Constipation, Haemorrhoids & the Pelvic Floor: What Men Need to Know

If you're struggling with constipation, straining on the toilet, or haemorrhoids, it's time to look beyond diet and hydration. The issue might lie deeper in the pelvic floor muscles.

These often-ignored muscles are responsible not only for bladder and sexual function but also for healthy bowel movements. When things aren’t working well, symptoms like bloating, incomplete emptying, or painful poos can creep in and become chronic.

The Pelvic Floor’s Role in Pooping

Your pelvic floor muscles need to relax and lengthen to allow stool to pass easily. If they're too tight, uncoordinated, or you habitually strain, it can disrupt the entire process.

 

Signs your pelvic floor might be involved in your bowel issues include:

• Chronic constipation

• Haemorrhoids or anal fissures

• A feeling of incomplete emptying

• Needing to push or brace to pass stool

• Narrow or hard stools

• Abdominal bloating

Why You're Straining on the Toilet

Common causes of pelvic floor-related bowel dysfunction in men include:

• Prolonged sitting and sedentary jobs

• Heavy lifting or bracing at the gym

• Poor posture

• Anxiety or chronic stress

• Holding in wind or bowel urges

• Poor toilet setup

Straining increases intra-abdominal pressure, which can cause or worsen haemorrhoids, prolapse, or rectal fissures — and further irritate the pelvic floor.

 

How to Improve Bowel Function (Without Straining)

Use a Toilet Stool

Changing your position on the toilet can make a huge difference. Elevating your feet mimics a squat and helps the pelvic floor relax.
Shop the BIEN Toilet Stool here

Practice Belly Breathing

Breathing into your belly — not your chest — helps the nervous system relax and reduces clenching through the pelvic floor. Learn more here

Train Your Body to Let Go

A pelvic floor physio can teach you how to coordinate your breath, core, and pelvic floor to allow for smoother bowel movements without bracing.

 

Release Tension with a Pelvic Floor Wand

If your pelvic floor is too tight or holding chronic tension, a pelvic floor wand can help release trigger points internally or externally, especially around the anus and perineum.

When to See a Professional

If you've been relying on laxatives, avoiding pooping in public, or spending more than 10 minutes on the toilet, it’s time to get support. A pelvic floor physiotherapist can assess your muscle coordination and guide you with specific tools, techniques, and behavioural strategies.

Need help finding someone?
Use our Practitioner Locator to connect with a physio near you.