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Medical case studies

The Squatty Potty® toilet stool as treatment of constipation: a prospective, longitudinal cohort study

Gregory S. Taylor MD, Lisa Mitchell RN


Introduction: The Squatty Potty is a thoughtfully designed toilet stool which comfortably delivers all the health benefits of squatting during elimination. Squatty Potty users have reported subjective improvement in constipation, hemorrhoids, rectal prolapse, and irritable bowel syndrome. Other users claim improvement in urinary incontinence, migraine headaches, toddler potty training, and even pain due to pregnancy.  This study is designed to objectively evaluate Squatty Potty as a treatment for constipation.

Materials and methods: 200 consecutive individuals volunteered to enter the study via an online invitation. Participants agreed to complete a Constipation Scoring System to record baseline symptoms. A Squatty Potty was then mailed to each participant. Then, after one month of use of Squatty Potty, participants were then asked to complete the same Constipation Scoring System (CSS) to describe their current symptoms. Responses to the pre- and post-treatment surveys were analyzed. The data was analyzed using chi-squared analysis for statistical significance.

Results: 153 participants completed the study. This group consisted of 91 females and 62 males. The age range was 9-82 years. The average age was 39.6 years. Average duration of constipation symptoms in this group was 10-20 years. Use of the Squatty Potty lowered the average severity of constipation for all users from moderate to mild. Overall constipation also significantly improved for individual male (p<0.01) and female (p<0.01) cohorts, whether or not they had hemorrhoids.

Conclusion: When used for just one month, the Squatty Potty toilet successfully treats constipation in males and females among most age groups.

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Infuence of Body Position on Defecation in Humans

Summary: This medical study compares three positions for defecation by measuring abdominal pressure and the anorectal angle simultaneously. It concludes that the greater the hip flexion achieved by squatting, the straighter the rectoanal canal will be, and accordingly, less strain will be required for defecation.

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Impact Of Ethnic Habits On Defecographic Measurements

Summary: The main goal of this study was to compare Iranian and European habits of bowel evacuation on defecographic measurements. Patients were instructed to defecate using two types of toilet: an unraised, ground-level style (common in Iran), and a bowl with attached tank style (common in Western countries). It concluded that the use of the Iranian-style toilet yielded a much wider anorectal angle, and a larger distance between the perineum and the horizontal plane of the pelvic floor than the European style. Bowel evacuation was also more complete using the Iranian-style toilet.

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Comparison of Straining During Defecation in Three Positions

Summary: The aim of this study was to compare the straining forces applied when sitting or squatting during defecation. The study confirmed that sensation of satisfactory bowel emptying in sitting defecation posture necessitates excessive expulsive effort compared to the squatting posture.

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