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.

What are Kegels?

The Key to Kegels

What are Kegels? Put simply, Kegels are to the pelvic floor what yoga is to the body, mind and spirit. They are an accessible form of low-impact exercise that has the potential to dramatically improve your life.

To get even more granular, “Kegel pelvic floor exercises are used to strengthen the muscles that support your uterus, bladder, bowel, and rectum,” according to WebMD. Kegels have enjoyed some publicity as of late, being touted as a way to treat erectile dysfunction and achieve pelvic floors of steel.

So how do you do them?

Many of us are not aware of where our pelvic floor muscles even are, so engaging them can be a challenge. 

There are several ways, per Healthline. One is to simply replicate the experience of holding in gas. If you attempt that and then feel it in your vagina or back end, you’re doing it right! You can also locate these muscles by stopping urine while on the seat or putting a finger inside yourself while doing the exercise to feel the pull. Although please do not get in the habit of doing this routinely, as it sends mixed messages to your pelvic floor! You get one shot at it, for educational purposes only!

If you are of a certain age, think back to those claw arcade machines you played with as a child. The Cleveland Clinic compares the motion of a Kegel to the claw opening and closing around a prize. 

You then will tighten your muscles for a count of five, and relax for the same count. For optimal help, perform these endurance contractions 20x, three times per week. You can also perform Quick Flicks, or “fast exhale squeeze, fast inhale release” 50x, three times per week.

Your physical therapy appointment is another great time to check your Kegel form. You shouldn’t be embarrassed or feel like you are bothering your therapist. That’s what they are there for!

Now, let’s take a closer look at what they’re for.

Pelvic Organ Prolapse

As I explain in my book The Inside Story, “POP is associated with the excessive descent of one or more of the pelvic organs or the vaginal wall.” It can happen after childbirth, and there are several different types of prolapse. These include uterine or cervix prolapse, cystocele/anterior prolapse, rectocele/posterior prolapse, and rectal prolapse. I also talk about prolapse in this blog post – well worth the read! Pelvic organ prolapse has a number of treatments, ranging from a pessary to surgery, but Kegels can make pelvic floor muscles stronger and those are the muscles that keep those organs stable. 

Incontinence

Pelvic floor muscles affect how much control we have over our urination and defecation, which is why it may be recommended to strengthen them to treat urinary, urge and fecal incontinence. 

Better Sex

Now I’ve got your attention! Yes, Kegels can even help in this department. According to WebMD, there is scientific evidence that Kegels can “enhance female sexual arousal by relaxing the vagina, improving lubrication and allowing more blood flow to the genitals.” In men, they may heighten the pleasure of orgasm and provide “greater control over ejaculation.” (Pelvic floor muscles really are the center to so much that goes on in our bodies!)

Who Shouldn’t Do Kegels

Kegels can be a problem for people with a hypertonic pelvic floor. This means the pelvic floor muscles are unable to fully relax. Nebraska Medicine states, “While these exercises may benefit both men and women, performing too many ─ or performing them incorrectly ─ may increase muscle tension and pain, or worsen your symptoms.” One journalist received a hypertonic pelvic floor diagnosis simply from doing Kegels alone, so you have to be careful. They also provide very limited benefit for overflow incontinence.

As usual, it is best to speak with a healthcare provider. 

Also, have patience: Don’t expect overnight success as they can take up to a few months to work. Try adding Kegels to your Google calendar or doing them first thing in the morning. You can even pair them with your favorite podcast to help make the habit automatic. And the result is not only a stronger pelvic floor but stronger relationships, less embarrassment, less pain, more pleasure – overall, a pretty big impact for such a really tiny movement!     

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732-595-1DPT (1378) | riva@revitalizephysicaltherapy.com

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