Everything you need to know about constipation (Guest: Darren Brenner, MD)

The Gut Health Podcast

Join us on The Gut Health Podcast as we uncover the many facets about constipation with the distinguished gastroenterologist, Dr. Darren Brenner. Think probiotics are the cure for your sluggish digestive system? Think again. Dr. Brenner dispels common myths and reassures us about the safety of stimulant laxatives like Senna and Bisacodyl when used correctly. Together, we'll redefine what it means to be constipated, acknowledging that not everyone needs the "perfectly formed" daily bowel movement to be healthy.
Dive into the often-missed topic of pelvic floor dysfunction and how it contributes to constipation. Dr. Brenner breaks down the complexities of functional defecation disorders and dyssynergic defecation, emphasizing the urgent need for early diagnosis and the role of specialized physical therapy. The conversation doesn't shy away from discussing the significant impact of trauma on pelvic floor health, advocating for open, empathetic communication between patients and providers to create a supportive therapeutic environment.
For those over 45, we highlight red flags in constipation that you shouldn't ignore, from unexplained weight loss to sudden changes in bowel habits. Learn the distinctions between Small Intestinal Bacterial Overgrowth (SIBO) and Intestinal Methanogenic Overgrowth (IMO) and how they can exacerbate your symptoms. Finally, take home practical tips on nutrition, stress management, proper toileting behavior, and the importance of regular exercise. Dr. Brenner even shares his expert strategies to help you maintain great elimination habits, a healthy gut and overall well-being.
Check out some great constipation references/resources below:
The psyllium powder Kate uses is Kate Naturals (not Kate Farms), here is an Amazon link to the product.
Brenner, D et al. Best Practice for the Management of Chronic Idiopathic Constipation and Irritable Bowel Syndrome with Constipation: A Roundtable Discussion and Review. The American Journal of Gastroenterology 117(4S):p S1, April 2022
IBS-C: New & Novel Management: Webinar via Tuesday Night IBS
A multi-disciplinary approach to IBS with constipation.
Axis, A et al Gastroenterology and Endoscopy News, 2024. Emerging Treatments for Chronic Constipation and Defecation Disorders.
Review article: do stimulant laxatives damage the gut? A critical analysis of current knowledge.

Learn more about Kate and Dr. Riehl:
Website: www.katescarlata.com and www.drriehl.com
Instagram: @katescarlata @drriehl and @theguthealthpodcast
Order Kate and Dr. Riehl's book, Mind Your Gut: The Science-Based, Whole-body Guide to Living Well with IBS.
The information included in this podcast is not a substitute for professional medical advice, examination, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider before starting any new treatment or making changes to existing treatment.

Kapitler

1. The Gut Health Podcast (00:00:00)

2. Understanding Pelvic Floor Dysfunction in Constipation (00:13:13)

3. Identifying Red Flags in Constipation (00:19:54)

4. Understanding Intestinal Methanogenic Overgrowth (00:31:23)

5. Gut Health Through Diet and Exercise (00:44:19)