1. Hypotonic—poor nerve impulses and muscle contraction response. No urge to defecate, erratic peristalsis. Essentially a “lazy colon”.
2. Hypertonic: excessive contractions, spasms, often stress
In both cases of long standing constipation, the brain needs to be ‘retrained’ in terms of proper nerve impulses to stimulate peristalsis (the rhythmic colonic movement downwards).
This retraining program suggests you do one task from each category daily. After many months or years of dysfunction it can take a few weeks to reset the colon to ensure daily bowel movements
BONUS: Check the SIBO Video Playlist where we've included The Gut Brain Axis: Overlooked & Undertreated - Dr Datis Kharrazian a great TED video (59 minutes) discussing the vagus nerve and the three exercises above.
Important tool to stimulate receptors in the colon. View Enema How-To and please add the coffee as suggested. If you do not experience an urge to defecate shortly after infusing the water, make the coffee stronger.
Getting out of the ‘fight or flight’ and into the ‘rest and digest’ mindset. The nervous system in your gut (enteric nervous system) is extremely susceptible to stress. Chronic stress and inner tension can cause your body to stay stuck in ‘fight or flight’ – a state that overrides the digestive system. Relaxation is crucial to restore the rest and digest response.
Inner Balance device from www.heartmath.com -- this is a training device that gives you biofeedback in real time --you can see if you are currently in fight or flight. The device gives you breathing instructions and feedback to get you relaxed. Great prior to meals. Need iPhone or iPad.
There are many apps and websites for meditation and relaxation. A good one app is HeadSpace and a good website for quick 15 minute guided meditations is Chopra Meditation Centre
Squatting is actually the proper anatomical position for the colon to more easily evacuate. To make this easy, a toilet stool is a handy device.
If you do not own a toilet stool, please get one - a good one is EasyStool.