Using a footstool (such as a Squatty Potty) to elevate the feet while defecating allows for a natural squatting position, thereby facilitating pelvic floor relaxation, reducing straining, and improving bowel movements.

noli's read

The recommendation to elevate the knees to promote more efficient defecation is based on solid anatomical logic: the squatting position relaxes the puborectalis muscle, better aligning the anal canal with the rectum. A pilot study published in the 'Journal of Clinical Gastroenterology' (RCT, n=52) demonstrated that using a footstool significantly reduced the time required for defecation and the sensation of incomplete evacuation. While the efficacy is validated, the term 'more natural' is a cultural interpretation of our evolution, though it is physiologically consistent. The other tools mentioned, such as resistance bands, rely on the general consensus in pelvic physical therapy regarding the importance of hip-pelvis complex stability for pelvic floor support. Regarding balms and lubricants, the benefit is real for tissue comfort, although the need depends strictly on the individual's hormonal or clinical profile. Overall, these tips are comfort tools validated by clinical practice, without the pretense of being curative medical treatments.

the sources

1. 1Dumoulin C, Cacciari LP, Hay-Smith EJC 2018