Is Your Gut Ready for Anal Play?

Ready for Anal Sex? Learn the Dos and Don'ts (& more!) from a Gastroenterologist

Estimated read time: 1:20

Summary

In this enlightening episode of the Rena Malik, M.D. podcast, the hosts dive deep into the world of gut health and anal play with Dr. Kung Kum Patel, a gastroenterologist. The discussion revolves around the importance of maintaining a healthy gut microbiome and provides practical advice on preparing for anal play safely. Key topics include dietary impacts on gut health, the role of prebiotics and probiotics, and practical tips for engaging in anal activities with minimal risk. The insights shared are not only educational but also presented with a fun and approachable tone, ensuring that listeners leave informed and entertained.

Highlights

Dr. Kung Kum Patel shares insights on how diet influences gut health. 🥗
The interplay between prebiotics and probiotics explained with food examples. 🥬
Tips on optimizing gut health through fiber-rich diets. 🌾
How to prepare for anal play to ensure it's hygienic and enjoyable. 💦
Surprising connections between gut health and mental health uncovered. 🧠
Why high-fiber foods might cause bloating and what to do about it. 🌽

Key Takeaways

Gut health is paramount not only for digestion but for overall well-being. 🥦
Anal play requires thorough preparation for safety and hygiene. 🚿
Prebiotics feed probiotics, supporting a flourishing gut microbiome. 🌿
Lifestyle factors such as diet and stress greatly influence gut health. 🍎
Farts can signal changes in your diet or gut health—but don't sweat it too much! 💨

Overview

Gut health has become a buzzword, but Dr. Kung Kum Patel breaks it down with clarity and a dash of humor on the Rena Malik, M.D. podcast. From the definition of a gut microbiome to the mechanics of digestion, the conversation is as informative as it is engaging. Listeners will learn about the influences of diet, stress, and environment on their gut's microbial balance, and how to foster a healthier digestive system.

When it comes to anal play, preparation is key. Dr. Patel and Dr. Malik discuss the importance of cleanliness, consent, and communication, offering listeners practical advice to engage in anal activities safely. From enemas to choosing the right lubricant, they cover all bases to ensure a positive experience for both partners.

What's compelling about this conversation is its holistic approach to health – understanding that gut well-being affects more than just digestion. It touches on mental health, skin quality, and even sexual satisfaction. This episode encourages listeners to take an active role in maintaining their health, starting from their gut.

Chapters

00:00 - 00:30: Introduction and Tips for Anal Play The chapter focuses on preparation tips for anal play, particularly for the receiving partner. It emphasizes the importance of cleaning out the rectal area to avoid any accidents during the activity. One recommended method is using an enema with a 90 to 100 cc bulb, ensuring the water is warm—neither too hot nor too cold—to avoid stimulating the colon or causing cramping.
00:30 - 01:00: Podcast Introduction and Guest Details In the podcast episode of the Reena Malik MD podcast, hosted by Dr. Reena Malik, a urologist and pelvic surgeon, Dr. Kung Kum Patel is introduced as the guest. She is a board-certified gastroenterologist and an expert in irritable bowel syndrome and pelvic floor dysfunctions that cause gastrointestinal symptoms. Dr. Patel is also known for sharing her expertise on gastrointestinal issues in various media outlets. The episode focuses on discussions around the gut microbiome and overall gut health, exploring the fundamental question of what the gut entails.
01:00 - 01:30: Discussion on Gut Microbiome and Its Importance The chapter emphasizes the significance of gut microbiome and strategies to maintain a healthy gut. It covers how prebiotics and probiotics contribute to gut health and discusses the potential role of supplements.
01:30 - 02:00: Impact of Diet on Gut Health In this chapter, the focus is on the impact of various factors on gut health. It explains that gut health is influenced not only by diet, but also by what you see and hear, and your overall environment. Furthermore, it delves into sexual health, specifically concerning anal play, providing guidance on preparation to ensure hygiene and safety, and tips to avoid issues such as anal sphincter injury and prolapse.
02:00 - 03:00: Effects of Sunlight and Sounds on Gut Health This chapter sets the stage for a discussion on gut health in relation to two diverse topics: the effects of sunlight and sounds, and the consideration of anal play. Dr. Patel is introduced as a guest who will provide insights into these topics. The content warns listeners to be cautious of having little ears around due to the mature nature of the conversation.
03:00 - 03:30: Differences and Importance of Prebiotics and Probiotics The chapter starts with an introduction to the concept of gut health and the gut microbiome. Gut health is described as a broad term that encompasses the balance of various microorganisms, including bacteria, viruses, parasites, and fungi in our intestines. Achieving an optimal balance of beneficial versus harmful bacteria is emphasized as crucial for gut health.
03:30 - 04:30: The Myth of Kiwi and Prunes for Digestion The chapter explores the myths surrounding the consumption of kiwi and prunes for digestion. It emphasizes the importance of optimizing gut health to improve overall well-being. The discussion highlights how our gut microbiome affects not only our immune system but also our mood and general health. The narrative suggests a keen focus on understanding what to consume and what to avoid to maintain an optimal balance of gut bacteria.
04:30 - 05:00: Role of Supplements in Diet This chapter discusses the critical role that gut health plays in managing overall health, including mood, heart health, and the nervous system. It emphasizes the significance of the gut as the second largest organ after the skin, highlighting its essential function in the body's metabolic processes.
05:00 - 06:00: Fiber Importance and Sources The chapter discusses the significant role fiber plays in our overall health, particularly in mood and heart health. The conversation establishes a connection between heart issues and potential impacts on one's sex life, emphasizing the importance for men to pay attention to this topic. It introduces the focus on diet as a crucial element for achieving optimal gut health and hints at the upcoming discussion on specific dietary strategies.
06:00 - 07:30: Effects of Diet Trends on Gut Health This chapter discusses the impact of diet trends on gut health, emphasizing the importance of prebiotic and probiotic foods. Prebiotic foods, especially those high in fiber, are crucial because they support the bacteria in the gut by helping to produce metabolites like short chain fatty acids. These fatty acids are essential breakdown products that contribute to a healthy gut environment.
07:30 - 08:00: Gut Health and Its Impact on Skin The chapter discusses the significant role of gut bacteria in producing short-chain fatty acids through fermentation. These acids play a crucial role in health by binding to receptors that aid in the production of serotonin and dopamine, hormones that influence happiness and mood. Additionally, these fatty acids enhance insulin sensitivity, which is essential for weight management, and facilitate communication between the brain and gut, affecting how we feel. The chapter also emphasizes the importance of mental exposure and perception in influencing gut and skin health.
08:00 - 09:30: Fecal Transplants and Future of Gut Health The chapter delves into the significance of natural daylight for gut health. It explains how our brain's supermatic nucleus senses daytime and nighttime, impacting not only our body's awakening process but also our overall gut function. The importance of exposure to sunlight in maintaining healthy bodily rhythms is emphasized.
09:30 - 12:00: Effects of Fasting, Cleansing, and Artificial Sweeteners The chapter discusses the importance of natural sunlight in regulating the body's circadian rhythm, which is a 24-hour cycle. Exposure to sunlight, even on cloudy days, for at least 20 to 30 minutes can help set the internal body clock and release hormones such as endorphins and serotonin, which contribute to overall well-being.
12:00 - 15:30: Insights on Leaky Gut and Irritable Bowel Syndrome The chapter explores the connection between environmental stimuli and gut health, specifically focusing on leaky gut and Irritable Bowel Syndrome (IBS). It highlights the importance of sunlight and the impact of auditory stimuli. Exposure to negative, toxic, or disruptive sounds and conversations can lead to stress or anxiety, which in turn, negatively affects gut health.
15:30 - 23:00: Issues of Bloating, Constipation, and Recommendations In the chapter titled 'Issues of Bloating, Constipation, and Recommendations', the focus is on the physiological effects of stress and distress on the body. It discusses how negative interactions or conversations can affect mental health by reducing serotonin levels. This decrease in serotonin can lead to alterations in intestinal movements, potentially exacerbating issues related to bloating and constipation. The chapter underscores the connection between emotional well-being and gut health, pointing out that stress can put the body into a 'fight or flight' mode that may disrupt normal digestive processes.
23:00 - 24:40: Serious Discussion on Colon Cancer The chapter discusses the impact of stress on intestinal movement, emphasizing the fight or flight response. The body's reaction to stress diverts blood flow away from 'rest and digest' organs to support immediate physical actions like running or escaping. This diversion affects gut function due to reduced blood supply.
24:40 - 31:00: Questions on Anal Play Preparation and Safety The chapter titled 'Questions on Anal Play Preparation and Safety' delves into dietary aspects crucial for preparation. The discussion begins with the differentiation between prebiotics and probiotics and their respective roles. Prebiotics are described as food for the probiotics, with examples including onions, garlic, asparagus, and green leafy vegetables. This suggests a foundation of nourishment necessary for maintaining a healthy gut microbiota, which could be pertinent to the broader topic of health and safety in the context of anal play. The chapter promises to further explore the distinction between what foods naturally supply these nutrients versus the role of supplements.
31:00 - 33:40: Final Questions and Personal Insights The chapter discusses the importance of fiber-rich foods such as asparagus, broccoli, and brussel sprouts in nourishing probiotic bacteria in the gut. It mentions specific strains of probiotic bacteria like lactobacillus, bifidobacterium, and REM nois, emphasizing their role in gut health.
33:40 - 35:00: Conclusion and Contact Information The transcript discusses the importance of probiotic bacteria in producing beneficial metabolites known as short chain fatty acids. A differentiation between prebiotics and probiotics is made: prebiotics are the foods that support gut health, while probiotics are the beneficial bacteria themselves. Examples of probiotic foods such as keer and yogurt are mentioned, though the transcript cuts off before providing further examples.

Ready for Anal Sex? Learn the Dos and Don'ts (& more!) from a Gastroenterologist Transcription

00:00 - 00:30 and then in terms of preparing your body like if you're the one receiving the anal play is there anything you recommend oh yes absolutely I mean you want to be able to clean out for your partner right you don't want to have an accident on your partner and so you do want to clean your bottom out for approximately 30 minutes to an hour prior and you can use something called an enema you can get a 90 CC bulb something around 90 to 100 cc's or so and you can use warm water don't make it too hot cuz that'll stimulate your colon don't make it too cold it can cause cramping but clean out welcome back to
00:30 - 01:00 the Reena Malik MD podcast I'm your host Dr Reena Malik urologist and pelvic surgeon today we are joined by Dr Kung Kum Patel a board certified gastrologist and renowned expert in eral bowel syndrome and pelvic floor dysfunction causing gastrointestinal symptoms she's also regularly seen on the media giving her expert opinion on gastrointestinal issues around the country on today's episode we discussed the gut microbiome and gut health what exactly is a gut
01:00 - 01:30 microbiome and what can we do to make sure that our gut microbiome is healthy what are prebiotics and probiotics and is there a role for supplements what are the best foods that you could eat for your gut health we also talk about how fasting cleanses and artificial sweeteners might affect the gut microbiome then we talk about how certain types of diets like the ketogenic diet or the carnivore diet might affect your gut health we also talk about floating constipation and stinky farts why do these things happen
01:30 - 02:00 and what should you do about them we also talk about how your gut health is affected not only by what you eat but by what you see and what you hear and how what you surround yourself with can affect your gut health lastly we talk about sexual health in terms of anal play what can you do to prepare for anal play to make sure it's the most hygienic and safest possible and how you could avoid issues like anal sphincter injury reple prolapse and other Poss
02:00 - 02:30 consequences that can occur when anal play is performed incorrectly and how can you prep yourself for anal play for it to be the most enjoyable and comfortable for both individuals Dr Patel thank you so much for joining us we are so pleased to have you thank you so much for having me this is an incredible honor and pleasure so um today we're going to talk about all sorts of things we're going to talk about gut health we're going to talk about anal sex so if you have little ears around you make sure you listen to this when they're not around and so you
02:30 - 03:00 know it'll all be time stamps so if there's something you don't want to learn about feel free to forward past that so let's talk about gut health what exactly is gut health oh gosh I feel like it's such an umbrella term right um the gut microbiome that's all the healthy bacteria viruses parasites fungi that live in our intestines that makx up the gut microbiome and getting it to a good balance of good bacteria versus the bad ones is really what's optimal and when we talk about gut health so our
03:00 - 03:30 whole purpose in figuring out how to optimize our gut health is to figure out how we can do all the things that we can what we can eat what we can see what we can expose ourselves to what we should not expose ourselves to to get our microbiome or our gut bacteria to be optimal to be in the best of health and a lot of that is because our immune system lives in our gut our um microbiome dictates how um our mood I
03:30 - 04:00 always say mood is made in our gut and it's really important to realize that so much of you know the rest of the body kind of relies on the metabolites that are made in the gut for them to function like your heart health your nervous system so overall health is really gut health as well that's amazing so you know the the one thing that I found so interesting when I learned about it in medical school was that that that's our biggest organ outside after skin right skin is number one and gut is number two too so it makes sense that it plays such
04:00 - 04:30 a huge role in our lives and in mood like you said and heart health and so if your heart is having issues your sex life is also having issues so guys listen up this is going to give you you're going to learn so much on this podcast so what can we do to have a healthy gut now there's lots of things so let's focus let's start on diet first like how can we optimize our diet to get the best gut health okay so that's a great question you know gut health is really reliant on the foods that we eat
04:30 - 05:00 and our bacteria really rely on getting something called Prebiotic foods and probiotic rich foods and that's because our bacteria the biotic portion of it is relying on things that is going to help make its metabolites so when we think about that think of high fiber foods so high fiber foods are things that can allow the bacteria to make something called short chain fatty acids okay and short chain fatty acids are really the metabolites or breakdown products of
05:00 - 05:30 fermentation by this bacteria so when a bacteria are able to make those then those short chain fatty acids can then bind to other receptors and help make serotonin your happy hormone it can help make dopamine that's your other happy hormone it can help with insulin sensitivity which is huge in terms of weight control it can help give your messages to the brain in terms of how we're supposed to be feeling and vice versa you know it's important to as to what you think and what you see and what you expose yourself to that's also very
05:30 - 06:00 important in terms of that so what do you mean by think C like in terms of like what you look at like is that going to affect your gut health so yes and no so when you see what you want to do is to see sunlight a natural daylight okay our brains have something called the supermatic nucleus which is a fancy term basically meaning that that's the area of the brain that realizes when it's daytime when it's nighttime so our not only do we awaken but our bodies and our
06:00 - 06:30 minds awaken when you know the Sun is up and so by getting natural sunlight your body has something called a circadian rhythm which runs on 24 hours and that is awoken by seeing sunlight and getting at least 20 to 30 minutes of natural light it can be even on a cloudy day can really help to one set what you know the temp the time is in your body and also helps release endorphins serotonin in your body so that also allows for the
06:30 - 07:00 gut to know okay it's time to kind of get things moving in our system to get things processing we don't have to slow down at this time so when it's daytime it can start processing so what you see should be sunlight first the other thing is what you hear right having negative or toxic or disruptive sounds um disruptive thoughts disruptive conversations can actually be negatively impacting our gut health because they can produce stress or anxiety right so
07:00 - 07:30 if you have you think about it if you're get in a fight with someone and or you have a bad conversation with someone you're in a state of almost distress because you're like oh God like this person told me something or now I don't feel good that then triggers your brain to not release serotonin that's it's it's shutting down that the amount of happiness or happy hormones that it's releasing and so that alters the way that our intestines move sometimes the puts our bodies into almost like a fight
07:30 - 08:00 or flight mode because the body feels like it's in a state of distress and chronically that can really affect the way that our intestines move yeah that's so that's so good because you know we learned in medical school that so fight ORF flight for those of you who don't know basically your blood flow is taking away from these organs rest and digest organs and going towards the ability for you to like run or get away from the stressor right and so you're no longer providing blood flow to the gut is that right right yeah that's absolutely right
08:00 - 08:30 okay yeah and then back to the diet because I wanted to go deeper into that so prebiotics probiotics break it down for us what is the difference what are some good foods that will give us both prebiotics and probiotics and our supplements like is there a role for them okay so think of prebiotics as food for the probiotics okay so food for our bacteria can include onions it can include garlic asparagus um think of your green leafy rough veggies okay so
08:30 - 09:00 you think about like you know asparagus and broccoli and your brussel sprouts right those are fiber filled foods that will feed the bacteria now what bacteria the probiotic bacteria that you think of include lactobacillus right you think of you see a bottle of a kefir or yogurt you see on there it's written all different kinds of lactobacillus that's one of the probiotic bacteria bifidobacterium that's another one REM nois is another one and so those are key
09:00 - 09:30 uh probiotic bacteria that are very important in helping to make those metabolites called short chain fatty acids got it got it and so what's the difference between prebiotics and probiotics so prebiotics are the foods and the probiotics are the bacteria got it got it okay that makes sense so um is there Foods so as you mentioned there's foods that are the prebiotics and then the probiotics keer yogurt what else is there that we could have like are there
09:30 - 10:00 fermented foods or things like that so fermented foods I think are great so if if you don't know fermented foods are foods that have undergone the natural process of turning their organic sugars into organic acids like lactic acid okay and so I think of them as Fooda begin with the K because again my name begins with with a K and so like okay I will tell my patients sour crowd has a K in there kimchi kefir kombucha right those are are all things and I think about
10:00 - 10:30 them they're all kind of Tangy and so those are the foods that contain a lot of live active bacteria and they have undergone the natural process of uh fermentation over time and so that that's why they contain a lot of lactobacillus or Bob bacterium and multiple other strains that are very healthy for for you that's great and I think you know in our culture we eat a lot of yogurt as like with every meal we'll often have yogurt and I think that comes from ancient like teachings of
10:30 - 11:00 like health and how it's good for our gut oh absolutely yeah and kiwi you said something about kiwi on a TV interview tell me I I did not know about kiwi that that was a surprise you know it's funny so kiwi originally came from China then it was like brought to New Zealand and now everyone thinks kiwi is a a new New Zealand fruit but it's actually from Asia and a recent study was published actually in the American Journal of Gastrology this past June that says that the consumption of two kiwis per day can
11:00 - 11:30 actually increase the number of complete spontaneous bowel moments that you can have per week so let's say in Baseline you have one bowel movement per week it says that having two green kiwi fruits per day can increase that by one and a half on average so you'll go from having one bowel movement a week to having three and a half bowel movements per week so that's a huge change in just including a fruit okay and the other thing is that that St study showed that not only does it increase the number of
11:30 - 12:00 bowel movements but also the abdominal discomfort symptoms which is the bloating the abdominal cramping the pain that comes along with having constipation is improved by having the two green kiwi fruit per day and what's the mechanism like what do they think how is that working so they think that that it's because of the fiber content that's in there also the water content that's there and it kind of helps to make a gel-like form to help pass things through and kind of reduce how hard it is for the poop to pass got it and and
12:00 - 12:30 is that similar to prunes cuz everyone talks about prunes I mean I tell my patients to eat prunes oh yes I I'm a big prune fan as well prunes and apples kiwi it's similar you know in terms of how how they all work and you know make it smoother uh to get the bowels moving I love it so back to the prebiotics and probiotics tell me about supplements because there are so many out there is there value in taking a supplement should we just be getting it from food when should you take a supplement so you know I love the word supplement because
12:30 - 13:00 I think it says it all right it is supplemental right it is not essential because if it was essential we would recommend that people get it in any form no matter what whether it's over the-counter or from food supplements are supplemental which means you don't have to rely on an external source to get it you should be able to get your probiotics and prebiotics from your food you shouldn't have to rely on XYZ probiotic pill in order to get good gut
13:00 - 13:30 bacteria and so is it helpful yes is there one perfect one no and so you know when people say oh which which straight I see you know this pill has eight strains of bacteria but this one has 12 so this one's got to be better we don't know if you need all those 12 strains or what the mechanism or composition of the bacteria is in your gut and so giving you the one with 12 strains in it versus eight strains may not be the best
13:30 - 14:00 blueprint for you and so really you know there isn't one Silver Bullet probiotic supplement pill that's out there so that's why you won't really see someone making a you know recommendation saying this one more than that one um that that is needed and of course there is studies showing certain bacterias that strains that are beneficial for you but no one's going to come out outright and say this is it this is the silver bullet and you must take this you can get them from Foods so how many servings of prebiotics
14:00 - 14:30 and probiotics should be getting in a day oh there isn't a an amount of prebiotics and pro probiotics it's the amount of fiber that you should really be concentrating on and so the Ada recommends uh that women get 25 grams of fiber per day and men get up to 38 and so you know that can be in different forms whether you're getting that as a soluble fiber or
14:30 - 15:00 insoluble fiber but that's what's going to help get a good amount a healthy amount of pre- and probiotic types Foods CU your body responds to that fiber by creating the bacteria the bacteria eat the fiber correct right and so is that ADA recommendation enough I've heard on the internet that you should be getting a lot more fiber per day and we're and I think average we get like what 12 grams is that right like people are getting significantly less than the recommended correct and and some people are us using the the Fiber Gummies right and those
15:00 - 15:30 have about three grams of fiber in one I mean you'd have to eat the whole damn jar in order to get a sufficient amount right so I think that it's more important to figure out if you can get up to that 30 I feel that chia seeds are actually a quick and easy way to get fiber because one two tablespoons actually of chia seeds have um approximately 10 gram of fiber in them so really if you're trying to get to that 38 number or that 25 number doesn't take that much of chia
15:30 - 16:00 seeds which can really be mixed into you know anything and everything to get at least some degree of fiber so what are some other food hacks for fiber what would you say are some other like really good foods that have a high amount of fiber that we can be adding to our diet to get to that amount so yeah so first things first I would say Chia is the number one because it's a small tiny seed it's pretty tasteless you can put it in water you can put it on food you can put it in your salad and if you have kids who are constipated you can
16:00 - 16:30 literally make them a chia seed pudding with any form of other liquid whether it's in their milk whether it's in a pudding and you could kind of mix it in and make it into a jelly-like substance and it's pretty filling and you know it's great for kind of also satiety right if you're trying to avoid eating a lot have fiber first right that'll prevent your sugar Spike it'll help fill your belly it'll help it expand and so that's going to help so that's your number one for fiber number two I think any cruciferous vegetable that you can get if it's green and leafy and hard to
16:30 - 17:00 cook and or smells like a fart that is probably what you want to eat right if it makes you feel bloated because it produces a lot of gas likelihood is that it's really good for you those are not the ones you want to avoid people are like oh I'm I'm I'm going to not eat fibrous vegetables because they make me bloat yeah because they produce certain gases but are you going to not give your gut what it needs no this is a temporary thing where that gas needs to pass
17:00 - 17:30 that's great in terms of gut health again are there effects of C you know people are doing all sorts of diets they're doing carnivore diets keto diets what is the effect of your gut microbiome with these sort of diets so you know there is that that old saying right everything in moderation and we're learning more and more that red meat has delerious effects on the microbiome increases the risk for colon cancers so
17:30 - 18:00 of course you want to if you're going to eat meat then you want to have leaner white meat if you're going to eat something in terms of filling you up eat fiber that's going to kind of help that bacteria make those store chain fatty acids so try to be more plant-based try to have more fiber and I'm not going to tell you to avoid all alcohol or avoid all sugar and you know everything in moderation right am I going to tell you zero sugar for the rest of your life no that's that's impossible being that restrictive is going to be very hard am
18:00 - 18:30 I going to tell you to avoid as much sugar as you can yes because sugar again overall changes the gut microbiome you become more insulin resistant it's going to increase your weight and So eventually it'll have you um you know craving more carbohydrates more sugar which is then going to impact it and that leads to obesity having a you know piece of chocolate here and there that's fine right in moderation have a glass of wine here or there but is it daily no and maybe have your fiber first
18:30 - 19:00 absolutely the order in which you have things definitely matters right if you're going to eat and you've been fasting intermittent fasting and the first thing you do in the morning is you're going to eat the first thing you should probably do is eat something with a protein and a fiber that is going to prevent your blood sugar from spiking and instead of having your doughnut first or you know your sugary orange juice first right because that's going to cause the blood sugar to P Spike significantly so instead of doing that have your your fiber first so that the spike is much lower when you do add that
19:00 - 19:30 orange juice in second so gut health and your skin so this is something that I I realized like actually learned from you on your TV segment that gut health has a huge impact on the quality of your skin and the collagen so tell us a little bit about that yeah so you know our gut Flora has so much to do with the overall skin uh health of our skin and so you want to really stimulate collagen production and your body really depends on vitamin C for that right so a lot of these fermented foods have a lot of one
19:30 - 20:00 a lot of good beneficial bacteria and two a high content of Vitamin C in them so again sauerkraut kombucha and Kiwis ton of vitamin C that helps with collagen and elastin production and that can actually stimulate for the collagen elastin to grow in your skin and gives you that smooth texture that's awesome man what you eat forget Botox Man start eating real food start eating fermented food start eating kiwi and see the benefit on your skin 100 % that's awesome so there's some data on feal
20:00 - 20:30 transplants for people who have bad gut microbiome right like would this is something that occurs due to diet but also is passed down generationally I understand and so at some point like you know it may be difficult to repopulate good bacteria is that is do I understand that correctly yeah so especially in people who've got something called recurrent claustrum defil infections and you have tried antibiotic courses to help you know treat and get rid of this uh bacteria and overgrowth of this bacteria if overtime and multiple rounds
20:30 - 21:00 of treatment for C dip is not working then and it is indicated to get something called a feal microbiota transplant there are actually now new pill forms of the fmt that have come out that are FDA approved to actually get that good bacteria back to kind of repopulate your gut such that it actually prevents the recurrence of another CDF infection so do you see a future where we'll be able to assess the B a load of someone's microbi gut
21:00 - 21:30 microbiome and then be able to either take a pill or do like a a feal transplant to repopulate like a healthy gut is that something that you think you know could happen in the future some version of it I mean there are so many of these tests out there that are like you know that are testing your microbiome that are testing you know how much you sensitive what sensitivities you are and all that kind of stuff I think it's in the works you know we certainly have't perfected anything of that nature yet and you know it's going
21:30 - 22:00 to take a lot of time because each of us has a variable microbiome that is ever changing right every time you eat something or let's say you eat something bad or you have an infection whether you have a cold or you ate a bad taco right your your microbiome changes so it's an everchanging thing so how often are you going to sequence it how how expensive is it going to be how accurate is it going to be right those are all things that we don't quite know yet yeah but in an ideal world where money isn't an
22:00 - 22:30 issue and access is not an issue and you know you know getting to a scientific you know validity yeah that'd be great where we could you know have it sequenced all the time live you're like all right I'm missing a little bit of bfo bacterium today and I'm going to eat just a two more ounces of kefir and you know that is it I'm back down to Perfection yeah I would love that and so yeah some of these so you make a good point that like some of
22:30 - 23:00 these things are taking one snapshot in a moment right these at home tests and so they're not necessarily giving you data of like a long time stand so it may not be relevant is that right that's correct that's correct and a lot of it is also you know because it's ever changing we don't know one it's very long and two it's again it's a snapshot and so it it's too versatile for us to really hone it down say okay this is the exact formulation that you need today and that's that in terms of other things
23:00 - 23:30 that can affect gut gut health how about fasting or artificial sweeteners or cleanses like how are these things playing a role ooh okay so let's let's tackle each of those intermittent fasting intermittent fasting as you do it for a longer and longer time it helps by reducing your insulin levels and um also lack of stimulation by food specifically sugars helps to allow for certain types of bacteria to grow and allows for the bad bacteria to be able
23:30 - 24:00 to not proliferate as much which is certainly helpful helps in terms of insulin sensitivity okay so that will alter the microbiome and to have you craving things that are healthier rather than always CRA craving maybe more sugary more carbohydrate rich foods okay is there like a length of fast that's like that's been looked at specifically I mean is it good to do a shorter fast or longer fast or like people are doing weekl long fasts that that is a varied and and an entire Topic in itself I
24:00 - 24:30 think there have been studies that at least 16 hours to 18 hours is a good window as to when you start seeing an effect in terms of insulin sensitivity but there are so many varying studies out there you know some say you know you just need at least 12 hours to see some benefits some people say you know 16 hours a day makes a big difference but for some people hormonally you know genetically and also with their underlying stress levels that may not be possible for them because if if you're putting your body under constant stress
24:30 - 25:00 by fasting you may be raising your underlying cortisol levels and if on top of that you have a stressful life or you have psychological distress it may not be as effective for you right and so you know while you're doing it all correctly you may be starving for five days on end and then not seeing some of the results because other hormones have come into play and so that's what's really important to remember yeah yeah that's really helpful and then what about cleanses o cleanses so there isn't really a cleanse out there that is you
25:00 - 25:30 know perfect or recommended because one it's just temporarily wiping out the Flora of your gut and you know there's the cayenne pepper one I think that you know Beyonce has done and she's lost you know weight on this I'm sure it's great temporarily yes it it will likely flush out some pounds and and you know make you look good but our microbiome replenish es and as soon as you introduce some of those other Foods back
25:30 - 26:00 in it automatically often times returns to its different or natural state so do I recommend it not really if you're going to do any cleanse a fast is probably a good one so you're not putting something in but kind of eliminating things for a while the other thing is a colonic cleanse those are I would not recommend because one they're dangerous okay putting 60 to 80 lers of water into your colon uh without you know a way to look inside the actual
26:00 - 26:30 Lumen or the tract of the G of the GI tract can be very dangerous I mean it can there can be a high risk for the colon bursting right and you may just alter the microbiome significantly to the point that you know it hasn't made a difference or you may end up with something called electrolyte imbalances right the amount of salt and chloride that's in your in your body may get really out of whack and you may absorb too much water that can be dangerous right and all in the name of what looking 2 PB thar 3 PB 10 PB thar
26:30 - 27:00 temporarily it's not worth it yeah and that's different from an enema right enemas are safe what if I remember there was this Tik Tac Trend about a coffee enema I don't remember what it was claiming to do but I remember that it was it was very viral for some time do you have any thoughts on that I don't think I watched it enough to comment on it yeah but not there's no value to adding coffee to your enema no okay and and then is there any data on artificial sweeteners and your gut
27:00 - 27:30 microbiome oh yeah I mean in terms of artificial sweeteners are can be super damaging right things like sorbital and a lot of these fake sugars because of the fact that they affect our insulin levels right our brain is expecting to receive some degree of carbohydrates and is expecting that dopamine or serotonin hit and so you're craving these sugary things and instead you gave it a fix sugar right so your body's like okay I got something sweet but it wasn't the
27:30 - 28:00 sugar hit I was looking for so let me try to get some more so then that has you craving more and more and what that actually ends up leading to is more insulin resistance and obesity down the line so while you may have temporarily CRA you know giv yourself the the sweet satisfaction it didn't actually give your brain that hit that it needed and so it continues to Crave it until you actually get that sugary food in you and you finally uh feel satisfied well that's a bummer yeah as we drink our as
28:00 - 28:30 we drink our artificially sweet [Laughter] drinks okay so I think in terms of we've covered a lot about gut health what so what is leaky gut is that like a problem with gut health what does that mean I mean if we've all heard that term right you've got a leaky gut what does that mean so leaky gut is I would just say a layman's term for intestinal permeability okay that just means that what we call the tight junctions that's the how the cells are kind of sitting next to each other and how they're
28:30 - 29:00 communicating with one another those Junctions in between those cells are not as tight and not as cohesive as they were and that Junction is often times that barrier has been disrupted and it's disrupted by foods and toxins and things that you eat or consume and because that is broken that Barry has been broken those toxins can get into your bloodstream much easier that for some people can cause an inflammatory response and for some people that can
29:00 - 29:30 lead to inflammatory bowel disease it can lead to irritable bowel syndrome and make it happen temporarily it can happen more long term but that's the whole premise behind leaky gut or irritable bowel syndrome so what kinds of foods are really and I guess toxins that we're exposed to that could put you at risk for getting leaky gut oh you know think about your typical things like alcohol high sugar processed foods okay so you know high fructose corn syrup right
29:30 - 30:00 again those things that give us the dopamine hit that make us feel good and it's easy right it's easy to reach for it it's quick and you know you're thinking okay as a working person I need a meal and I need it fast so instead of fast food I'm going to get food fast that having that food fast that is processed is altering what is going in and how our intestines are able to connect with each other and that is was causing that intestinal permeability
30:00 - 30:30 which is leading to an alteration in how our gut microbiomes talk to one another how it causes the gut to move and even make that happy hormone that we want so you mentioned irritable bowel syndrome can you define that for our audience oh yes iral bowel syndrome is defined by a change in the character and stool and defined by abdominal pain that's been happening for the last 6 months or so that's defined by the Rome Foundation got it got it yeah and that we see a lot
30:30 - 31:00 of patients particularly I see a lot of patients with who have irritable bowel syndrome they also have very often pelvic pain associated with it because it becomes sort of a almost a central sensitization syndrome so they'll have you know migraines fibromyalgia irritable bowel syndrome intis which is a bladder condition as well as pelvic pain and so we'll see a lot of these comorbid conditions and I wonder if allot of them start from what we're putting in our bodies absolutely I mean so much of it is you see them coexisting
31:00 - 31:30 because there's been an overall change in the microbiome that because of that change of that microbiome the metabolites or whatever is being sent to the brain through the vegus nerve is then dictating how we're supposed to feel so let's say it's depleting the amount of happy hormone serotonin we're now in a state of stress or anxiety and then the brain is saying okay well this amount of stress or anxiety is not good let's let the rest of the body know that we're under
31:30 - 32:00 distress and let's say in terms of the bladder it says okay well we're unhappy let's try to evacuate all of its contents right so it's always kind of cramping up and allow and making you feel like you have a UTI permanently right every day you wake up and feel like you have you know an overactive bladder that needs to empty itself and it's always feeling like you've got to pee and so that same thing is because the nerve nerves are on overdrive on the bladder and causing you to feel feel
32:00 - 32:30 that way similarly in IBS your stress and the anxiety is now telling the nerves in the GI tract okay you know what we are in a fight ORF flight mode we have to either hold all the contents in until we're relaxed enough to poop or we need to evacuate all the poop out of our intestines so that we are can get ready to fight right and that's the premises behind why some people get diarrhea when they get IBS and other people get constipation when they get IBS it's because those nerves are constantly going like this um and so
32:30 - 33:00 yeah it's the same set of nerves that we get from the brain that go to every part of our body to to our muscles to our bones to our nervous system and so that's how they react each each body system has its own outlet and that's how it reacts and that's same thing for traumas right like if you've been exposed to trauma in your lifetime and you've not maybe you don't even remember it maybe like not allowed yourself to process it but a lot of times also these patients have had some major trauma in their life and this is how it's now
33:00 - 33:30 manifesting and you know there's a great book about the body keep keep score and it kind of talks about that a little bit but I think that's another part that people often really kind of don't talk about but I think it's super important to realize like it's important to take time to take care of yourself whether it's therapy stress relief meditation yoga whatever it is right like find what works for you and keep doing it put it on the calendar man we are too busy I see people who are Workaholics all the time they like look I their work will always be there yes the stresses of life
33:30 - 34:00 will always be there you have to learn to live among them yes absolutely and your body has to have an outlet because if you don't give it an outlet it will find one in the form of migraines or stress or a bloated belly or diarrhea right or migraines or whichever have you so it's going to find itself its outlet and let it out so it's either you or your body is going to do it on its own yeah let's move to bloating let's talk about it what causes
34:00 - 34:30 bloating because it's very uncomfortable a lot of people come in and they have bloating and they're worried it might be a Cancer and sometimes you know we do worry about that but I think generally what's the more common things that you see that cause bloating yeah so you know one of the most common things obviously for bloating is the fibrous foods that you're eating right A lot of people are like you know what I'm going to eat that salad I'm going to eat broccoli and asparagus because I've heard all over the internet that I need to have high-fiber food people start introducing it they're like oh well makes me bloated well yeah those are non-digested you
34:30 - 35:00 know plant sugars and because they're not digested they ferment and you know takes place in the second portion of the small intestine so now it's got to travel through and before it travels through it kind of makes you bloat okay the other thing is that you can have something called a visceral hypers sensitivity again like we talked about that stress is then um giving signals through the nerves the the Vegas nerve down to the nerves in your G track that says okay well we are in a state of stress we need to either accommodate by
35:00 - 35:30 making room because we're not sure when we're going to eat so we're going to make a lot of room so we can have a lot more food or we're going to start rumbling and pushing everything through as quick as possible and that can cause bloating so sometimes out of nowhere it can happen as well so it's called visceral hypersensitivity it can be a bacteria right there is a bacteria called hpylori helicobactor pylori that is very prevalent in some countries and now it's all over the world truly
35:30 - 36:00 because you can get it from anywhere from foods from utensils from one another and you know when ingested through Foods over time it can cause ulcers but it can certainly cause bloating and gastritis and so sometimes it can be bacteria other times it can just be an overgrowth of the bad bacteria you've taken an antibiotic and wiped out so many things because you had a cold or you had an infection and now you have a lot of bad bacteria that's fermenting in there and causing that bloing that's why you should never take antibiotics unless you absolutely need
36:00 - 36:30 them yes so I'm a huge proponent because I see tons of women and men but more women than men who've had recurrent urinary tract infections and they're not really urinary tract infections or they you know they haven't been treated appropriately and so they've been on like 10 or 15 courses of antibiotics and that will completely wipe out all the good bacteria in your bladder and your gut everywhere else yes absolutely and you know people think like oh I I'm doing myself a favor no it's actually altering it to you know having Dela
36:30 - 37:00 effect so yeah yeah and then you know we did talk a little bit about constipation with kiwi helping and prunes helping you know people want to know what causes constipation and what can we do to prevent it or or get better so constipation is really you know I say it's multifactorial you know people just think it's just slow moving bowels but there's so much more to constipation than just slow moving bowels it can be that right because maybe you just haven't had enough fi F or you're on certain medications whether it's
37:00 - 37:30 magnesium or calcium supplementation that can slow down if you're on iron supplementation that can make you constipated if you have diabetes okay or are taking one of the new medications for weight loss or diabetes like OIC that actually slows down how your intestine is empty so that can cause constipation so that's one form there is something called IBS type c so irritable bowel syndrome that's constipation predominant and that's the one where your body reacts to the underlying stressors that it's feeling and says okay we are in a
37:30 - 38:00 you know a low state of fight ORF flight and we are going to hold all of our contents in until we are in a state of Freedom where we can go to our toilet in peace and let it out and you'll often see like P my patients come in they're like I traveled to France for a business trip and the entire four days that I was there I didn't use a single toilet in Paris and I'm like wow that's terrible they're really nice bedday there and and they I was like you didn't even use one once and they're like no I but as
38:00 - 38:30 soon as I got home I let it all out and four days where the stool came out I'm like my God that American toilet had it all so you know and that's a you know very classic form of IBS type c and that's a stress mediated and then last but not least there is pelvic floor dysfunction and these could all overlap by the way but pelvic floor dysfunction you have something like childbirth or surgery or trauma sexual trauma or stress or stress that where your muscles just don't necessarily want to coordinate with each
38:30 - 39:00 other and allow for that poop to come out naturally and so that's almost fighting the urge to come out and so and then one other you know set of muscles is like okay let's just stay in let's just stay closed let's not let it out and so they're kind of you know not working together and so you get pelvic floor dysfunction over time so the three can overlap you can have them simultaneously separately but there's all different reasons for why you can have constipation yeah you mentioned magnesium so people sometimes take magnesium for constipation which type of
39:00 - 39:30 magnesium I mean you go to the supermarket right there's like four different types of magnesium some are better for sleep some are better for bowels some are better for whatever so what do you recommend so magnesium oxide and magnesium citrate are the best ones in terms of constipation one of the newer studies recently showed that magnesium oxide can be one of your first go-to over-the-counter therapies for when you are you know about run-of-the-mill constipated because it's it's easy effective do have to be careful if you've got an issue with your
39:30 - 40:00 kidneys and that are not working as well but that's one of the first things you can kind of turn to a counter so food fiber magnesium what else are some easy things people can do at home to help with constipation water water water water we don't get enough water in our day you know the first things often we wake up and we're like okay coffee I need to open my eyes I need to get ready because I didn't get enough sleep and so let me you know chug that Starbucks first water start with water first
40:00 - 40:30 because if you can get enough water into your system around 64 to 100 ounces a day then you can also have enough things absorbed into your actual you know stool and allow for it to kind of move through your body so is it true that what coffee helps you go right like is that something like people like oh I need my cup of coffee or I won't poop or is it just the fluid that's actually making them go a little bit of both so hot coffee actually can stimulate the bowels so as can hot water so it doesn't have to necessarily be the hot coffee itself
40:30 - 41:00 but coffee has caffeine which also stimulates your bowels to move so again it's the two in combination that a lot of people need in order to kind of stimulate the peristalsis or muscle muscle movement in the colon to have that bowel movement but that's so interesting because even in Indian culture right people drink hot water in the morning yes yes and maybe that's part of the reason oh yes absolutely I mean people have FAL water hot water lemon water all those things are things that stimulate colonic contractions and so they they've got something you know
41:00 - 41:30 in that based on science yeah so if you're trying to avoid coffee in the morning or limit your caffeine I encourage you to try some hot water or or some like herbal tea which is warm that doesn't have the caffeine because that may be helpful yeah and even black coffee it's got chlorogenic acid in it it's helpful for the cells in your colon as well so what about movement movement helps with constipation oh absolutely I mean moving your body will move your bowels for sure so getting 20 to 30 minutes of you know aerobic exercise per
41:30 - 42:00 day will one help that good bacteria start to ferment and helping that good bacteria start to ferment will help make more serotonin serotonin our happy hormone also modulates how we empty our bowels so it'll help keep things flowing as well man are these little bacteria are so sensitive it's so sensitive no matter how tough you think you are your bacteria still need you to do all the right things 100 yeah so one last sort of medical question then we'll move on to the interesting
42:00 - 42:30 sort of sexual health stuff tell me about stinky farts like what can you do about them right oh man okay so stinky farts this I I hear often from a lot of my patients and stinky farts are a product of one what you eat right so if you had a lot of fiber that has that eventually produces sulfur right so you have a lot of cabbage asparagus broccoli those Foods those fibers foods do contain sulfur so your farts will come out smelling a lot like the foods you
42:30 - 43:00 eat just like how your pea smells a lot like that asparagus that you ate your fart will you know smell like the sulfurous fibrous food that you've consumed so that's one number two if you have an overgrowth of bacteria of certain bacteria you know that is going to make it stinkier right if you have an infection through something called Giardia that's going to make it stinky as well and so it's not just what you've eaten but po it's the bacteria in your gut and that's what what it's preventing and causing it to come out that's causing it to be stinky so when should
43:00 - 43:30 people see you for stinky farts because some it could just be what they're eating or it could be a bacterial overgrowth how do they know which is which it's got to be you know when the the the smell has really changed from their Norm right I mean your poop is going to stick right no one's smells good right and like I have smelled it all no one's smells good so if the odor has now changed and it's very different from what you normally smell and you know maybe there's been a
43:30 - 44:00 change in your diet maybe there hasn't let your doctor know because sometimes it can s you know signify something even more significant like like rectal cancer or colon cancer and so or inflammatory bowel disease something else is kind of you know going on brewing in there that needs to be addressed and looked on with a scope with biopsies to really address that and so yeah if it's different for you and it's stinkier than normal maybe you have an infection like ch stum defil maybe you have Giardia or maybe you just ate a lot more veggies than you were
44:00 - 44:30 anticipating and that's that you must be seeing so much crazy stuff with the cauliflower craze like so many more bloating and stinky farts and all that yeah a cauliflower everything you know cheesy crisp everything yeah all of it so one serious thing colon cancer we're seeing a lot more not that sorry not that anything we've talked about is not serious but kind of more serious we're seeing a lot of young people get colon cancer yeah why and what can we do to prevent it and how when should we be
44:30 - 45:00 seeing GI doctor yeah so it's it's unfortunate in the last you know decade or so we've seen you know younger and younger people getting colon cancer and a lot of that has been attributed to sedentary lifestyle smoking increasing amounts of you know processed foods that's altering our bacteria and so all those things are leading to a higher risk of us developing colon cancer and so now the age to get colon cancer screening has dropped down to 45 so uh
45:00 - 45:30 you know if you are approaching that age or you have family members who have had PPS during their colonoscopies or have had colon cancer let your doctor know because it's 10 years before that family member was diagnosed for you or 45 whichever comes sooner even if it's a benign pop well so it's defined so it's if it's a benign pop that has no precancerous tissue which is called an adenoma then it's considered truly benign but if your parent was let's say told that they have a an adenoma which
45:30 - 46:00 is a pre-cancerous PO and they were you know when they got their colonoscopy they were 48 you should be getting your colonoscopy at the age of 38 okay but if you have a first-degree relative with colon cancer and they were before the age of 60 let's say they were 57 okay don't wait till 47 to get your colonoscopy and then now the guidelines say you can start at 40 okay so reprentative can start at 40 if you have a first-degree relative that has the colon cancer otherwise 45 and if they had a polet but they're not sure they
46:00 - 46:30 should still just come in they should still just come in and have it checked out because you never know sometimes even you know the mild rectal bleeding they're like oh I see some blood when I wipe I think it's a hemorrhoid I've diagnosed myself I've you been using Preparation H it's gotten under control to some degree but how do you know mhm you know yeah and often times you know untreated or undiagnosed constipation can actually be colon cancer or rect cancer and it's it's heartbreaking to see you know the evaluation when it it's
46:30 - 47:00 it's progressed so far along and you know hasn't been checked out so if this is a new symptom for you and it's worrisome talk to your doctor about it a lot of people are scared of that the prep do you have any tips for that you know it's it's one day and you the best thing you can do is not have a ton of so have having solid food the day before your colonoscopy because if you go and have lighter soups and broths it's a lot easier to poop that out than steak and fries so remember this is not your last
47:00 - 47:30 supper okay this is not your last supper you're going to have a great meal after your colonoscopy so don't go have a binge before your colonoscopy and say oh I'm going to take a cleanse and be done go light actually the the day before your colonos have you know more of a light liquid diet and it'll make your prep a lot easier and there are preps now with lower volumes uh ones that are mixed with Gatorade in mirac so that you're still keeping up your electrolytes and it doesn't taste as horrible as some of the other preps so
47:30 - 48:00 we're going to talk about anal play so I got a lot of questions about about God health and anal play one one of the interesting one was I want to pass gas before I go on a date like so I'm not actively passing gas during the gate date during during the date so what do you have any tips one I don't know if you can control when it's going to happen it might might happen if it's a long date you might have to pass gas during that date my friend so if you
48:00 - 48:30 want to really ensure that it's not going to be happening empty your bowels before you go would say maybe 30 to 60 minutes before you go on that date have a good bowel movement and if you've already emptied out for the day I don't know if I would recommend taking laxatives but if you really want to you can you can have some take some mirror LAX and ensure that you have bowel movement but often times even taking that mirax which is undigested polyethylene glycol can actually make you bloated and make you pass gas so may not be the best idea so if you've already had a balloon for the day you
48:30 - 49:00 might be good there may not be any way to avoid it if you're in a loud restaurant I'm sure they won't even hear it yeah yeah I wouldn't stress too much everybody farts everybody farts yes and mirax can take at least in my my um what I tell patients is it can take up to three days for for mirax to work so that may not be as effective corre um in in terms of trying to get you to fart beforehand yes yes absolutely yeah you know you've got colonic matter and feal
49:00 - 49:30 matter all throughout your colon and it's constantly moving so even if you've cleaned out let's say the first 6 to 8 Ines of your colon in your rectum there's still stuff left inside and that's eventually going to move and produce gas and that's going to have to get farted out so some point so it's coming yeah all right guys what about anal play so anal play can be you know people asked about analingus people asked about penetrative intercourse butt
49:30 - 50:00 plugs are there ways to prepare yourself so that you don't get any fecal matter or bacteria negative bacteria on your partner for let's say analingus oh okay so I would say the first things first is shower and clean yourself up you can use a mild soap you can use unscented hygienic wipes to clean the anal area first okay but be aware that there is still bacteria there and you want to be careful you can still
50:00 - 50:30 get STDs from doing analingus so you want to be careful with that if you want to do foreplay with the finger consider using a glove or a condom and that way you're protecting yourself from any STI and still getting to have fun yeah and then also in terms of inal Lingus you can use a dental dam right like you you can cut up a condom or you can buy a dental dam and put it on the area before you sort of get involved to kind of prepare protect yourself from any sort
50:30 - 51:00 of STI Y and predict your partner as well yeah from any oral SE that may be there and then in terms of preparing your body like if you're the one receiving the anal play is there anything you recommend oh yes absolutely I mean you want to be able to clean out for your partner right you don't want to have an accident on your partner and so you do want to clean your bottom out for approximately 30 minutes to an hour prior and you can use something called an enema you can get a 90 CC bulb something around 90 to 100 cc's or so
51:00 - 51:30 and you can use warm water don't make it too hot cuz that'll stimulate your colon don't make it too cold it can cause cramping but clean out um approximately an hour before you can lay on your side you can bend on your knees and and arms and do that and then you don't want to go in too far you know deeper is not better right you're not trying to clean out the entire colon okay for your partner your partner is not that big that they're reaching into your ascending which is on on the right side okay so you're really trying to clean out the last 15 to 20 cm okay and beyond
51:30 - 52:00 that is what we call the recto sigmoid Junction that starts to get to the twisty part so if you're trying to get deep in there you may actually making and uh making more of a mess than if you just try to clean out the last 15 to 20 centm you even really get in there I mean you have to use like a catheter to get in there you couldn't use just a regular bulb you well again that's the thing you don't want to go super crazy and get these massive of catheters right again you're thinking you know I want to get in there with this 10in long
52:00 - 52:30 catheter and do it you probably either can perforate it or two get too deep where you're actually stimulating more poop to come out than you need got it got it so just use the standard stuff that you get over the counter for an anal don't buy extra cath or anything else exactly and then great great points about the temperature because I didn't know that so that's really helpful and then in terms of like prepare like not causing injury right so using either butt plugs or being getting yourself prepared for a penetrative anal
52:30 - 53:00 intercourse receptive intercourse thoughts on that yeah I mean the first things first use lubric get permission number one get permission from your partner because when it's consensual then you're a lot more receptive being to being relaxative right you can relax and say okay I'm ready to to receive number two use lubrication and protection because when it's consensual protected lubricated it's more likely that your nerves are say okay I'm not so stressed out about
53:00 - 53:30 it I'm going to calm down which will actually allow for the rectal muscles to relax as well right and the anal muscles to relax as well so that could help to soften it up so that when you're when you're starting you can start slow and then you know get larger as as needed and so by starting slow do you mean that you should start essentially with smaller items like a finger or butt plug before you move move on to a larger phus or a larger toy yes absolutely you can start with a smaller you know just a
53:30 - 54:00 finger first using um gloves even and if your partner has latex allergy don't use latex gloves use nit trial gloves I would recommend using a lubricant with it an oilbased or a water-based lubricant or a silicone based lubricant and that way you know it's you decrease the amount of friction that's there and remember the anal tissue is much thinner than vaginal tissue so you want to be careful you don't want to just shove it in there start with a smaller finger especially if this is the first time start with a smaller finger and go slow
54:00 - 54:30 and then see how how you feel and I always tell people when you're looking at lubricants actually water-based lubricants have different phes so they're based on you can have a vaginal which is ISO Asmar to vaginal pH but the anal pH is actually different so you can actually look for anal pH lubricants that can be helpful and then yes absolutely use a lot of lube the water-based ones evaporate so you'll need to reapply so make sure that you do that and then if you're using silicone or oil base that's totally fine oil base with condoms if you're trying to protect
54:30 - 55:00 can break down the condom so make sure you feel comfortable that that person has been screened for STI or you're in a monogamous relationship and you've both been screened before you use oil-based lubricants yeah great and then in terms of injury right so I got a lot of questions about sphincter injury anal prolapse after anal intercourse or feal incontinence so do you see these things can they happen how should people avoid those sorts of injuries yeah yeah of course if you if it's too fast and too hard and too soon in any in any of those
55:00 - 55:30 orders it can happen right you can tear some of the skin in the anal Verge just by entering too fast without it you know having been stretched out right if this is your first time go slow go small and then work your way up if it's too large and you haven't experienced it before that can cause anal tearing and bleeding if you haven't cleaned out sufficiently and you've got uh fecal remnants in your anal Verge you can have accidents or cont uh conversely if you've cleaned too
55:30 - 56:00 much right you really got in there and you use that really long bulb that was you know you you were trying to get all the way to the end of your colon and you got in there and now you've made a mess I would recommend using a towel so that at least that that can prevent your sheets from getting treay people had asked are there certain foods that you should eat before anal play I would recommend foods that one help you clean out your bowels right so you
56:00 - 56:30 want to not be constipated because the last thing you want is to have to find out that you had four rocks you know that were right past your recto sigmoid Junction that never really came out and now you put three you know bouts of enemas and now there's one that finally trickled back down and it's on its way out okay so fiber but not too much fiber because you don't want to have diarrhea either okay protein will help Harden your stool fiber will help to some degree soften it so have a good proportion of each you want to possibly
56:30 - 57:00 likely avoid caffeine because again too much caffeine your colon will go crazy right so kind of avoid that before and then go from there and should you avoid prebiotics or probiotics before no that's not necessarily oh no okay yeah how long before anal sex should you eat like is there should they should they be trying to fast for a certain period of time or is there any recommendation like what's normal motility and like what can you sort of like estimate oh you know
57:00 - 57:30 that I think is very person dependent right if you're someone who's got ibsd where soon after you eat and you know an hour or two after you eat you've got to go to the bathroom you got to personally time that out that has nothing to do whether or not you're going to get anal play right or you're going to have anal sex so if you ate something that has a ton of fiber in it and where you had had lactose in it and you're lactose intolerant whether or not you're going to have anal play you're going to be head to the bathroom so time out your Foods prior to that and remember that you're going to be cleaning out your
57:30 - 58:00 bottom likely 60 minutes prior to that so time out your food maybe an hour even before that so that you have time to empty your bells and then get to your play yeah so it's very individualize is what you're saying so basically maybe take note of your normal body like how often you go after you eat and you can sort of figure it out from there absolutely does okay this one's this one's sort of interesting this one came from our Instagram audience but does adal play have an a possibility of actually improving constipation like is there a
58:00 - 58:30 or improving relaxation if you have pelvic Flor dysfunction well that's that's a really good question I mean a lot of in times in pelv floor Physical Therapy you they do help you in terms of relaxing the way you squeeze your own pelvic floor muscles so perhaps the act of allowing your own pelvic floor muscles to relax can likely help you relax when you're having a bowel movement right and so you are using those same muscles and so perhaps I don't know if that's my number one recommendation to constipated patients
58:30 - 59:00 but that can be a potential side effect yeah I I think that makes sense I would just say make sure that when you're engaging in the adal play that you are fully relaxed because if you're like really stressed about it and like your partner's a little pushy and you don't really you're not really sure you want it you may have the opposite effect it could actually worsen your pelvic floor so 100% if you are relaxed and receptive and ready and you're both listening to each other and communicating and saying no I want this yes I want this and like
59:00 - 59:30 taking it very slow I think it can be beneficial absolutely yeah exactly a lot of pelvic floor dysfunction does happen from anal trauma or sexual trauma that happened that was not welcomed and so when it was not welcomed your body tensed up and was like no I don't want this and so if that's the case you you don't you you may not have that effect on on the public floor so absolutely all right so we end our podcast with a quick like sort of fast four questions and so you just whatever comes to your mind
59:30 - 60:00 what is one thing that you know now that you wish you knew when you were younger fiber is the key to it all that's really good what is a non-negotiable something that you do every day that if you didn't do you would feel like your day is incomplete sleep if I don't get adequate amount of sleep it's like I haven't gotten to hit the reset button and I don't do well without it yeah sleep is transformative I mean we talk about it a lot on my Channel about how sleep improves your
60:00 - 60:30 testosterone improves and and lack of sleep is is so detrimental in performance whether it's mental Performance Physical performance driving a car so just super important to get good sleep and that's a great one what's one thing and I'm sure you have many but what's one thing that you wish could be done that would change the world o acceptance uh whether it's personalities whether it's ideas whether it's religion whether it's gender acceptance of one another I
60:30 - 61:00 think we are as wonderful and as beautiful and as successful as we as you know we can be once we accept one another because everything everyone brings something new to the table so acceptance that's awesome and then lastly what is one it could be a personal or a health life hack Don't Change yourself for anyone you know I think we grow up in a society where there are a lot of societal expectations
61:00 - 61:30 personal expectations and media and social media certainly influences so much of that and we feel as though we need to conform to those expectations in order for people to like us and as we get older we start to shed some of those and the happiest we become is when we are who we are and we accept ourselves and say okay this is who I am accept me if you don't that's okay I accept myself and this is what I'm going to do and you'll be happier and more successful if you accept yourself
61:30 - 62:00 and learn to be receptive to having others love that as well acceptance all around yes love it yeah so we're going to end the show with where can people find you so you can find me on www. kumkum Patel md.com and on Instagram at dr. gutor motility yay thank you so much thank you if you are enjoying the podcast a wonderful and free easy way to support us is by subscribing to our Channel on YouTube as well as following us on social media on Instagram Facebook
62:00 - 62:30 Tik Tok or whatever platform you enjoy consuming your social media with on our YouTube channel in addition to this podcast we have weekly videos that discuss your logic and Sexual Health topics on a weekly basis and on all other platforms you can find short form video that covers many additional topics that we cover throughout the year another wonderful way to support our podcast is by leaving a rating or a review on Apple or Spotify podcast this helps our podcast visibility and allows
62:30 - 63:00 us to reach more individuals thanks so much and always remember remember to take care of yourself because you are worth it