Its Really Not That Simple

by Lucy

Crohns Disease is an autoimmune disease and its certainly not determined by the posture of defecation.

If only it was that simple. Sufferers of Crohns Disease have an immune system that has turned on itself.

In fact, its being too efficient, it believes the bowel has an infection and the body's response is to send its counter measure of antibodies to attack this non existent infection. Hence the inflammation and sores.

This story does not explain how by not adopting a squatting position, can affect the whole digestive system and cause mouth ulcers, joint pain, inability to absorb nutrients and a whole host other ailments associated with the disease.

The only difference being with sitting on a toilet seat is, we rarely tend to poop on our feet or miss the pan.

And, many, many times I have had to use natures toilet, which allows squatting only!

The small and large bowel is naturally extended downwards, so would remain so in sitting as with squatting, the only difference is the positioning of the legs.

And seeing as waste only comes from the bowel, its hard to see how having straight legs and bended knees could be such a simple remedy for such a distressing condition.

Believe me, I know, because I suffer from the condition. Conversely, if this is such a wonderful revelation, why is it that all westerners do not suffer from the condition?

The act of squatting is, in itself, fraught with too many unhealthy outcomes. Human waste is invariably never contained in the pot.

When I was a child in the 70's, I used to go abroad, a lot, and one thing that sticks in my mind, was the state of the toilets.

They were effectively, just a hole in the ground with 2 wooden blocks for the feet, either side of the hole. The mess was unbelievable, as was the stench.

Crohns Disease has absolutely nothing to do with an individual's preferred method of sitting instead of squatting.

The idea I would have to squat fills me with more anxiety than the condition itself.

People who have Crohns Disease or Ulcerative Colitis would have neither the time nor the inclination to, remove clothing out of the way, position themselves correctly, and then squat being careful with aim, before defecating.

It would cause unnecesary anxiety and would prove more troublesome than the condition itself.

I say this because I have dealt with the condition for the 14 years, and would say to someone that doesn't have it, 'imagine having gastroenteritis or a stomach bug everyday of your life, and the immense force and pressure that comes with needing this type of bowel movement is uncontrollable and tremendous, and this can occur at anytime throughout the day and night.

On a good day, maybe 5 or 6 times. Now tell me you would have time to use a squatting toilet without making a complete mess of your clothes and the floor.

That is the reality of having Crohns Disease and its nothing to do with how we sit!

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Jun 24, 2017
You have to look at the big picture
by: Anonymous

The author is. Not saying that people with Crohn's can squat or that it will heal them, he is saying that if people did squat they would never develop the condition to begin with. As for being part of the cure - maybe - I am willing to try it. Doctors have long noted overgrowth in bacteria in the intestines of Crohn's patients such as myself but they do not know why. However, if squatting does allow the colon to evacuate more efficiently and keeps it cleaner, then it would make sense that if we began squatting we would effectively stop sending more bad bacteria past the illiosecal valve at which point our immune system could kill the bacteria in the wrong places and be done with it.

As for "if this were true all westerners would have Crohn's", that is a horrible fallacy. It fails to take into account slight physical differences that could make some people more "clenched" than others while seated. Not everyone's sphincter, colon, etc. is exactly the same nor their physical structure.

This also could explain why they have never found the "cause". If doctors and scientists are looking only for bacteria that are not common then they would never look at the ones we are supposed to have - which they rarely have in relation to Crohn's. They also rarely look at the quantities or the exact location of the bacteria along the digestive tract. So, let's say a combination of bacterium A, B, and C in the colon is normal but unusual in the ilium. Now, let's pretend some people are physically predisposed to a seated position being more constricted that others. Now, these predisposed people would be setup to have abnormal bacteria in their ilium. This would definitely make the idea the author proposed plausible. This seems like it should definitely be researched.

However, there is one question I have in relation to this. If being seated caused these issues to occur more frequently, whether sitting during the day or when evacuating, then it would seem to me that handicapped individuals who are wheelchair bound would suffer from this condition at a disproportionate rate since they are sitting more often and always constraining their intestines. I am assuming handicapped individuals in areas with squatting toilets can not physically squat so must also sit. This is ignoring those with ostomies and referring to those who simply have no legs but full use of the rest of their bodies.

Feb 24, 2015
read closer
by: Anonymous

What the author implies is that by not defecating properly, you will have bacteria, that is normally expelled, beginning to permeate your bowels. Also, if bacteria backs up into your illeum through the valve you will have bacteria in an area that it does not live/belong, thus invading (becoming an invader) recognized by the immune system.

It is logical that god made us a certain way and we as humans believe we know better than he or even evolution (if that is what you believe).

I do not believe improper defecation is the sole proprietor of crohns, but to pass it off as some wise tale is also foolish. I personally agree that our diets play a large role indeed. Also industrialized nations where harmful substances are put into our water and air is a big player.

Eat well; exercise; keep stress low; practice good hygiene..

Sep 24, 2013
by: Kim

Amazing that the only conclusion the author could draw to account for the higher incidence of IBD in civilized western countries is that we use toilets. Forget that we’ve eliminated nearly all parasites even the healthy ones from our diet, or that most westerners (myself included) have spent years eating processed convenience foods made of all kinds of preservatives, hormones and genetically modified organisms; never mind our high stress levels compounded by our sedentary lifestyles.

May 13, 2013
by: Anonymous

A somewhat amusing theory however badly researched and full of tenuous links, where is the evidence for this and how has this hypotheses been tested out over a significantly large sample?

A very good point that, whilst on the increase in the Western world, why doesn't every Westerner have it. Much more relevant and far fetched to look at a combination of cause such as genetics, bacterial infections and the Wetern diet.

With regards to the last point, ease of evacuation is not a problem with IBD sufferers it just happens so squatting is not necessary.

Apr 06, 2013
Try both positions
by: Anonymous

Greetings, Lucy.

I recalled reading that there are a few places in the UK -- the country where the sitting toilet was invented -- where squat toilets are being installed.

Do try to use one; it may surprise you how easy elimination is when you are taking up the squatting posture.


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