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Everyday Wellness: Midlife Hormones, Menopause, and Science for Women 35+

Ep. 576 "You’ve Been Pooping All Wrong!” – The Shocking Reason For Chronic Constipation & Bloating with Dr. Trisha Pasricha

Everyday Wellness: Midlife Hormones, Menopause, and Science for Women 35+

Cynthia Thurlow

Science, Life Sciences, Health & Fitness, Nutrition, Alternative Health

4.71.2K Ratings

🗓️ 4 April 2026

⏱️ 59 minutes

🧾️ Download transcript

Summary

I am delighted to connect with Dr. Tricia Pasricha today. She is a gastroenterologist specializing in neurogastroenterology, a physician scientist at Beth Israel Deaconess Medical Center, and an Assistant Professor of Medicine at Harvard Medical School. In our conversation, we discuss her new book, You've Been Pooping All Wrong, which is truly delightful and a definite must-read. We explore the science of poop, and the stigma surrounding it, how stress impacts motility, the gastrocolic reflex, and what is considered normal, regarding pooping frequency. Dr. Pasricha explains how she addresses travelers’ constipation, and we also dive into women's issues specific to perimenopause and menopause, the effects of dyssynergia, red flags that concern her, and the symptoms and causes of early colorectal cancer, in addition to my rapid-fire menopause gut addition. Today’s discussion with Dr. Tricia Pasricha is truly invaluable. She is both smart and accessible, and I know you'll enjoy our conversation. IN THIS EPISODE, YOU WILL LEARN: Why women tend to be more inhibited about their bodily functions than men The gut-brain connection and how stress can affect bowel movements What is normal when it comes to bowel frequency? The importance of treating both the central and enteric nervous systems to manage IBS symptoms Why fiber is essential, and various ways to incorporate it into meals How fiber improves bowel regularity and overall health Common issues women experience with bowel movements during perimenopause and menopause The role of pelvic floor dysfunction in constipation and how it can be treated Dr. Pasricha identifies three red flags for serious health conditions The potential link between environmental factors, increased consumption of ultra-processed foods and sugar-sweetened beverages, and early onset colorectal cancer. Connect with Cynthia Thurlow   Follow on X, Instagram & LinkedIn Check out Cynthia’s website Submit your questions to support@cynthiathurlow.com Join other like-minded women in a supportive, nurturing community: The Midlife Pause/Cynthia Thurlow  Cynthia’s Menopause Gut Book is on presale now! Cynthia’s Intermittent Fasting Transformation Book The Midlife Pause Supplement Line Connect with Dr. Trisha Pasricha On Instagram Dr. Pasricha’s book, You’ve Been Pooping All Wrong, will be released on April 7th. Pre-order now! https://www.trishapasricha.com/youvebeenpoopingallwrong

Transcript

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0:00.0

Welcome to Everyday Wellness Podcast.

0:04.0

I'm your host, Nurse Practitioner Cynthia Thurlow.

0:07.0

This podcast is designed to educate, empower, and inspire you to achieve your health and wellness goals.

0:13.0

My goal and intent is to provide you with the best content and conversations from leaders in the health and wellness industry each week and impact over a million lives.

0:27.6

Today I had the honor of connecting with Dr. Trisha Puzrecha, a physician scientist at Beth Israel Deaconess Medical Center and assistant professor of medicine at Harvard Medical School.

0:41.2

She is a gastroenterologist and has a specialty in neurogastroenterology.

0:47.6

And today we spoke about her new book, You've Been Pooping All Wrong, which is absolutely delightful and a must read.

0:54.6

We talked about the stigma and science of poop, the impact of the gastrocholic reflex

1:00.8

and stress, what is considered to be normal in terms of pooping frequency, how she addresses

1:08.5

travelers' constipation, the impact of stress, influencing motility,

1:14.6

women's issues specific to perimenopause and menopause,

1:17.6

the impact of dys inertia,

1:20.6

red flags that get her concerned,

1:22.6

as well as early colorectal cancer symptoms and etiologies. And last but not least, my new

1:31.1

favorite rapid fire menopause gut addition with Dr. Pasricha. I know you will find this a truly

1:40.0

invaluable conversation, and I do have to admit to listeners. I didn't hit the records on at the

1:45.5

very beginning of our conversation. So it's going to be a little bit of an abrupt jump into

1:50.0

our conversation, but we had an amazing, amazing discussion. She's so accessible, so smart,

1:56.6

and you'll really enjoy our conversation.

2:04.2

And it's interesting because I'm the parent of all now.

2:05.3

They're young adult men.

2:11.7

But I think because of my background, growing up with a lot of medical-related people in my family and then obviously ending up in the medical field myself and then having all boys that

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