Sticky poo & the never ending wipe

Do you have to wipe multiple times to get your bum clean?
Do you find yourself wiping… and wiping… and wiping after a bowel movement?
Maybe your poo feels sticky, leaves residue around the anus, is difficult to clean, or you feel like there is still some poo left behind even though you've finished.
If this sounds familiar, you're definitely not alone.
An occasional sticky or difficult-to-clean bowel motion is usually nothing to worry about. But if it's happening regularly, it can be worth looking beyond the poo itself and thinking about your poo consistency, bowel habits and how well you're actually emptying your bowel.
What do we mean by "sticky poo"?
"Sticky poo" isn't a medical diagnosis. It's a term people commonly use to describe bowel motions that:
- stick to the toilet bowl
- leave a lot of residue when wiping
- feel difficult to clean
- require repeated wiping
- leave small amounts of poo around the anus
- cause smearing or staining of underwear
- or leave you feeling like you haven't completely emptied.
And while it can be frustrating (and sometimes embarrassing),
there can be several different reasons why this happens.
So, why is my poo sticky?
1. It may be your poo consistency
What your poo looks and feels like can be influenced by a number of things, including:
- what you're eating
- how much fibre you're getting
- your fluid intake
- changes in your bowel habits
- constipation or diarrhoea
- medications
- and other bowel conditions.
Very loose, mushy or poorly formed poo can be more difficult to clean than a well-formed bowel motion. But here's something that's important to know:
More fibre isn't always the answer.
Different types of fibre affect poo consistency in different ways, and increasing fibre without considering the bigger picture isn't necessarily going to solve the problem.
2. You may not be completely emptying your bowel
Sometimes what feels like "sticky poo" isn't actually a problem with the poo at all. It may be that you're not completely emptying your bowel.
A small amount of poo can remain in the rectum or anal canal after you think you've finished. You may then wipe repeatedly, feel like there's still more to come, or notice more poo appearing shortly after you've left the toilet.
You might also notice that you:
- need to strain to empty
- spend a long time sitting on the toilet
- go back to the toilet several times
- feel blocked or "stuck"
- need to change position to help things come out
- need to press around the vagina, perineum or anus to help empty
- or need to use a finger to assist with emptying.
These can all be signs of defecatory dysfunction, sometimes referred to as an evacuation or outlet disorder.
3. Your pelvic floor may not be relaxing properly
We often talk about the pelvic floor in relation to bladder leakage or weakness. But your pelvic floor also plays an important role when you poo.
To have a bowel movement, the muscles around the pelvic floor and anus need to coordinate and relax at the right time while pressure is generated from your abdomen. For some people, these muscles don't relax effectively when they're trying to empty their bowel.
In some cases, the pelvic floor and anal sphincter can actually tighten when you are trying to push.
This is sometimes called dysynergic defecation.
It can contribute to:
- straining
- difficulty passing poo
- repeated trips to the toilet
- incomplete emptying
- a sensation that poo is "stuck"
- and the need to wipe repeatedly.
4. There may be another bowel or pelvic floor issue
Difficulty cleaning or completely emptying your bowel can also occur alongside conditions such as:
- constipation
- haemorrhoids
- rectocele
- pelvic organ prolapse
- rectal prolapse
- faecal incontinence
- and other bowel disorders.
This is why persistent symptoms are worth discussing with an appropriately trained health professional rather than simply assuming you need to
eat more fibre or drink more water.
What about the way you sit on the toilet?
Your toileting position can make a difference too. When you're trying to empty your bowel, you want to create a position that allows the pelvic floor and anal sphincter to relax and makes it easier for your rectum to straighten.
For some people, this may mean:
- sitting comfortably rather than hovering
- having your feet supported
- leaning slightly forward
- relaxing your tummy
- and avoiding excessive straining.
Your breathing matters too. Holding your breath and repeatedly pushing hard isn't necessarily the most effective way to empty your bowel.
A pelvic health physiotherapist can help you work out what technique and position is most appropriate for you.
Can a pelvic health physiotherapist help?
Yes.
Pelvic health physiotherapists don't just treat bladder leakage and pelvic floor weakness. Physiotherapists with additional training in bowel and pelvic floor dysfunction can assess how you're emptying your bowel and whether your pelvic floor may be contributing to your symptoms.
Depending on what is going on, treatment may include:
- education about normal bowel function
- toileting position and technique
- breathing and abdominal pressure strategies
- pelvic floor relaxation and coordination
- reducing excessive straining
- bowel habit and routine education
- advice around poo consistency, fibre and fluids
- pelvic floor retraining
- biofeedback when clinically appropriate
- and helping determine whether further investigation or referral is needed.
For people with dyssynergic defecation, pelvic floor retraining and biofeedback can be an important part of treatment.
When should you see someone?
If sticky or difficult-to-clean poo is happening regularly, it's worth getting some advice — particularly if you also experience:
- straining
- incomplete emptying
- difficulty passing poo
- faecal smearing or leakage
- pelvic pressure
- or needing to manually assist your bowel movement.
And while many bowel symptoms are related to relatively common and treatable problems, some symptoms shouldn't be ignored. Speak with your GP if you experience things such as:
- rectal bleeding
- unexplained weight loss
- anaemia
- a significant or persistent change in bowel habit
- or other concerning bowel symptoms.
You don't have to put up with it
Many people simply assume that excessive wiping, straining or never feeling completely empty is just "how their bowels work." But it doesn't have to be.
Sometimes the problem isn't the poo itself. It can be about how your bowel is functioning, how consistent your poo is, or how well your pelvic floor muscles are coordinating and relaxing when you empty. Understanding what's actually happening can help you work out what needs to change.
The Bottom Line
Sticky poo isn't always about what you've eaten. If you're constantly wiping, smearing, straining or feeling like you haven't completely emptied your bowel, there may be more going on than simply having "sticky poo". Poo consistency, bowel habits and pelvic floor coordination can all play a role — and these are things that can be assessed and treated. You don't have to spend years wiping, straining or wondering whether your bowel habits are normal. Pelvic Health Melbourne physiotherapists are experienced in assessing and treating bowel and defecatory dysfunction.
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