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The mindbodygreen Podcast

652: A guide to healthy pooping | Trisha Pasricha, MD, MPH

The mindbodygreen Podcast

mindbodygreen

Alternative Health, Health & Fitness

4.52.1K Ratings

🗓️ 31 May 2026

⏱️ 41 minutes

🧾️ Download transcript

Summary

"You shouldn't be spending more than five minutes in there at a time,” says Trisha Pasricha, MD, MPH. A graduate of Harvard College, Pasricha earned her medical degree from Vanderbilt University School of Medicine and a Master of Public Health from the Harvard T.H. Chan School of Public Health. Her training includes an internal medicine residency at The Johns Hopkins Hospital and gastroenterology and motility fellowships at Massachusetts General Hospital. Currently, Pasricha is an assistant professor of medicine at Harvard Medical School and director of the Institute for Gut-Brain Research at Beth Israel Deaconess Medical Center, an NIH-funded research laboratory at the forefront of gut-brain science. Her book, You've Been Pooping All Wrong, is out now.  00:00 - What actually makes a bowel movement healthy 07:55 - The Bristol Stool Chart explained 10:50 - The case for bidets 14:49 - What hemorrhoids actually are 17:44 - The smartphone-hemorrhoid study 20:33 - Fiber timing & psyllium husk 24:03 - The rise in early-onset colorectal cancer 27:43 - Microbiome testing 30:03 - The future of gut health 32:33 - Why we can't poop when traveling 35:40 - How much gas is actually normal 38:01 - Runners with the runs 41:10 - How to overhaul your gut in 30 days Referenced in the episode:  For more about Pasricha, visit her website: https://www.trishapasricha.com/  Buy Pasricha’s book here: https://a.co/d/0gZZImBR  Smartphone usage on the toilet study: https://pmc.ncbi.nlm.nih.gov/articles/PMC12407481/  We hope you enjoy this episode, and feel free to watch the full video on YouTube! Whether it's an article or podcast, we want to know what we can do to help here at mindbodygreen. Let us know at: podcast@mindbodygreen.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Transcript

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0:00.0

Welcome to the Mind Buddy Green podcast. I'm Jason Wachib, founder and co-CEO of MindBuddy Green, and your host.

0:10.4

What if the quote-unquote normal things you're doing in the bathroom are actually working against you?

0:15.7

Dr. Tricia Peswicha is a gastroontologist at Beth Israel, a Washington Post health columnist, and the author of

0:21.8

the new book, You've Been Pooping All Wrong. In today's show, Trisha explains her lab's findings

0:27.7

that bringing your phone to the bathroom, raises your wrists of hemorrhoids by 46%. We dig into why.

0:33.6

Pooping anywhere from three times a day to once every three days is normal and the $30

0:39.1

bidet she recommends to almost every patient and we even get into traveling and what happens

0:45.8

there when it comes to bowel movements. Let's dive in. Let's start with frequency.

0:57.4

Frequency might not be the right metric.

0:59.4

So can we talk about that?

1:03.6

Yeah, I think whenever somebody is like, are my bowel movements normal?

1:08.8

They think I'm going to tell them, well, if you go one today, then yeah, of course you're normal.

1:16.3

That's almost never what I tell anyone. And I don't think frequency is the number one thing, for lack of better word, that we should be so worried about. For me, what makes a healthy, comfortable bowel movement is one,

1:22.6

it should be comfortable. That comfort is the most important metric to me. I want it to be effortless. I don't want you to be

1:29.5

straining your eyeballs out. And then two, I want it to be something that doesn't interfere with your

1:35.2

social calendar. You know, like you can go once a day. But, and this is something I hear in my clinic

1:40.7

all the time. It'll be like somebody has come in having been dragged in by their partner. and they'll be like, you know, yeah, he goes once a day, I suppose, or she goes once a day, but I'm waiting 45 minutes to get out the door, you know, because they're in the bathroom. They're hogging the bathroom. And if it's like that, I don't think that's healthy, right? Like, you shouldn't be spending more than five minutes in there

2:01.0

at a time. But it's often that you don't really know how many times you go per day, you know,

2:07.4

is considered normal until you like pair up with somebody later in your life or you go to

2:11.1

college. So I think we spend most of our young adult adolescent life not really knowing

2:17.0

what other people are doing.

2:18.3

Like, we barely discuss our habits with our parents or our siblings, like much less like

...

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