Everything You Want to Know About Poop!

bristol poop chart

TYPE 1: Typical for acute dysbacteriosis. These stools lack a normal quality, because bacteria are missing and there is nothing to retain water. The lumps are hard and abrasive, the typical diameter ranges from 1 to 2 cm (0.4–0.8”), and they‘re painful to pass, because the lumps are hard and scratchy. Typical for post-antibiotic treatments and for people attempting fiber-free (low-carb) diets. Flatulence isn‘t likely, because fermentation of fiber isn‘t taking place.

TYPE 2: Represents a combination of Type 1 stools impacted into a single mass and lumped together by fiber components and some bacteria. Typical for organic constipation. The diameter is 3 to 4 cm (1.2–1.6”). This type is the most destructive by far because its size is near or exceeds the maximum opening of the anal canal‘s aperture (3.5 cm). It‘s bound to cause extreme straining during elimination, and most likely to cause anal canal laceration, hemorrhoidal prolapse, or diverticulosis. To attain this form, the stools must be in the colon for at least several weeks instead of the normal 72 hours. A person experiencing these stools is most likely to suffer from irritable bowel syndrome because of continuous pressure of large stools on the intestinal walls. The possibility of obstruction of the small intestine is high, because the large intestine is filled to capacity with stools.

TYPE 3: This form has all of the characteristics of Type 2 stools, but the transit time is faster, between one and two weeks. Typical for latent constipation. The diameter is 2 to 3.5 cm (0.8–1.4”). Irritable bowel syndrome is likely. Flatulence is minor, because of dysbacteriosis. The fact that it hasn‘t become as enlarged as Type 2 suggests that the defecations are regular. Straining is required. All of the adverse effects typical for Type 2 stools are likely for type 3, especially the rapid deterioration of haemorrhoidal disease.

TYPE 4: This form is normal for someone defecating once daily. The diameter is 1 to 2 cm (0.4–0.8”). The larger diameter suggests a longer transit time or a large amount of dietary fiber in the diet.
TYPE 5: This is an form ideal. It is typical for a person who has stools twice or three times daily, after major meals. The diameter is 1 to 1.5 cm (0.4–0.6”).

TYPE 6: This form is close to the margins of comfort in several respects. First, it may be difficult to control the urge, especially when you don‘t have immediate access to a bathroom. These kind of stools may suggest a slightly hyperactive colon (fast motility), excess dietary potassium, or sudden dehydration or spike in blood pressure related to stress (both cause the rapid release of water and potassium from blood plasma into the intestinal cavity). It can also indicate a hypersensitive personality prone to stress, too many spices, drinking water with a high mineral content, or the use of osmotic (mineral salts) laxatives.

TYPE 7: This is diarrhea, a subject outside the scope of this blog post with just one important and notable exception called paradoxical diarrhea. It‘s typical for people (especially young children and infirm or convalescing adults) affected by fecal impaction—a condition that follows or accompanies type 1 stools. During paradoxical diarrhea the liquid contents of the small intestine (up to 1.5–2 liters/quarts daily) have no place to go but down, because the large intestine is stuffed with impacted stools throughout its entire length. Some water gets absorbed, the rest accumulates in the rectum. The reason this type of diarrhea is called paradoxical is not because its nature isn‘t known or understood, but because being severely constipated and experiencing diarrhea all at once, is, indeed, a paradoxical situation. Unfortunately, it‘s all too common.

If you are looking to improve your stool quality our gutbiome test is a great place to start!

Health News: Gut Microbes vs Environmental Toxins


Exposure to environmental chemicals has been linked to various health disorders, including obesity, type 2 diabetes, cancer and dysregulation of the immune and reproductive systems, whereas the gastrointestinal microbiota critically contributes to a variety of host metabolic and immune functions. We aimed to evaluate the bidirectional relationship between gut bacteria and environmental pollutants and to assess the toxicological relevance of the bacteria–xenobiotic interplay for the host. We examined studies using isolated bacteria, faecal or caecal suspensions—germ-free or antibiotic-treated animals—as well as animals reassociated with a microbiota exposed to environmental chemicals. The literature indicates that gut microbes have an extensive capacity to metabolise environmental chemicals that can be classified in five core enzymatic families (azoreductases, nitroreductases, β-glucuronidases, sulfatases and β-lyases) unequivocally involved in the metabolism of >30 environmental contaminants. There is clear evidence that bacteria-dependent metabolism of pollutants modulates the toxicity for the host. Read More

In Response to the Emails on Our Stance Against the Term: DETOX

We received an unusual amount of irate email about this post. The majority of the emails were either product companies, naturopaths, or individuals claiming that detoxes cured them.

I would like to address some of the commonalities of these claims and assertions using science and research, as well as human results in my responses.

1. Detoxes create immediate weight loss.

Here is a hard and fast truth: If you do not eat for 1 day you will lose weight. Losing weight should never be a short term goal if you want optimal health.

The greatest allure of the detox, and I have witnessed this in my own practice is: I want results fast and easy. I don’t want to think – just give me something to swallow.

Hmmmm… Remind you of anything? Aren’t you the same people that were upset with your family doctor for prescribing prescription medications?

Detoxes are a marketing bonanza for the quick-fix mentality we have adopted.

Science to date, has little support for these.

Indeed, studies have shown that both men and women who lose weight by fasting or dramatically reducing calorie intake routinely gain the weight back, and often end up even heavier. There can be health consequences short term. Here in is the magic – the companies and people selling supplements and powders want you back – so your initial good outcome, lures you back.

The majority of these detoxes and the people selling them do not even do a proper health history with patients – this is frightening.

2. Our bodies are loaded with toxins and can no longer “clean” themselves effectively.

Let’s start by understanding what are toxins? Dr. Don Smith, a professor at UC Santa Cruz, sums up toxins nicely:

Toxins are harmful agents found in the environment. The list contains hundreds of names — 689 to be exact — most popular among them being the mercury we find in fish, the azodicarbonamide we find in yoga mats and (until recently) Subway sandwich bread, and bisphenol A, or BPA, the highly controversial compound found in consumer plastics. We remove them from our bodies depending on things like iron levels and calcium levels, and, unlike the optimistic personal trainer’s advice, beads of sweat aren’t their ticket out — rather, the urine and feces we expel each day.

Commercial detox diets rarely identify the specific toxins they aim to remove, or the mechanisms by which they eliminate them.

Diagnostic testing is the only true standard to determine this. Then with proper analysis and then a professional taking those results to help you reset your system to effectively help your body reclaim the ability to remove any toxins and imbalances.

The human body is an incredibly efficient detoxing machine. The skin—your body’s largest organ— is a barrier to harmful substances. Your lungs trap and expel noxious particles, while your intestines screen out parasites and other harmful organisms while allowing nutrients to be absorbed into the blood. The liver acts as your body’s primary filter, digesting food and ridding the body of toxic substances. Your kidneys also filter out toxins, via your urine. These organs act in synergy with the immune system to keep you healthy.

Prescribing healthful eating, sleep and exercise protocols in a total epigenetic plan for an individual is the ticket to help the machine to run optimally; substandard ones compromise it. I have seen this time and time again.

The bulk of patients that come to us have stressed adrenals, a thyroid out of whack, many with severe digestive issues, cortisol that is wreaking havoc throughout their body or they have not had a good night sleep in as far as they can remember. A detox is certainly not for them.

3. People need simple answers and solutions

If only life were this easy. Things are easy, people complicate their health and trigger bad habits. We cannot blame our genes and our environment alone. This is why we use the word reset.

The easiest example to use here is alcohol. Dr. Google will allow you to search and find that alcohol in moderation is good for you, in fact life-saving in many instances.

The reality is though we all know this is not true.

Smoking kills. This is true. If you run a diagnostic test you will see all the toxins it stores in your body. A one week, two week plan will not detox this out.

Lifestyle disease is the number 1 killer in the world now. If you want to learn more – here is a study overviewing this and another.

This means that we all need to step back and reset how we live and our priorities. This is always our first step with patients. You need a plan for you. Not your best friend. Not for the wedding in 2 weeks.

The best success starts with focusing on your day to day routine, rebuilding sleep and movement and finally eating.

Change your habits; change your life.

Average results are seen in 1 to 2 months, but last a life-time and in fact, make that a long and healthier life time. We will offer patients a 1 week reset to kick-start their body and mind to function better, sleep better, prioritize movement and eliminate bad habits – but in conjunction with a thorough health history, diagnostic support testing, and program suggestions. Everyone is different and we treat you as such.

Short term thinking = short term results.

If you would like to know more about our protocols in testing and health drop us an email to make an appointment. We love hearing from you.

Cat Aulakh – Health Practitioner – Nutrition & Genetics