 In my last poop video, I talked about the potential efficacy of prunes and dried figs in helping to keep us regular. What about the influence of body position on defecation? While squatting continues to be the traditional position in populations of Asia and Africa, Westerners have become accustomed to sitting on toilet seats. And when we do that, when we sit upright, our poop is forced to make a nearly 90-degree turn, the so-called rectoanal angle. Now that's a good thing in terms of keeping us from pooping our pants every time we sit down, but when it comes to doing our business, the sitting toilet posture defeats the purpose of our body's brilliant design, like trying to drive a car without releasing the parking brake. Yet many physicians are hesitant to discuss such an unmentionable bodily function or may just be ignorant. Doctors don't know squat. Of course this is coming from someone who owns a company selling people squatting platforms for their toilets. In a previous video I talked about those little foot stools you can use to raise your knees when you assume the pooping position, but they were not found to make a difference in terms of self-described difficulty in defecating or the average time spent emptying one's bowels. But those stools gave just a measly 4-inch boost. This is called squatty-body, it's twice that height. And while you have to admire their graphics from booty blockage to fecal fiesta, complete with little rainbow poops, it had never been put to the test until now. The implementation of a defecation posture modification device, i.e. squatty-body, and it worked. Increased feelings of bowel emptiness reduced stranding in about a minute off of their on-the-pot reading time. The only downside is that discomfort, and just a 6-inch riser was found to cause such extreme discomfort in research subjects in a previous trial, they had abandoned even trying to study it. How else could we get that same change in angle you get from raising your feet? How about just tipping forward? Look familiar? It's like that famous sculpture by Rodin, the thinker. And indeed, Cleveland Clinic researchers set out to study the thinker position for defecation. It was able to show an opening of the anorectal angle as measured using synodeficography, your SAT word for the day, meaning basically X-ray poop movie, opening to more than 130 degrees, better than what you get just raising your feet, which is only around 90 degrees. So the thinker position may be a more efficient method for defecation. It may help with constipation, but it has not yet been formally put to the test. As an aside, you can imagine how the worst position might be flat on your back using a bedpan. Because of the spike in blood pressure in your heart and brain when you bear down, straining its stool associated with sudden death from heart attack and stroke. In fact, it's been found to be the most common activity of daily living being performed at the time of death in Japan. And those who can't get out of bed would seem to be especially at risk. That's why, if at all possible, it can help to sit people up in bed to cause less strain on the system. It's important to take a step back, though, in this sitting versus squatting debate, as this commentary did nearly 50 years ago. Yes, the squatting position is said to be natural since it's used by so-called primitive peoples who pass large stools easily. Such a squatting advocate's blamed the porcelain throne in an all manner of Western maladies. But does the position really make a difference if you're eating the right foods? The man who squats because he has no modern plumbing also tends to eat more natural foods that haven't had the fiber processed out. Adding fiber to the diet can enable constipated patients to poop effortlessly without having to squat over some hole in the ground. So maybe if we just changed the design of our diets, we don't have to change the design of our plumbing.