Kris Carr

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Your Guide to Healthy Poop

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Hiya Gorgeous!

I love talking turd, and I’m not ashamed to say it! Turd, turd, turd (insert poop emoji). It’s time we all stop hiding behind our toilet paper squares and start understanding one of the most important parts of our everyday well-being—healthy poop!

Sure, bowel habits aren’t the sexiest of subjects, but vibrant health is pretty darn hot, in my opinion. And whether you like it or not, your poo is part of that picture.

Without further a-doo-doo …here’s the scoop on poop.

The Scoop on Poop: How the Digestive Tract Works

Poop is made up of dead gut cells, leftover indigestible fiber and bacteria. As you know, your chow is processed in your intestines, which are lined with some very smart cells. These cells allow essential nutrients, such as sugars, amino acids, fats, vitamins and minerals to be absorbed into your bloodstream.

The leftovers (aka the waste) are shuttled through the rest of your digestive system, out of your body and into the toilet bowl. The digestive process should be pretty straightforward. Let’s talk about what healthy—and unhealthy—poop looks like (and what you can do about it).

Bristol Stool Chart

Type 1: Hard Lumpy Poop

Type one consists of separate hard lumps (pebbles, marbles, berries, etc.) which is a signal that you’re pretty constipated. These solid pieces indicate that you’re likely dehydrated and your diet needs more fiber. Make sure you get enough fluids!

Type 2: Lumpy and Sausage Shaped

This type of poop is shaped like a log but it looks lumpy and a step away from type 1. It was likely hard to pass and required some effort to get out. It signifies mild constipation and is a signal that you need to boost fiber and water intake.

Type 3: Sausage Shaped with Cracks

Type 3 on the Bristol Stool Scale is a poo within the normal range and probably looks similar to a corn cob. This healthy stool should have been easy to pass.

Type 4: A Smooth Soft Snake

Type 4 is the ideal poop. This stool has a smooth surface and is likely s-shaped, like a snake. If the stool moved out with little effort and flushes in one piece, you’re likely drinking enough water and your daily diet is high in fiber. Congratulations!

Type 5: Soft Blobs with Defined Edges

Now we’re creeping back toward the unhealthy end of the scale. Blob-shaped poo with clear-cut edges can indicate a diet low in fiber. It also indicates that your stool moved too quickly through your digestive tract.

Type 6: Mushy with Ragged Edges

If your bowel movement is completely mush, it’s a sign of mild diarrhea. Your poo is traveling quickly through your digestive system which means your body might not be getting the nutrients it needs.

Type 7: Pure Liquid—Yikes!

You officially have diarrhea. Liquid poop could indicate that you have food poisoning or an illness. Pay attention—chronic diarrhea can mean you have an undiagnosed food intolerance to something like gluten.

Where do YOU land on the Bristol Stool Chart?

 

Normal Poop 101: A Healthy Digestive System

We’ve established that healthy poop should look like an “S” or a smooth log as it lands in your toilet. The types of poop that consist of round pellets, thick logs without curvature, shapeless mounds, and pencil-thin wormy poops mean that your diet, stress level, hydration status, or something else might be out of whack. What are some other things you need to know about healthy digestion?

How Often Should You Poop?

How often you poop probably varies, and each person has their own normal. You may go as often as two to three times per day (basically after each meal) or as little as every other day. However, if you’re going more than four times a day with loose or watery stools, only going a couple of times per week and feel bloated/backed up on non-poop days, or if your poop “normal” suddenly changes, you should probably consult your doctor immediately. These are all signs that your digestive process is out-of-whack.

How Should Pooping Feel?

Your poops should be easy to pass with a fairly effortless push. Chances are if you’re regularly grabbing a book or magazine as you head into the bathroom, or if you’re getting red in the face, you’re working too hard to get that little waste log out of there.

It shouldn’t be painful or difficult to produce a BM. If it is, you might be dealing with functional constipation. If you’re constantly running to the bathroom with stomach cramps, it’s another sign that something is wrong. Please consult with your doc if you’re experiencing persistent discomfort.

What Does the Color of Your Poop Mean?

Healthy poop should be a medium-brown color, courtesy of the leftover bile from your gallbladder (which helps break down your food). It also consists of bilirubin, which is created when red blood cells exit your body at the end of their life cycle. While brown poop is the norm, your poo can change colors depending on what you eat. Let’s dive into the spectrum of stool color, shall we?

Poop Colors

Green poop

A green poop color typically means you’re eating a LOT of highly-pigmented green foods (most likely veggies, right?) and some have slipped through undigested. This isn’t a cause for concern unless your stool is watery and green for several days. Even a neon-green poop can indicate food dye in something you ate.

Black Poop

Black stool can result from taking iron supplements or using stomach meds like Pepto Bismol, but could also be a sign of blood in your stools. Interestingly, it can even be caused by downing some black licorice. Now I know that sounds a bit scary, but it’s not necessarily cause for concern.

It could be the result of hemorrhoids, which can be tender and start bleeding if you’re straining too much while pooping (Ouchies! Ease up, hotshot). In that case, you may see a couple of drops of bright red blood in the toilet water, on your toilet paper, or on the outside of your poop. But it could also be a sign of bleeding in your upper gastrointestinal (GI) tract. If it continues, it’s safest to check with a medical professional.

Red Poop

Did you know that foods like beets, cranberries, and even tomato juice can lead to bright red poop? This isn’t anything to worry about—just thank those deliciously colorful root veggies for adding some extra pizzazz to your poo.

But if you aren’t eating these foods and you’re consistently seeing bright red blood in your poop—or if your poop is blackish-red or contains dark red blood—the blood is likely coming from higher up in your gut. This could be more serious, so I encourage you to check in with your doc post-haste.

Yellow/Orange Poop

Yellow poop may be a sign of an infection or inflammation in your intestines, especially if you observe mucus in your poop. It usually means you aren’t getting enough nutrients—or you’re eating far too many fatty foods.

White or Clay-Colored Poop

Chalky white or pale poop occurs when your poop doesn’t have bile in it. Seeing this type of poop could indicate a problem with your pancreas or gallbladder, such as your bile duct being blocked. While it might be a side effect of certain medications you’re on, check with your doctor ASAP if the white stool is accompanied by other symptoms such as abdominal pain, fever, and nausea/vomiting.

Signs of Trouble: When to be Concerned about Your Bowel Movements

What if Your Poop Floats?

While most poo sinks to the bottom of the bowl, sometimes it floats. Floating poop doesn’t necessarily mean something is wrong. However, if your BM floats and smells foul, check with your doctor to make sure it’s normal.

When Foul-Smelling Stool is a Problem

If your poop suddenly diverges from mildly stinky to overwhelmingly foul, you might want to take note. If your stool smells more after something you’ve eaten, it might indicate a food intolerance.

Constipation and Diarrhea

Occasional constipation and diarrhea are very common and nothing to worry about. But if you’re experiencing either for more than a week, you may be dealing with chronic constipation or diarrhea. It’s a good time to make sure you’re getting the Four Fs. And if the symptoms persist, it might be time for a visit to the doctor.

There are certain health conditions and medications that can make your poops extra pesky. For example, things like pregnancy and diabetes affect hormones that can make it harder to pass a BM.

Or, if you’ve had your gallbladder removed, for example, too much fat at one meal can cause diarrhea because the bile normally stored in your gallbladder isn’t available to break it down. For more deets on diarrhea (plus lots of tips to help you stop it!) check out my blog here. And if constipation’s got you down, check out my blog on that here.

How to be a Gold Star Pooper: The 4 Fs

The Four Fs are a general rule of thumb for healthy bowel movements: fiber, fluids, flora, and fitness!

Get Enough Fiber

What foods help you poop? Ones with dietary fiber for starters. As you learned in my guide to fabulous fiber, it comes in two forms: soluble and insoluble. Lack of either creates pooper pandamonium.

Soluble fiber absorbs water and forms a gel in your intestines, which bulks up your stool and makes it smooth enough to keep the trains moving. Soluble fiber also helps regulate blood sugar and can lower cholesterol levels. Add these foods to increase soluble fiber: oatmeal, apples, oranges, pears, berries, flax, beans, peas, lentils and psyllium (corn husk).

Insoluble fiber does not absorb water, so it acts like the bristles in a broom to sweep poop along. It also has a mild laxative effect, which helps with healthy elimination. Add these foods to increase insoluble fiber: whole grains, nuts, seeds, dark leafy greens, celery, broccoli, cabbage, onions, dried fruit and root vegetable skins.

You’ll know you’re getting too much fiber (or an imbalance of soluble to insoluble fiber) if you have diarrhea. It’s also important to include whole grains in your diet because they add bulk and movement to your fibrous stools. You can get still get constipated on a high-fiber diet if your diet lacks sufficient whole grains!

Drink Plenty of Fluids

When you increase fiber, you also need to increase your fluid intake. Remember, soluble fiber absorbs water, which means you’ll need more H2O to stay hydrated and prevent constipation. There are two easy ways to estimate how much water you need each day:

  • Divide your body weight in pounds by two. This gives you the approximate amount of water in ounces that you need to drink per day. For example, a 140-lb woman should drink about 70 oz. For those using the metric system, divide your weight in kilograms by 30 to determine how many liters of water you need per day.
  • Look at your pee—it should be a light straw color. The darker your pee gets, the more concentrated it has become, which indicates that you need to drink more fluids.

Get Some Flora in Your Diet

Your intestines are home to over 100 trillion bacteria and a great deal of these bacteria (good guys and bad guys) end up in your poop. Good bacteria (also known as probiotics) are very important to help keep us regular. We need probiotics to work alongside our digestive enzymes and help break down food to release the nutrients our bodies need. In return, probiotics survive and multiply in our gut when they dine on the leftover fiber from our digested food.

To increase good bacteria in your gut:

Include Fitness in Your Routine

If you want your poop to move, YOU need to move too! Exercise helps stimulate the natural contractions of your intestines. It also tones the muscles in your core that helps create healthy elimination. Gentle activities such as taking a walk or yoga can help ease constipation, but moderate aerobic activity regularly is a more effective way to keep constipation at bay in the long run. It can even help reduce stress. Score!

It’s your turn, don’t be shy! Now that I’ve opened the bathroom door and started the poop-ersation, light a match and share your tips for healthy elimination.

Peace & terrific turds,

 
 
Add a comment
  1. Great article. Thanks. I love the humor.
    I have posted the article on my blog, with your ID info of course.
    Dr. Jeanne

  2. Robin says:

    That is so funny! As soon as I started reading this article, I had to go!!! LOL

  3. Peggy says:

    I like how you make the topic seem cool and un-intimidating !

  4. Allison says:

    Good insight here, it’s unfortunate (but more comfortable!) that Western society has adapted to sitting upright on toilets while pooping. It’s really better for our colons to squat while pooping, like so many cultures around the world do. While we haven’t quite adopted this practice yet, my husband ensures me that we will have a squatting toilet whenever we build/own our own home one day! We might just have to have a regular toilet for guests, lol.

    • Jade says:

      Or you could get a Squatty Potty. 😉

      I’m getting one soon and can’t wait!

      http://www.squattypotty.com/

      • Jessie says:

        Bought my Squatty Potty and Bed, Bath and Beyond and LOVE IT! I am curious as to how many of you who need to work on good pooping, are gluten free. I am and can’t see any difference, but now I am so afraid to eat wheat because I think it will make everything even worse. Your thoughts?

        • Maureen says:

          Hi Jessie,

          I has diagnosed with Celiac Disease 11 years ago. I was really sick and absorbing very little of the food I was eating. Once I went gluten-free, it look me close to 8 months to have a “normal poop”. I remember how happy I was lol 😉 After you eliminate gluten, it takes your body time for your intestines and villi to heal. So be patient, make sure you don’t gluten yourself, & you’ll eventually poop just fine 🙂

    • yboog says:

      I use my yoga blocks while on the toilet to create the squatting effect!

    • bobby says:

      This is a great article but I am so surprised she didn’t mention posture. I have been squatting for years. My new favorite thing is the Squatty Potty (www.squattypotty.com) It’s way better than yoga blocks or a regular stool. It is angled perfectly so your heels are raised and you feel like you are actually squatting.

  5. ryanna says:

    Great article!! However, i am very concerned for my twin boys.. they go #2 around twice a week and have done so for years! My naturopath says to get them off wheat & dairy but i find that almost impossible.. although i am finding some alternatives and am trying (ie-spelt muffins as opposed to wheat)… any tips or high fibre food suggestions/suggestions that u can recommend?

    • Debra says:

      Have you tried upping their intake of healthy fats? My daughter (also a twin of boy/girl set) suffered from constipation, but is much better now due to a daily intake of MCT oil (start small as too much can cause the squirts and tummy pain- try a teaspoon or less). Any healthy oil can be mixed into a smoothie or yogurt, and they will not know the difference. She also enjoys avocado slices too with a bit of hazelnut oil and pinch of salt on the top. Most kids do not eat healthy fats or consume enough water, so anything you can do to increase intake will help. An evening bath with some Epsom salts (high magnesium) and a few drops of lavender essential oil is also good to relax the kids and help with bowel movements too. A nice massage, gentle, counterclockwise motion might also help any discomfort, There’s a good reason people always had a slug of cod liver or olive oil in the past. It works! Good luck. I was always frustrated when our doctor minimized this situation as she is a happier child with regular bowel movements and cranky and easily upset without them (aren’t we all?!).

  6. Cheryl says:

    I loved your documentary Crazy Sexy Cancer. I have brain cancer. My favorite part was at the end when you say the whole line and I think you end it with Life is Crazy Just Like Cancer. If you read this and have time could you please email me what you said. It is my favorite quote and I would love to have it written all over my house. Thanks

  7. Shelby W says:

    As a child and through my senior year in high school, I was gassy and would have bowel movements like no problem! The only weird thing about it was that I couldn’t burp at all. The bubble would make its way up my esophagus then stop in my throat, making a croaking noise, then go back down to the other end. After I graduated, I started to have issues with constipation. I tried the whole no dairy for a couple of weeks then after that no wheat for another couple of weeks, trying to figure out what was going on! All my life I’ve eaten veggies and fruits, all the wonderful stuff while my other family members didn’t really but had normal bowel movements! So not fair! Then when I left my previous job, I started to have somewhat normal bowel movements. I was beyond excited when it turned out that my constipation was caused by stress. It was a stressful job so I promised myself to not get involved with another stressful atmosphere for the next job. Well here I am again with the stress! It’s not just my job but also family issues. I really try to let it roll off my back but now I’m eating the fat foods and drinking pop for comfort when I shouldn’t be. I feel bloated and tired from feeling backed up. I’m now purchasing the Crazy Sexy Diet book and can’t wait to try it out! Maybe if I focus on that, I won’t look towards the fat foods and pop!

  8. Anne Bursey says:

    Hi Kris,
    I have a question about sugar. Maybe you can advise me so I can relay it onto a friend…She is undergoing chemo treatment for breast cancer. Do you think it would be safe if my friend had natural sugars in her morning green smoothies? as in, dates, coconut milk, apple juice? what are your thoughts on this ? She finds them really bland without anything slightly sweet.. would really appreciate having your insights or if you could direct us to some reading.. thanks so much. Anne

  9. Judy says:

    wait a tick, isn’t my poop supposed to float??

  10. Wilmaryad says:

    Kris,

    What’s your take on Angelina Jolie’s double mastectomy and future ovaries removal?

  11. robin says:

    i love the topic and created the Poop Group in your online community years ago! This is an important topic and is truly a window into your health. pay attention to the poop. hail the poop!

    also- i didn’t know KC had a show on Hay house! I love hay house but haven’t listened as much while not working! Im so excited about this! Mos Def going to tune in.

  12. Thanks for this post. Wonderful site you have here. Am certainly glad to have found it recently. You have a wealth of knowledge here. I have certainly tried getting in more fiber through out the day, will have to look into getting a probiotic as well. Also, found it interesting how you mentioned fitness and working out. Often an overlooked part of healthy digestion, etc.

    Will certainly take the time to look around and am excited to learn more from your posts and site. Thanks for the post :).

  13. Sarah Bean, Ireland says:

    Hi Kriss – having first ‘found’ you through the amazing Food Summit, I can’t tell you how much I’m loving your blog & all you share on your health, really inspirational. You should change the settings to ensure that any links in these comments do not take us away from your page, but pop up in a new window – there’s too much good stuff here to be pulled away! Thanks again!

  14. Sarah says:

    So glad to see this post!! Such an important function. Does anyone have any natural effective hemorrhoid remedies? I have them bad from 2 years of constipation and poor bowel habits! Thanks!

    • suz says:

      Use a bidet! It is great for hemorroids and all other kinds of issues (even constipation). You can get attachments to your toilet. It is a shame to me people suffer with this and the media pushes creams and things like that when bidet is all you need! (Plus of course cutting out processed food and getting fiber, etc etc.)

  15. I love you so much for using the phrase “pooper pandamonium”.

  16. AJ says:

    This is a brave post – and a needed one too! I have to remember the fluids – I don’t drink nearly enough water. I’m going to look into a good probiotic as well. I didn’t think it was needed given my diet but it might not hurt. Great information.
    AJ.

  17. Adrian Jonas says:

    A fun visual tool that has helped me interpret my poop is the “Bristol Stool Scale” from the UK: http://en.wikipedia.org/wiki/Bristol_stool_scale

    I love the days when I can shout out from the bathroom, “Number four!!”

    Adrian

  18. Laureen says:

    Kris, you are a gift to the planet. I read your blogs regularly……cook with your amazing recipes and cookbook……and adore your honesty, frank opinions, insights, and the credibility of your information. And then there’s that sense of humour! You are appreciated beyond words…..thank you for sharing your journey, courage and wisdom.

  19. Nancy V says:

    Hi Kris,

    I’m new to your site but just read your books, and am hooked. Really great info, philosophy and recipes.

    My husband is very concerned that I drink Kombucha that I buy at the grocery store (about 16 oz/day). I know you wouldn’t recommend it (or drink it!) if it wasn’t healthy, but how can I reassure him? I am not pregnant, ill, etc – just a raw newbie.

    Thanks,

    Nancy

  20. franna says:

    Oh poop — one of my favorite subjects — never shy to talk about a good or bad experience 🙂 Thanks for the information – I will be sharing it for sure !

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