ConstipationThe widespread use of the sitting toilet bowels began during the 19th century. As early as the beginning of 20th century Hurst in his book on constipation (1) and Bockus 50 years later (2) ascribed the constipation to the sitting toilets. Tagart R.E. explained the principal advantage of the squatting defecation posture over the sitting posture (3). He found that the recto-anal angle (at rest 80-90), which is an important factor in anal continence, maximally straightens out only in a squatting posture, thus permitting smooth bowel emptying. Showdown came from the two works (4, 5) which confirmed that the average man spend at least twice more straining during defecation in the sitting comparatively to the squatting posture. Medical world in the mean time continue advice to the patient with constipation artificially means for alleviation of this disorder. Establishing a daily routine for defecation at a given time each day was widely accepted prescription for constipation and from middle of 20th century most physicians are advising high fiber diet and different kind of laxatives. The first remedies act to relaxate the anal sphincters while main factor of anal continence for solid rectal content is not the anal sphincters but the locking effect of recto-anal angle, and the use of chemical laxatives is a burdening deviation from normal life.
The only way to resolve the problem of constipation, hemorrhoids as well as the other related problems is to return to a natural squatting defection posture.
A practical step was done and designed a new squatting device tailored for the Western world sewage system. You are welcoming to take part in the enormous project to supply this device to Western world by investing into the production and marketing. The details are on the page: video-film of a new squatting device.
But until a new squatting device will be available please use for defecation in the squatting posture only any flat container; it is not esthetic, but don't use the toilet bowl as a squatting device (it is not permit natural squatting thus may be not helpful and dangerous, as it can break).
Hurst A. Constipation and Allied Intestinal Disorders London 1919;
Bockus H Gastroenterology, 1964
Tagart R. Dis. colon and Rectum 9:449-452, 1966;
Sikirov Digestive diseases and Sciences 48: 1201-1205, 2003
Sikirov Isr. J Med Sci. 25:55-56, 1989
History of hemorrhoid research it is a history of great mistakes.
History of treatment of hemorrhoids is a history of unnessary and invasive treatment.
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