Changes in Bowel Movements: A Traditional Chinese Medicine Perspective

Q: Changes in Bowel Movements: A Traditional Chinese Medicine Perspective

Hello： First, please reflect on your recent lifestyle habits, daily routines, emotional stress, and dietary content to see if there have been any changes. <br>These factors can unconsciously affect bowel movements and digestion. <br>Poor intestinal motility may be related to your

Intestinal issues?!

Hello Dr.
Chiu,
I have a question: I previously had very poor intestinal motility, which often led to constipation, and I relied on medication to help with bowel movements.
Over time, I needed to increase the dosage, and while the medication initially worked well, its effectiveness diminished.
If I stopped taking the medication, I would still experience constipation.
However, I have not taken any medication for a while now, and surprisingly, my bowel movements have become smooth.
Is this a normal occurrence? Since I used to be constipated without medication, why do I feel that my bowel movements are now more regular? Thank you for your response.

YY, 20~29 year old female. Ask Date: 2010/12/08

Dr. Qiu Shuize reply Traditional Chinese Medicine

Hello: First, please reflect on your recent lifestyle habits, daily routines, emotional stress, and dietary content to see if there have been any changes.
These factors can unconsciously affect bowel movements and digestion.
Poor intestinal motility may be related to your medication changes, and one possible scenario is insufficient body fluids, which can lead to a deficiency in energy, making the medication less effective over time (constipation can be broadly classified into obstructive constipation and atonic constipation).
Generally, if your previous constipation was characterized by hard stools and your current condition involves occasional lower back pain, softer stools, and weaker digestion, without the stool being excessively loose or watery, then it may not be due to spleen or kidney yang deficiency or gastrointestinal coldness.

Next, please observe the color of your stools; the ideal color is yellow, similar to that of an infant's stool.
If you notice other persistent colors (black, green, white, red, etc.), aside from dietary causes, you should pay attention to these changes.
If you have undergone endoscopy, have a history of surgery, or have medical records (such as ulcers, polyps, bleeding, perforation, etc.), these should also be taken into consideration.
Being aware of changes in your body is the first step to maintaining good health.
If you have further concerns, you can visit a relevant clinic for inquiries and treatment.
Thank you.

Reply Date: 2010/12/08

More Info

Understanding changes in bowel movements, particularly from the perspective of Traditional Chinese Medicine (TCM), can be quite complex. In your case, the transition from relying on medication for bowel movements to experiencing a more regular and smooth bowel function without medication is indeed noteworthy and can be explained through several TCM principles.

Firstly, TCM emphasizes the balance of Qi (vital energy), blood, and the health of the organs, particularly the spleen and intestines, in relation to digestion and bowel movements. The spleen is considered crucial for the transformation and transportation of nutrients and fluids in the body. If the spleen is weak, which can be due to various factors such as poor diet, stress, or overwork, it may lead to symptoms like constipation. In your previous situation, where you relied heavily on medication, it is possible that your spleen was not functioning optimally, leading to a dependency on laxatives to stimulate bowel movements.

The fact that you are now experiencing more regular bowel movements without medication could indicate a few things. One possibility is that your body has undergone a natural healing process, allowing your digestive system to regain its strength and function. This could be due to lifestyle changes, dietary adjustments, or even a reduction in stress levels, all of which can positively influence spleen health and overall digestion.

Moreover, TCM also recognizes the role of emotional well-being in physical health. Stress and anxiety can significantly impact digestive health, leading to issues like constipation. If you have been able to manage stress better or have made lifestyle changes that promote relaxation, this could also contribute to improved bowel function.

Another aspect to consider is the concept of "habituation" in TCM. When you were taking medication regularly, your body may have adapted to that external stimulus for bowel movements. Once you stopped, your body might have recalibrated itself, leading to a more natural rhythm. This is not uncommon; many individuals experience fluctuations in bowel habits based on various internal and external factors.

It is also essential to consider the quality of your diet. If you have made conscious efforts to include more fiber-rich foods, stay hydrated, and maintain a balanced diet, these changes can significantly enhance bowel regularity. Foods that nourish the spleen, such as whole grains, vegetables, and legumes, can support digestive health and promote regular bowel movements.

In TCM, the concept of "dampness" is also relevant. If your previous diet was high in damp-producing foods (like dairy, fried foods, or excessive sugar), it could have contributed to sluggish digestion. A shift towards lighter, more easily digestible foods can help alleviate dampness and improve bowel function.

Lastly, it is crucial to listen to your body. If you notice that your bowel movements remain regular and comfortable, this is a positive sign. However, if you experience any discomfort, changes in stool consistency, or other concerning symptoms, it would be wise to consult with a healthcare professional, preferably one knowledgeable in TCM, to explore further.

In summary, your experience of improved bowel movements without medication can be attributed to a combination of factors, including potential improvements in spleen function, dietary changes, emotional well-being, and the body's natural ability to adapt. TCM offers a holistic approach to understanding these changes, emphasizing the interconnectedness of body, mind, and environment in achieving optimal health.

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