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.

Affording Pelvic Floor Treatment on a Limited Budget

affordable pelvic floor therapy
Dr. Riva Preil with a patient on the Upper West Side, NYC

The Real Cost of Getting Care

Treating gynecological pain is challenging. First, there’s receiving a proper diagnosis, which is often not an easy feat. Next, there is putting together the right medical team. And then, if this wasn’t hard enough, there is figuring out how to pay for it all.

That last part can be the most frustrating. It’s something I touched upon in a prior  blog post, and it’s something that’s fortunately being addressed in the news recently: The Guardian recently profiled Jennifer Vargas, a 35-year-old woman who has shelled out, to date, about $15,000 to treat chronic vaginal pain. That’s a year’s worth of rent in some states!

Why Does It Cost So Much?

So why is it so expensive?

Well, for starters, not all providers will take your insurance. And while it is easy to say, “Just go to someone who will,” you need to have a special rapport with anyone who treats such an intimate part of your body, particularly a gynecologist or pelvic floor physical therapist. You are also seeing them more often than most providers. So while you may be able to ignore it if your in-network dentist is a little short with you during your annual visit, that can be harder to do when you are seeing a pelvic floor therapist for months at a time.

And the fact that you are seeing them so often is another reason why the cost adds up. It could cost several hundreds of dollars a month alone, just on physical therapy, if you can’t find a competent in-network provider.

You may, like Vargas, need to see more than one provider at a time. Or maybe you need medication, surgery, yoga, nutritional guidance and dilators. You may need need to travel, as patient SB who had pudendal neuralgia did. Or maybe you need to pay for childcare while you receive treatment.

On top of that, many with pelvic pain are unemployed or underemployed because they are unable to work or are very limited in their work abilities due to their medical issues and pain.

The Good News: You Have Options

But I’m happy to report there are ways to help you access the care you need and deserve, regardless of your income.

Talk to Your Therapist About Your Budget

First of all, don’t be ashamed to tell your therapist you’re on a budget. Yes, ideally, they may want to see you more than once a week at the beginning, but they might be able to space out appointments and work with you on creating a schedule that fits your budget. You can also do homework with dilators to stay on track in between sessions.

Ask About a Payment Plan

If your therapist doesn’t take your insurance, you should inquire about a billing plan. They may be able to work something out or offer a sliding scale option. Of course, it is never comfortable to discuss money, or lack thereof, and no one wants to be anybody’s “charity case.” But that is not how your physical therapist views it. Your therapist became a therapist because they want to help you get better. I often say in the course of these conversations with patients that I didn’t choose physical therapy to get rich. You know, I would have become a finance bro if that was my goal in life! I became a PT because I genuinely want to make a difference in people’s lives and help them feel better in their own bodies.

This Conversation Should Never Feel Awkward

These conversations shouldn’t be awkward. If they are, and if your PT doesn’t make you feel safe to be vulnerable and raise this topic, you may want to reconsider your choice of PT.

Check Your HR Benefits

If you are employed, inquire with your company’s HR department if there are any stipends allotted towards healthcare. Sometimes your company will provide reimbursement if you show them a receipt. Your therapist will be more than happy to provide that.

Consider Care Credit

Care Credit is a credit card you use to pay for various forms of care, like physical therapy. You pay monthly, so it is less overwhelming.

Save on Medications with GoodRx

GoodRx can make medications more affordable, up to 80%! Coupons are free and accepted at pharmacies you’re already using, like Walgreens and CVS. It’s not health insurance, so you don’t need to apply through your job and your income is irrelevant.

Don’t Skip the Superbill

Superbills are an important part of the insurance process that a lot of people are not familiar with. Even if a provider is out of network, you can submit it to your insurance company. If you have out of network benefits, you may be eligible for reimbursement.

Look Into the Aziza Project

The Guardian highlighted how the nonprofit Aziza Project is helping fund some medical costs for people with complex gynecological problems, so it’s worth looking into, especially considering that they offer free, remote consultations.

Take Advantage of Free Consultations

If you are at the beginning stage of your journey and are unsure about which pelvic floor therapist to go to, take advantage of free phone consultations so you don’t waste money on a therapist you don’t vibe with. This is a service I am proud to offer.

The Bottom Line

It’s easy to feel overwhelmed when you realize how expensive pelvic floor healthcare costs. You might decide it’s easier and more economical to simply live with the pain. But remember that untreated pain has costs too: lost workdays, more money spent on pain medications, missing out on special events.

Yes, it takes a lot of effort to determine how to best afford pelvic healthcare, so much that it can feel like a second job. But the work is worth it when you consider how priceless the end goal is. And, you deserve to feel great in your own body and to live your beautiful life to the fullest.

 

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