so we don’t bump into people. The car, so we can concentrate on the road. The ocean or pool, so we can focus on swimming. Your job, so you can lock in on work. The bathroom is simply another one to add to the list. Think of it not as a punishment but as a relaxing vacation away from your smartphone. Chances are, you could use it!

Dr. Riva Preil, pelvic floor physical therapist, pointing to the pelvic floor muscles on an anatomy chart to show what sitting on the toilet too long can strain
Your pelvic floor does a lot of work. Don’t make it work overtime on the toilet.

Interstitial Cystitis: Your Bladder’s Great Pretender

 

You’re convinced you have a UTI. You constantly need to pee, yet not a lot comes out. You’re having pelvic pain. And, worst of all, having sex hurts.

You finally go to the doctor’s office. Only you don’t get the answer you were expecting. Your doctor tells you that you have interstitial cystitis, which can closely mimic but is not a urinary tract infection.

Interstitial cystitis? You’ve never heard the term before. You wonder what that even means.

What Is Interstitial Cystitis?

While IC shares a lot of symptoms with a UTI, it is not the same condition. According to the Mayo Clinic, it’s a chronic condition causing bladder pressure, bladder pain and sometimes pelvic pain. Up to 8 million people have it. Most of those are women or those assigned female at birth.

Anyone who has gone through a UTI knows it can be uncomfortable. But knowing the pain will soon ease via antibiotics makes it at least somewhat bearable. Those with IC have it much harder. They have to manage their discomfort indefinitely.

What Causes Interstitial Cystitis?

According to Healthline, IC is caused by a damaged bladder lining. Many things, including bacterial infections, might cause that damage. In fact, painful bladder syndrome is another name for IC. There is also a theory that IC has a genetic component.

How Is Interstitial Cystitis Diagnosed?

Your evaluation for IC can involve ruling out similar conditions, according to the Mayo Clinic. A urine test is performed to determine whether or not there is a UTI. A biopsy and urine cytology, a sample of urine, can test for cancer.

Doctors often ask patients to keep a diary of how many times they are going to the bathroom. This is part of the diagnosis process. You may need to have a cystoscopy, a procedure that fills the bladder with water to see why you have bladder pain.

Interstitial Cystitis Treatment Options

IC treatment can be natural, over-the-counter or involve surgery. Your medical team will create a plan for you after diagnosis. But it can be helpful to know what to expect.

One of the treatments is physical therapy for the pelvic pain. Your physical therapist will work on releasing muscle tightness.

Your doctor may treat your IC with Advil, stress reduction techniques and dietary changes. Wearing looser fitting, less constricting clothing can help too.

Drinking more water (always a good idea) and quitting smoking (also a great idea) may noticeably improve IC. Elmiron is an FDA approved medicine for IC your doctor may recommend.

Surgery, which can enlarge the bladder and resolve bladder ulcers, is infrequently recommended.

Getting Your Life Back

Those first steps, getting a diagnosis and a treatment plan, are vital to managing this condition. They are how you ultimately get your life back. IC can be a very tricky condition. But once you uncover and expose your bladder’s great pretender, it loses so much of its power. And you restore yours.

If your doctor believes you should have physical therapy as part of your IC treatment, please don’t hesitate to reach out to me if you are near any of my locations. I offer free consultations, and we can talk about how I can help you treat your IC.

If you’ve never had pelvic floor physical therapy, I know it can seem overwhelming, scary and even embarrassing. But it can make a huge difference. It would be an honor and a pleasure to help you feel like yourself again.

Dr. Riva Preil with a patient.