How to Manage Bowel Issues: Tips and Strategies

How to Manage Bowel Issues: Tips and Strategies

I am a physical therapist so I understand how difficult it can be for men to talk about bowel issues. But don’t lose hope! With my extensive experience treating bowel issues, I am here to provide practical tips and strategies to manage these issues effectively. Bowel issues can affect anyone, regardless of age, gender, or health status. It’s essential to seek help and support to improve your bowel health and overall quality of life. 

In this blog, I will discuss practical tips and strategies for men to manage their bowel issues effectively. So let’s get started.

Things to Help Manage Bowel Issues

  1. Eat a balanced diet

First, focus on eating a balanced diet with adequate fiber, fruits, and vegetables. This can help regulate bowel movements and prevent constipation. Remember, not all types of fiber are equal. Soluble fiber, found in oats, beans, and peas, can help soften stool and ease bowel movements, while insoluble fiber, found in whole grains and vegetables, adds bulk to stool and can help promote regular bowel movements. It’s important to include both types of fiber in your diet.

Check out our blog about the impact of diet on bowel health and how physical therapy can help.

  1. Stay hydrated

Next, stay hydrated by drinking enough water throughout the day. Dehydration can cause constipation and make bowel issues worse. Aim to drink at least eight glasses of water per day. If you’re struggling to drink enough water, try flavored water or herbal tea to increase your fluid intake.

  1. Exercise regularly

Regular exercise is also key for improving bowel movements. Exercises like walking, cycling, and swimming can increase blood flow to the intestines and promote regular bowel movements. However, it’s important to consult with your doctor or physical therapist before starting any exercise program, especially if you have severe bowel issues.

For more detailed information about exercises to improve bowel control check out this blog.

  1. Practice good bowel habits

It’s also essential to practice good bowel habits. Try to establish a regular bowel routine by going to the bathroom at the same time each day. Allow enough time to fully empty your bowels, and avoid straining or holding your breath while on the toilet. If you’re experiencing constipation, you may also try a squatting position, which can help facilitate bowel movements.

  1. Consider biofeedback therapy

Lastly, consider biofeedback therapy. This non-invasive technique can help improve bowel control by teaching you how to relax and contract your pelvic floor muscles. Biofeedback therapy involves placing sensors on your abdomen and buttocks to monitor muscle activity while you practice pelvic floor exercises. Your physical therapist can help you develop a personalized biofeedback program to improve your bowel control.

Get Help!

If you are a man experiencing bowel problems, seeking help from a professional can greatly benefit you. At Pelvis NYC, I have years of experience in treating bowel issues and can provide personalized advice and treatment plans tailored to your specific needs. Don’t hesitate to reach out to us for help and start managing your bowel issues effectively. Visit our website www.pelvis.nyc now!

Read this if you are experiencing a sudden urge to poop.

Exercises to Improve Bowel Control: A Practical Guide for Men

Exercises to Improve Bowel Control and Prevent Incontinence

The most effective exercises to improve bowel control strengthen the pelvic floor muscles that support the rectum and regulate bowel movements. Key exercises include Kegels, bridge exercises, squats, pelvic floor “elevator” exercises, and targeted abdominal massage techniques. When performed consistently—and often combined with pelvic physical therapy—these exercises can significantly reduce bowel leakage and improve digestive control.

Bowel control problems are more common than many men realize. Whether caused by aging, prostate surgery, chronic constipation, nerve damage, or pelvic floor weakness, fecal incontinence can affect confidence, social life, and overall quality of life. The good news: targeted exercises and physical therapy can help restore strength and control.


Understanding Why Bowel Control Problems Happen

Before exploring the best exercises to improve bowel control, it helps to understand the anatomy involved.

The pelvic floor muscles form a supportive hammock at the base of the pelvis. These muscles support the:

  • Rectum
  • Bladder
  • Prostate (in men)
  • Surrounding nerves and connective tissue

They also play a crucial role in maintaining continence, meaning they help keep stool and gas in the rectum until you’re ready to go.

When these muscles weaken or lose coordination, you may experience:

  • Fecal leakage
  • Difficulty holding gas
  • Urgency to use the bathroom
  • Incomplete bowel movements

According to the National Institute of Diabetes and Digestive and Kidney Diseases, bowel incontinence affects millions of adults and becomes more common with age or after certain surgeries.

For men specifically, common triggers include:

  • Prostate surgery
  • Chronic constipation
  • Nerve damage
  • Pelvic floor dysfunction
  • Long-term straining during bowel movements

Fortunately, strengthening the pelvic floor can restore control in many cases.


Best Exercises to Improve Bowel Control

Below are clinically recommended exercises to improve bowel control that physical therapists often prescribe.

Consistency is key—performing these exercises daily can produce noticeable improvements within 6–12 weeks.


1. Kegel Exercises for Pelvic Floor Strength

Kegel exercises are the foundation of most pelvic floor rehabilitation programs.

They target the muscles responsible for closing the rectum and maintaining bowel control.

How to identify the correct muscles

Imagine trying to stop passing gas. The muscles you tighten are your pelvic floor muscles.

Step-by-step instructions

  1. Sit or lie comfortably.
  2. Tighten the muscles around the anus and rectum.
  3. Hold the contraction for 3–5 seconds.
  4. Relax for 5 seconds.
  5. Repeat 10–15 times per set.

Recommended routine

  • 3 sets per day
  • Gradually increase hold time to 10 seconds

Common mistakes to avoid

  • Holding your breath
  • Tightening the glutes or thighs
  • Bearing down instead of lifting the pelvic floor

Many men benefit from guidance from a pelvic physical therapist to ensure proper technique.


2. The Pelvic Floor “Elevator” Exercise

The elevator exercise builds coordination and endurance, which are essential for preventing sudden leakage.

Instead of a simple contraction, this exercise trains the pelvic floor to tighten gradually—similar to an elevator moving between floors.

How to perform the elevator exercise

  1. Tighten your pelvic floor slightly (first floor).
  2. Tighten a bit more (second floor).
  3. Tighten to maximum contraction (third floor).
  4. Hold for 3–5 seconds.
  5. Slowly release in stages.

Repeat 10 times daily.

This improves the muscles’ ability to respond to pressure during activities like:

  • Coughing
  • Lifting
  • Passing gas
  • Bowel urgency

3. Squats for Natural Bowel Support

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Squats strengthen the glutes, core, and pelvic floor, which work together to stabilize the pelvis.

They also mimic the natural position for bowel movements, helping relax the anorectal angle.

How to perform squats

  1. Stand with feet shoulder-width apart.
  2. Lower your hips as if sitting in a chair.
  3. Keep your chest upright.
  4. Push through your heels to stand back up.

Suggested routine

  • 10–15 repetitions
  • 2–3 sets daily

If you struggle with depth or mobility, assisted squats or wall squats can help.

Many pelvic therapists also recommend using a foot stool when using the toilet to mimic the squat position.


4. Bridge Exercise for Pelvic and Core Stability

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Bridge exercises strengthen the posterior chain, including:

  • Glutes
  • Lower back
  • Pelvic floor

These muscles support bowel control by stabilizing the pelvis and reducing strain during movement.

How to perform bridges

  1. Lie on your back with knees bent.
  2. Keep feet flat on the floor.
  3. Lift your hips until your body forms a straight line.
  4. Tighten your glutes and pelvic floor.
  5. Hold for 5 seconds.

Recommended routine

  • 10 repetitions
  • 2–3 sets daily

As you progress, you can try single-leg bridges for additional challenge.


5. Abdominal Massage to Stimulate Digestion

exercises to improve bowel control

Unlike strengthening exercises, abdominal massage supports bowel movement regularity.

Physical therapists use this technique to stimulate the colon and digestive tract, especially in patients with constipation or slow motility.

Basic abdominal massage technique

  1. Lie comfortably on your back.
  2. Use gentle circular motions on the abdomen.
  3. Follow the path of the colon:
    • Up the right side
    • Across the upper abdomen
    • Down the left side

Massage for 5–10 minutes daily.

Clinical research has shown abdominal massage may improve bowel frequency in people with constipation and bowel dysfunction.


Why Physical Therapy Is One of the Most Effective Solutions

While home exercises help, many men benefit from pelvic floor physical therapy.

Specialized therapists assess:

  • Muscle strength
  • Coordination
  • Nerve function
  • Bowel habits
  • Breathing mechanics

Treatment may include:

Advanced therapy techniques

  • Biofeedback training
  • Manual therapy
  • Electrical stimulation
  • Personalized pelvic floor exercise programs
  • Lifestyle coaching

According to the American Physical Therapy Association, pelvic physical therapy is one of the most effective conservative treatments for bowel incontinence.

Case example

Men recovering from prostate cancer surgery frequently experience pelvic floor weakness. Clinical studies show structured pelvic floor therapy programs can significantly improve continence outcomes.


Lifestyle Habits That Improve Bowel Control

Exercises work best when combined with healthy bowel habits.

Increase dietary fiber

Fiber adds bulk to stool and improves consistency.

Recommended intake:

  • 25–38 grams daily

Good sources include:

  • Oats
  • Beans
  • Berries
  • Leafy greens
  • Whole grains

Stay hydrated

Water softens stool and prevents constipation.

Aim for:

  • 6–8 glasses daily

Avoid excessive straining

Straining weakens pelvic muscles over time.

Helpful strategies:

  • Use a toilet foot stool
  • Take your time
  • Practice diaphragmatic breathing

Maintain regular exercise

Walking and moderate exercise stimulate digestion and improve circulation to pelvic tissues.


When to See a Specialist

You should consider a professional evaluation if you experience:

  • Frequent bowel leakage
  • Strong urgency
  • Inability to hold gas
  • Accidents during physical activity
  • Symptoms after prostate surgery

Early intervention improves recovery and prevents long-term pelvic dysfunction.


How Pelvic Physical Therapy at Pelvis NYC Can Help

exercises to improve bowel control- Pelvis NYC

If you’re struggling with bowel control, working with a specialist can accelerate recovery.

At Pelvis NYC, therapists focus on evidence-based pelvic rehabilitation for men.

Their approach includes:

  • Comprehensive pelvic floor assessments
  • Personalized exercises to improve bowel control
  • Biofeedback therapy
  • Post-prostate surgery recovery programs
  • Digestive and bowel habit coaching

Many patients see meaningful improvements in 6–8 weeks with consistent therapy.

👉 Take the first step toward better control. Visit Pelvis NYC to schedule a consultation and start a personalized pelvic health program.


Frequently Asked Questions

What are the best exercises to improve bowel control?

The most effective exercises include Kegels, pelvic floor elevator exercises, bridges, squats, and abdominal massage techniques. These strengthen the pelvic floor muscles that control bowel movements.

How long does it take for pelvic floor exercises to improve bowel control?

Most people notice improvements within 6–12 weeks of consistent daily exercise. Results may appear faster when guided by a pelvic floor physical therapist.

Can men benefit from pelvic floor therapy?

Yes. Men frequently benefit from pelvic floor therapy, especially after prostate surgery, chronic constipation, or nerve injury affecting bowel control.

Do Kegel exercises help with fecal incontinence?

Yes. Kegels strengthen the muscles that close the rectum, improving the ability to hold stool and gas.

When should I see a pelvic physical therapist?

You should seek professional care if bowel leakage occurs regularly, if symptoms interfere with daily life, or if problems begin after surgery or injury.


Final Takeaway

Bowel control problems are common—but they’re also highly treatable.

Practicing targeted exercises to improve bowel control can strengthen the pelvic floor, restore muscle coordination, and significantly reduce leakage. For the best results, combine these exercises with healthy bowel habits and guidance from a pelvic health specialist.

If symptoms persist, working with experts at Pelvis NYC can provide a structured recovery plan designed specifically for men.

Related Blog: How to Manage Bowel Issues: Tips and Strategies