The Checkup with Doctor Mike The Biggest Mistake People Make On The Toilet | Dr. Trisha Pasricha
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Mar 15, 2026 
Dr. Trisha Pasricha, a neurogastroenterologist and medical journalist who studies the gut-brain connection, unpacks why adults get bowel habits wrong. Short segments cover phones on the toilet and hemorrhoid risk. She explains fiber types and gradual reintroduction, IBS as a gut-brain disorder, probiotics and fermented foods, constipation treatments, rising early colorectal cancer concerns, and the science of farts.
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How A Childhood Dinner Table Shaped Her Career
- Dr. Trisha Pasricha grew up with daily family poop conversations and no shame, which shaped her clinical approach.
- Her gastroenterologist father asked every morning about bowel habits, normalizing discussion and prompting curiosity about mechanics.
Stop Long Straining Sessions On The Toilet
- Avoid prolonged straining and sitting on the open toilet bowl.
- Pasricha suggests the lack of pelvic floor support on toilets plus distraction (smartphones) causes venous engorgement and pelvic floor dysfunction that contribute to hemorrhoids.
Probiotics Can't Replace Good Diet
- Probiotic supplements are oversimplified compared with altering diet and prebiotics.
- Dr. Trisha Pasricha compares the microbiome to a garden where soil and nutrients (diet) matter more than sprinkling probiotic 'seeds'.
