Straining on the Stroke Stool – Constipation Nation: The Valsalva Victims, And Benign Prostatic Hyperplasia
Cardioembolic stroke accounts for 14-30% of ischemic (usually a clot dislodging or breaking off) strokes, and must be accompanied by Valsalva. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2994107/ In less frequent Hemorrhagic strokes the Valsalva is much more significant, since these are arterial ‘blowouts’, and systolic blood pressure can surpass 300 mm of Hg, with normal systolic pressure being a mere 80 to 120, depending on conditioning. http://startingstrength.com/articles/valsalva_stroke_sullivan.pdf A very good reference for the Valsalva and its correlations. The Valsalva and Stroke.
Like most things that happen to us, we do it to ourselves. Using the Valsalva for constipation is highly inefficient for what needs to be done, and can leave you dead, or for some people worse than death.
You have a semi flexible container filled with ‘sludge’. You can’t touch the sludge, but you must get the ‘sludge out’. A Valsalva wastes a LARGE amount of energy with very little actually being applied to the abdomen. Waste in this case causing direct harm to areas completely unrelated to the sludge container, and only minimal assistance to the sludge ‘container’.
Extra pressure applied directly to the ‘sludge container’, abdomen is MORE PRODUCTIVE in it’s effects with very few side effects.
So sit down, bend forward from the waist – relaxes abdomen – put your thumbs a little below your rib cage and apply direct pressure to your abdomen with widely spread fingers – about 10 to 20 lbs of pressure per hand is about right.
For people with small, to moderate abdomens. Hooking your thumbs a little over your hips so they reach a little behind your back then using a hand closing motion push against the appropriate general area, allows one to more easily exert pressure of four fingers over a slightly smaller area with more effect than just pushing with just your arms. But, being a smaller area, it helps significantly to know your area. You’ll know it when you find the area, because if you are paying attention you can feel a little fuller feeling in the pressure area, and while you don’t feel it moving you get a slight urge of movement sensation – sorry that’s the best I can succinctly describe it.
While hand pressure gives some added pressure, there is a much simpler way to exert more pressure.
First, older ‘shorter’ toilets allow the anus to be BELOW the knees which seems to help the process. Second, fold your arms in front of you – between your lower abdomen and base of legs – simply lean forward. This causes significantly more force applied to the abdomen with very little effort. Happy Pooping.
You want the most direct pressure applied to as much area of the abdomen as you can. If you just push down at one or two small points of the abdomen the bowels just slide away from the pressure and it’s no better than a Valsava as far as ‘sludge’ effects. Relax and HOLD the pressure to the abdomen – for larger abdomens where you hands simply will not be large enough, there can be various degrees of abdomenal muscle contraction to keep the intestines from sliding away and releasing the pressure.
Only slight – to moderate for ‘tough ones’ – abdominal muscle contraction is needed – it’s fighting your hand pressure, so vary your abdominal contraction and hand pressure until you get the right ‘feel’ and effect for you.
Bowels are under indirect control, the autonomic nervous system, and you’ve just told them to ‘get your ass in gear’. It’s not INSTANTANEOUS, but if you relax ‘the rest’of your body – except hands/arms, and slight abdominal contraction – 1 to 2 minutes will do you for a start. Note: 1 to 2 minutes will seem a LOT longer. Let your bowels do the work from here. After a couple of minutes, take a break, or push in longer, a short break of a minute of two between will make very little difference to the ‘stretch’, pressure receptors for their ‘reflex’ reactions.
Now, I’m skin and bones with a semi-flat abdomen. It should be more difficult for the ‘heavy’ and its effects diminished somewhat, but it’s the same principle and should work for all as long as you can ‘compress the abdomen’ enough for the bowels to feel extra pressure.
The bowels are very sensitive to ‘pressure’ and pressure is a direct reflex stimulus on the bowel musculature. You won’t notice it except as mild pressure on your abdomen, but for the bowels – you’ve just thrown ice cold water on a sleeping bowel that should be ready to move.
As stupid as it sounds, just remember to breathe, relax non involved areas, and one involved area – the sphincter. As long as you are doing that, it’s very hard to harm yourself. If you’ve been working the Valsalva for decades, it’s in ‘habit’ mode.
It’s not ‘rocket science’, it’s more like basic ‘mechanics’. ‘-)
Benign Prostatic Hyperplasia: The same ‘mechanics’ that work on the bowel, also work on the bladder, and even more directly. So sit down, apply pressure to the lower abdomen rather than the ‘general abdomen’. This will give you 5 or 10 lbs of pressure on the bladder, also causing it’s autonomic reflex, as well as the extra pressure to help more fully empty the bladder. If you are still having significant problems after this, it’s time for medical intervention. I do not recommend TURPS due to ‘nerve destruction’. Unless they’ve come up with some significant improvements. Simple ‘catheter balloon expansion’ of the prostatic ‘stricture’ can bring years of relief – although not a fun procedure either – it usually avoids the nerve damage..
For Stroke Prevention Assistance: 1 aspirin twice a day. Will assist in preventing strokes and heart attacks. It’s also pretty good for finding intestinal cancers, by letting them bleed LONG before they normally would. The time interval is very significant, as usually, they don’t bleed much until they are so big that they are already INVASIVE. That side effect will also make mild gastritis worse. So taking them with food, or an anti-acid is better than an empty stomach.
Related article on simple things we do to ourselves.
The Fist Touch Cures A Lot – Halt the Handshake for Health https://edwardmd.wordpress.com/2013/12/03/the-fist-bump-cures-a-lot-halt-the-handshake-for-health/
As for other things we do to ourselves:
I do not ask that you place hands upon the tyrant to topple him over, but simply that you support him no longer; then you will behold him, like a great Colossus whose pedestal has been pulled away, fall of his own weight and break into pieces”
– Étienne de la Boétie, Judge during the French Renaissance.
Look around my blog, there is information on that too. And probably more important to your general condition than just about anything else. Or not. ‘-)
Ed Ward, MD https://edwardmd.wordpress.com/
Tags: Benign Prostatic Hyperplasia, Constipation Nation, Hemorrhagic Strokes, Ischemic Strokes, Killer Constitpation, Straining on the Stroke Stool – Constipation Nation: The Valsalva Victims, Valsalva Maneuver, Valsalva Strokes, Valsalva Victims