The Exam Room by the Physicians Committee You've Been Pooping All Wrong: Doctor Explains Right Way | Dr. Trisha Pasricha
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Mar 3, 2026 
Dr. Trisha Pasricha, a gastroenterologist who studies the gut-brain connection and writes for The Washington Post, breaks down bowel basics with humor. She covers toilet posture and why squatting helps. She debunks detox myths, explains fiber tuning, looks at red meat and colon cancer links, and warns about phone-time hemorrhoid risks.
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Detox Cleanses Misplace The Real Reset
- Detox culture misunderstands physiology; liver and kidneys handle toxins far better than commercial cleanses.
- Cleanses often remove fiber, depriving the colon of the material that helps 'reset' the microbiome.
Ramp Up Fiber Slowly To Avoid Gas
- Increase fiber gradually to avoid bloating, gas, and discomfort.
- Microbiome shifts take ~8–10 weeks, so ramp intake slowly and consider small psyllium doses (3–5g) rather than a sudden jump.
Go When Your Body Signals Not For Once‑a‑Day Ideals
- Respond to natural bowel urges rather than delaying to chase a 'once‑a‑day' ideal.
- Waiting dries stool as the colon pulls water, increasing strain; go when your colon signals for an easier, quicker evacuation.
