Does Ignoring Bowel Urges Lead to Health Issues? - Gastroenterology and Hepatology

Will this cause illness?

Hello, doctor: I tend to habitually ignore the urge to have a bowel movement when I'm outside, although the urge isn't very strong.
It occurs more than once a day, but I usually have a bowel movement before going out.
1.
Will this lead to health issues in the long term? Is there a connection? At home, I have developed a habit of having a bowel movement upon waking up (recently cultivated), and I also have one after breakfast (this is a genuine urge, not a cultivated habit).
However, when I go out, I usually go to a review class, have breakfast, and then feel a slight urge (not a strong one), but I don't go to the bathroom (due to fear of the restroom, uncertainty about being able to go, and limited time after class).
2.
Will this lead to health issues in the long term? Is it okay as long as I do have bowel movements? I feel extremely anxious whenever I have the urge.
Thank you for taking the time to answer my questions.
🫶

A, 20~29 year old female. Ask Date: 2023/03/20

Dr. Chen Shidian reply Gastroenterology and Hepatology

Still within the normal range, but increasing the intake of fruits and vegetables, staying hydrated, and engaging in light exercise after meals can promote bowel movements.

Reply Date: 2023/03/20

More Info

Ignoring bowel urges can indeed lead to various health issues over time. The human body has a natural mechanism for signaling when it is time to evacuate the bowels, and ignoring these signals can disrupt normal bowel function. Here are some potential consequences of habitually ignoring bowel urges:
1. Constipation: When you ignore the urge to defecate, the stool can become harder and drier as it remains in the colon longer than necessary. This can lead to constipation, which is characterized by infrequent bowel movements, difficulty passing stool, and discomfort.

2. Fecal Impaction: Over time, chronic constipation can lead to fecal impaction, where a large mass of stool becomes stuck in the intestines. This condition can cause severe abdominal pain, bloating, and can even lead to more serious complications requiring medical intervention.

3. Hemorrhoids: Straining to pass hard stools due to constipation can lead to the development of hemorrhoids, which are swollen veins in the lower rectum and anus. Hemorrhoids can cause pain, itching, and bleeding during bowel movements.

4. Rectal Prolapse: In severe cases, chronic straining and ignoring bowel urges can lead to rectal prolapse, where part of the rectum protrudes from the anus. This condition often requires surgical intervention.

5. Altered Bowel Habits: Ignoring bowel urges can disrupt your natural bowel rhythm. Over time, this can lead to a cycle of irregular bowel habits, making it more difficult to recognize when you genuinely need to go.

6. Psychological Effects: The anxiety and stress associated with bowel movements, especially if you feel the need to hold it in due to external circumstances (like being in a public restroom), can lead to a negative feedback loop. This can exacerbate bowel issues and lead to conditions like irritable bowel syndrome (IBS).

To address your specific situation:
- Establish a Routine: It’s great that you have developed a routine of having a bowel movement in the morning. Try to maintain this habit consistently, as regularity can help train your body to recognize when it is time to go.

- Listen to Your Body: If you feel the urge to go, try to find a way to accommodate that need, even if it means taking a short break during your day. Holding it in can lead to the issues mentioned above.

- Diet and Hydration: Ensure you are consuming a diet rich in fiber (fruits, vegetables, whole grains) and staying well-hydrated. This can help soften stool and promote regular bowel movements.

- Manage Anxiety: If anxiety about using public restrooms is a significant barrier, consider techniques to manage this anxiety, such as mindfulness or relaxation exercises. Gradually exposing yourself to using different restrooms can also help desensitize the fear.

- Consult a Healthcare Professional: If you continue to experience issues with bowel movements or if you have concerns about your bowel health, it may be beneficial to consult a healthcare professional. They can provide personalized advice and assess whether any underlying conditions may be contributing to your symptoms.

In summary, while having a bowel movement at home is a good practice, it’s essential to listen to your body’s signals throughout the day. Ignoring these urges can lead to a range of health issues, so finding a balance between your daily activities and your body's needs is crucial for maintaining good bowel health.

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