The Squatty Potty® toilet stool as treatment of constipation: a prospective, longitudinal cohort studyGregory S. Taylor MD, Lisa Mitchell RN
ABSTRACT Background: The Squatty Potty is a thoughtfully designed toilet stool which comfortably delivers all the health benefits of squatting during elimination. Squatty Potty users have reported subjective improvement in constipation, hemorrhoids, rectal prolapse, and irritable bowel syndrome. Other users claim improvement in urinary incontinence, migraine headaches, toddler potty training, and even pain due to pregnancy. This study is designed to objectively evaluate Squatty Potty as a treatment for constipation.
Materials and methods: 200 participants with constipation were recruited via the Squatty Potty website. Participants completed a validated constipation scoring system to describe their baseline constipation symptoms. Participants then received a Squatty Potty and used it for one month. Squatty Potty use was the only change to their treatment. At the end of the month, participants completed the same constipation scoring system. The data was analyzed using chi-squared analysis for statistical significance.
Results: 153 participants completed the trial. There were 91 women and 62 men. The average age of participants was 39.6 years (range 9-82). The average duration of constipation was 10-20 years. The use of Squatty Potty for 1 month significantly improved constipation symptom scores for all participants as a whole (p < 0.01). Squatty Potty use also significantly improved constipation scores for women (p<0.01), men (p<0.01), those with hemorrhoid symptoms as well as those without hemorrhoid symptoms (p<0.01).
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