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How to manipulate gut motility
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How to manipulate gut motility

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How to manipulate gut motility
How to enhance motility
How to increase gut transit

Does drinking a large volume of warm water first thing on waking help to move the bowel?

Intestinal and colonic motility is generated by contraction and relaxation of the longitudinal and circular smooth muscle that make up the gastrointestinal tube.

The health of the muscular tube and how well it responds to the nerves that make it function will determine how efficiently it performs to propel food content, break down and digest food, absorb nutrients and fluids and create stool from the faecal mass by the kneading and churning action of the muscles.

Try to manipulate colonic speed to enhance evacuation.

If constipation is due to a sluggish colon or slow colonic transit, it may be difficult to initiate bowel motion. A stool softener will help to move a hard faecal mass through the colon.

Distention and stretching

A couple of glasses of warm water often help to create contractions in the rectum due to stretching or distention of the stomach wall. (The GASTROCOLIC REFLEX)
This method is often as good a stimulant as eating a large meal and is a particularly useful technique for people who do not eat breakfast in the morning.

Abdominal Massage

A few minutes of gentle circular massage of the abdomen stimulates colonic motility and aids reflexive actions in the colon.


The muscle that keeps a tight sling like action on the Anorectal junction to help maintain continence (the Puborectalis) can be manipulated by movement and posture.

The Squat posture allows the sling like puborectalis muscle to relax and release its grip on the rectal wall, thus creating a clear passage between the colon and the anus.
Leaning forward while in the squat posture also helps relax the muscle and helps remove the locking posture. This passage is normally closed by the muscle in its contracted state to maintain continence in the sitting and standing postures.

Safe, complete and easy evacuation of the bowels (Sigmoid colon and Rectum) without straining may help prevent a lot of problems related to the repetitive injury caused by daily straining.

Adopting the squat posture to evacuate the bowel helps create pressures within the colon at the CECUM and SIGMOID COLON by compression of the thighs on the left and right sides of the abdomen. The pressure created in this way is sufficient to initiate and maintain a bowel motion.



Certain spices such as capsicum, turmeric, peppermint and Ginger tend to stimulate gut motility.

Caffeine is also known to stimulate gut motility.

Increasing consumption of foods containing resistant starch will produce Propionic acid and butyric acid in the colon and an increase in motility. Propionic acid is known to stimulate muscular activity in the colon.


Exercise your smooth muscle to maintain tone

we tend to get less active as we age.
This tends to lead to a loss of muscle tone and problems with emptying the bowel.
Regular exercise helps. A ten minute walk will stimulate the muscles of the colon and stimulate gut motility.

Smooth muscle forms a large part of the muscular tube that makes up the alimentary canal. To exercise the smooth muscle of the muscular tube you need to stretch the muscle fibres.
You do this by including soluble and insoluble fibre and plenty of fluids in the diet. The two types of fibre help to form a perfectly formed stool which causes the muscle in the intestines to stretch, keeping it toned.
If the bowel muscle is not toned by this type of stimulation regularly, it can become sluggish and dormant, reducing gut motility, which can lead to complications such as minor constipation or major inflammatory bowel conditions and irritable bowel syndrome. The motility of the muscular tube is critical for smooth functioning of the digestive process.


Insoluble fibre helps retention of water in the colon and bulking of stool. Bulky stool can distend or stretch the rectal wall and initiate the defecation reflex.

Soluble fibre and Prebiotics

Prebiotics are indigestible food ingredients that stimulate the growth and maintenance of beneficial intestinal Bacteria
Prebiotics feed the resident bacteria in the colon. In return, the bacteria produce short chain fatty acids. Among these is Butyric acid which tends to stimulate gut motility and accelerate intestinal transit.


Prokinetic drugs increase the movement of ingested material through the GI tract. They are useful in the treatment of motility disorders because they induce coordinated motility patterns.

The Antibiotic Erythromycin and related drugs appear to act as agonists to the hormone Motilin and are sometimes used at a low dose to stimulate gastrointestinal motility. A low dose of Erythromycin will induce a migrating motor complex.
Erythromycin induces contractions from the stomach to the terminal ileum and proximal colon, but the colon contractions do not appear to result in propulsive motility. Therefore, erythromycin is unlikely to benefit patients with colonic motility disorders.

Other more popular drugs in this class include Metoclopramide and Domperidone.



Meditation and relaxation techniques may alleviate anxiety, stress and depression, which slow down intestinal motility.


How to heal and prevent Bowel disorders

Diet is not about what you should NOT eat, it’s about what you should include in the diet that matters.
As long as your diet includes the correct balance of plant foods containing soluble fibre, insoluble fibre and resistant starch your colon will produce the perfectly formed stool. The important next step is to evacuate this stool without straining so that the body does not suffer from the pressures created each time the bowel is emptied.

In order to heal and prevent bowel disorders you need to make lifestyle changes that last the rest of your life time.

1. Include more fluids and plant food containing soluble fibre, insoluble fibre and resistant starch in the diet so that the perfectly formed stool will be made in the colon and beneficial bacteria will flourish and eliminate disease causing bacteria and fungi.

2. Evacuate the perfectly formed stool by adopting the squat posture to eliminate the need to strain during bowel movements.
It is not possible or safe to squat on the modern raised toilet seat installed in all western homes and it s impossible to squat for any length of time if you have not done this from childhood onwards. This makes the use of any raised platforms impossible to adapt to.
The SquattLooStool is designed to allow you to adopt the squat posture while seated comfortably on your raised toilet seat. The single best and easiest lifestyle change you will ever make leading to a healthier body.