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OPINIONYour poo is (mostly) alive. Here's what's in it
The Conversation
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By Vincent Ho
Posted1 hour ago
8103080-3x2-large.jpg
IMAGEMicroscopic plastic particles can appear in our faeces when we drink from plastic bottles or eat foods that have been wrapped in plastic.(Flickr: GFZ Advance)
If you've ever thought your poo is just a bunch of dead cells, think again. Most of it is alive, teeming with billions of microbes.
Here's what studies in healthy adultsreveal makes up our poo.
Water
Our faeces is largely (75 per cent) made up of water, although this differs from person to person.
Vegetarians have a higher water content in their stools. Those who consume less fibre and more protein have a lower water content. Fibre has a high water-carrying ability and makes our stools more bulky, increases the frequency of bowel movements and makes the process of passing bowel motions easier.
The other 25 per cent of faeces is made up of solids, which are mainly organic (relating to living matter) materials. A small proportion of solids is made up of inorganic material such as calcium and iron phosphate as well as dried constituents of digestive juices.
Around 25-54 per cent of the organic material is made up of microbes (dead and living), such as bacteria and viruses.
Our poo is teeming with microbes, most of them alive.
Microbes
Bacteria in faeces have been extensively studied. It's estimated there are nearly 100 billion bacteria per gram of wet stool.
4876454-3x2-large.jpg
IMAGENot everyone's poo is going to be the same.(ABC Local: Blythe Moore)
One study that looked at a collection of fresh stools in oxygen-free conditions (as oxygen can damage certain types of bacteria) found almost 50 per cent of the bacteria were alive.
The different types of bacteria present in faeces can influence how hard or loose stool samples can be. For example,Prevotella bacteria, which can be found in the mouth, vagina and gut, are more commonly seen in those with soft stools. In fact, a high-fibre diet is strongly associated with these bacteria.
Ruminococcaceae bacteria, which are common gut microbes that break down complex carbohydrates, favour harder stools.
Viruses have been less studied than bacteria as components of the gut microbiota — the population of bacteria and viruses that live in our gut. It is estimated there are 100 million to 1 billion viruses per gram of wet faeces in most of us.
This number can change considerably when people become sick with viral gastroenteritis, such as in norovirus infections, where levels of more than a trillion viruses per gram of stool can be found.
sddefault.jpg
VIDEOWhat is the human microbiome
Certain types of viruses that infect bacteria, called bacteriophages, have been linked to diseases of the gut like Crohn's disease and ulcerative colitis.
Archaea are bacteria-like microbes that can inhabit some of the most extreme environments on Earth such as hot springs, deep sea vents or extremely acidic waters. Archaea that produce methane are known to live in the human gut and account for about 10 per cent of non-oxygen-dependent microbes.
Such methane-producing archaea likeMethanobrevibacter are associated with harder stools and constipation asmethane can slow down intestinal movement. It is believed there are about100 million archaea per gram of wet faeces.
Single-celled fungi (yeasts) are present in the gut of about 70 per cent of healthy adults. They occur in estimated concentrations of up to a million microorganisms per gram of wet faeces but comprise only a small proportion (0.03 per cent) of all microbes.
Other organic material
8005914-3x2-large.jpg
IMAGEOur faeces don't contain a large proportion of carbohydrates as most are absorbed in the body.(Supplied: Paolo Saglia)
Some of the organic material includescarbohydrates or any other undigested plant matter, protein and undigested fats. Faeces does not contain large quantities of carbohydrates as the majority of what we eat is absorbed. However, undigested amounts remain as dietary fibre.
Our faeces don't contain a large proportion of carbohydrates as most are absorbed in the body.
Some 2-25 per cent of organic matter in faeces is due to nitrogen-containing substances such as undigested dietary protein, and protein from bacteria and cells lining the colon that have been shed.
Fats contribute 2-15 per cent of the organic material in our faeces. The amount of fat excreted into our stools is highly dependent on dietary intake.
Even with no fat intake, though, we do get some excretion of fat into our faeces. Fat in faeces can come from bacteria in the form of short-chain fatty acids when they ferment foods, in addition to undigested dietary fat.
Plastic particles
A recent study has found that microscopic plastic particles can appear in our faeces when we drink from plastic bottles or eat foods that have been wrapped in plastic.
This small study of eight participants who were exposed to plastics in their food and drink identified up to nine different types of plastics in their stools.
But we need larger studies and additional analytical research to understand the clinical significance of this.
Poo is different in disease
Not everyone's poo is going to be the same. Diseases such as inflammatory bowel disease can lead to changes in the type of bacteria in our gut and result in raised inflammatory proteins that can be detected in our stool.
The presence of blood in the stool could signal bowel cancer, though this isn't always the case. Fortunately there is agood screening test that can pick up the presence of trace blood in the stools and lead to further investigations such as a colonoscopy.
Vincent Ho is a senior lecturer and clinical academic gastroenterologist, Western Sydney University. This article originally appeared on The Conversation.
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eatshitndie

Alfrescian (Inf)
Asset
thanks! i like to add that if you flush without covering your shithole, the flushing will spew micro droplets (vapor) of flush water all over your loo carrying urine and fecal matter with them. and if your toothbrush and towels are left exposed on the counter and rack, the airborne droplets will eventually settle and rest on them. you may be brushing your teeth with your own pee and poo. :poop::whistling:
 

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Hey ah Sai..did u cause the collection to stop due to your over zealous donations?

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Paris hospital halts stool study after donor deluge




WorldParis hospital halts stool study after donor deluge
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23 Nov 2018 11:30PM(Updated: 23 Nov 2018 11:33PM)
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PARIS: A Paris hospital which made a public appeal for stool samples for a study on intestinal diseases said Friday (Nov 23) it had suspended the project after being inundated by donors hoping for an easy €50 (US$57).
"We had to cancel the call for donors and halt the study because it had gotten out of control," professor Harry Sokol, the gastroenterologist leading the study at the Saint-Antoine hospital, told AFP.

Originally donors were sought via posters at the hospital and at medical schools, offering compensation of €50 if accepted.




"Someone took a picture and it spread rapidly on the internet and social media, because the message had been altered: People thought it meant: Give us your stools, we'll give you €50," Sokol said.
The telephone hotline and email for potential donors was quickly overwhelmed, "and even after we cut off the number people were calling the hospital switchboard, some even showed up in person, and it's still going on," he said.
In fact the rigorous selection progress for the study, on a potential treatment for intestinal inflammation, involved a series of blood and stool tests as well as an extensive interview on a donor's medical history.

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Doctors worldwide are studying fecal transplants, which aim to treat a range of chronic gut diseases by introducing stool bacteria from a healthy person into affected patients to help replenish a normal bacterial balance.
Fecal transplantation - also known as bacteriotherapy - can help counter symptoms and infections caused by C. difficile colitis, harmful bacteria which can proliferate especially after antibiotic treatment kills off too many beneficial bacteria in the digestive tract.
"It's a very serious, large-scale study, with a long waiting list of patients" hoping to participate, Sokol said, adding that many were "devastated" over the project's suspension.
Source: AFP/zl
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Read more at https://www.channelnewsasia.com/new...halts-stool-study-after-donor-deluge-10963774
 

eatshitndie

Alfrescian (Inf)
Asset
they forgot to give instructions on how to extract fecal samples, seal them, and send them to the hospital. shit must have spilled all over upon delivery and hit the fan.
 

Semaj2357

Alfrescian (Inf)
Asset
they forgot to give instructions on how to extract fecal samples, seal them, and send them to the hospital. shit must have spilled all over upon delivery and hit the fan.
they should think outside the box - all those deliveroo, food panda, ubereats motosikals have a thermal pouch or hot-case box to keep the slushy samples hot from the rectile oven, while the rider can hum, speed and sway to the tune of slip, sliding away by paul simon, nearer the destination :poop:
 

eatshitndie

Alfrescian (Inf)
Asset
they should think outside the box - all those deliveroo, food panda, ubereats motosikals have a thermal pouch or hot-case box to keep the slushy samples hot from the rectile oven, while the rider can hum, speed and sway to the tune of slip, sliding away by paul simon, nearer the destination :poop:
eco-friendly poo carrier. ang moh product marketeer thinks about everything to contain and keep shit from hitting the fan. can use for pets, can also use for shitty humans.
Poo-Vault-dog-poop-bag-carrier-holder-1.jpg
 

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Hey ah Sai....u one of them? A super donor?



Poo transplant 'super donors' have higher success rate treating intestinal disorders
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ABC Science
By science reporter Belinda Smith
Posted about 7 hours ago
A woman wearing a gold cape and white shirt with one arm outstretched
What makes a 'super donor' so super? (Freepik)
Not all poo is created equal — especially when it comes to faecal transplants.

Key points:
Poo transplants to treat infections or diseases rely on donations of faecal matter
Recent studies have uncovered "super donors", whose stool samples seem to have better results
Teasing out why transplants from super donors are so effective could help better treat inflammatory bowel disease and other conditions

"Super donors" — people whose stool donations have strikingly high success rates in poo transplants — have turned up in multiple studies, according to a review paper published in Frontiers in Cellular and Infection Microbiology.

And while a large part of the super-donor effect is likely down to the community of bugs dwelling in a person's gut, known as the gut microbiome, it's certainly not the be-all and end-all.

Faecal microbiota transplants, also known as FMTs or poo transplants, take a sample of faeces from a healthy person and "transplant" it into the intestines of a person with an infection or disease.

The idea is that the introduced bugs will "take hold" and restore the host's microbiota to a healthy state.

While it might seem a relatively modern clinical treatment, the first poo transplants were documented by Chinese doctors as far back as the fourth century.

More recently, poo transplants have been used since the 1950s to treat Clostridium difficile infections.

What is a faecal transplant?
Faecal matter, or stool, is collected from a donor
Stool is mixed with a solution, strained and introduced to a patient's gut via colonoscopy, endoscopy, enema or in pill form
A faecal transplant can be administered once or in multiple doses
The aim is to replace the recipient's "bad" gut bacteria with the donor's "good" bacteria
Such infections are bacterial overgrowths in the gut that are often resistant to antibiotics and can cause severe diarrhoea, said Justin O'Sullivan, University of Auckland microbiologist and paper co-author.

By introducing a diverse dose of microbes via poo transplant, C. difficile must compete for gut real estate. Symptoms can clear up within a few hours.

"It's an over-90-per-cent cure rate. It's incredible," Dr O'Sullivan said.

But using poo transplants to treat inflammatory conditions such as ulcerative colitis and Crohn's diseases have yielded mixed results.

Even though inflammatory bowel diseases are characterised by shifting microbiota populations, exactly how our gut bugs affect symptoms isn't well known, said Hannah Wardill, a gut microbiologist at the University of Adelaide who was not involved in the paper.

So finding out more about these diseases, as well as the donors who have therapeutically potent poo, could provide patients with a better chance of recovery.

What makes a super donor so super?
What constitutes a "good" or "healthy" gut microbiota isn't entirely clear. Nor what makes a poo donor "super".

There's a general idea that a super donor's microbiota has more bacterial diversity as well as a few "keystone" species that seem to benefit gut health.

Then there's all the other stuff in the gut.

"Bacteria aren't the only things there," Dr O'Sullivan said.

"You have fungi, protozoa and viruses there as well and they can change the bacterial populations."

A virus that attacks one species of bacteria, for instance, will modify the gut microbe community.

Microscope view of bacteria coloured brown, red and orange
Scanning electron micrograph of various bacteria found in a sample of human faeces. On the whole, the more diversity, the healthier the microbial community. (Getty Images: Steve Gschmeissner/ Science Photo Library)
What's floating around the microbes' environment, such as bits of bacterial debris, DNA and proteins, seems to help restore gut health too.

Researchers strained stools and dispensed the filtered fluid, or filtrate, in patients with C. difficile.

"Filtrates don't have the actual bacteria in them, but they also see clinical resolution," Dr O'Sullivan said.

Still, no matter how "super" a donor's stool sample is, its success is also highly dependent on the recipient.

What they eat, for instance, might help or hinder a poo transplant.

How does your diet affect your gut bacteria?

microbiome_crop
Are there certain foods you should eat and others you should avoid to keep your gut bacteria healthy?

Transplanted microbes also need to be able to integrate with the existing residents.

If a recipient's immune system attacks the introduced species, they may not see as much benefit.

There's probably a genetic component too, but as Dr O'Sullivan and his colleagues point out in their paper, this is hard to tell yet as few studies collected genetic information.

So you think you're a super donor
If you think you have "super poop", how can you put it to good use?

Bit of bad news for you: it turns out that only a select few are allowed to donate their dung.

Selection criteria vary between clinics and research teams, but Chris Leung, a gastroenterologist at Austin Health in Melbourne, said potential donors must tick quite a few boxes before they're able to contribute a sample.

"Donors must be between 18 and 55 years old, be in good health, have no gastrointestinal illness, not travelled outside Australia or taken antibiotics in the past six months and must have nice firm stools."

If they pass that checklist, they then undergo thorough blood and faeces screenings.

"We test blood for infections like hepatitis A, B and C, Epstein-Barr virus which causes glandular fever, cytomegalovirus, syphilis and HIV," Dr Leung said.

"In stool samples, we look for parasites and bugs like C. difficile."

Catalyst: Gut Reaction
Gut Reaction
In this two-part special, Dr Graham Phillips reveals new research about the interplay between food and the bacteria deep within our guts.

So it's no surprise that OpenBiome stool bank in the US, for instance, accepts just 3 per cent of applicants.

"It's not like you can just do a poo and get paid for it," Dr Wardill said.

But if you have a healthy gut, you might be a super donor — for yourself.

Treatments such as chemotherapy can decimate a person's gut colonies.

So for someone about to start cancer treatment, researchers are investigating if it's worth collecting and banking their poo to re-administer afterwards, Dr Wardill said.

"Obviously for someone with inflammatory bowel disease, it would be impossible to do this because you'd be collecting their already-damaged microbiome."

And as microbiologists uncover the mechanisms behind the super-donor phenomenon, they might find a whole range of super donors specific to certain diseases.

"Perhaps there are different microbiomes that have effects specifically on the immune system, or an effect on the brain, or somewhere else," Dr Wardill said.

"So there may be a number of super donors that are super donors for different conditions."

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Is colonic irrigation effective for improving wellbeing, and is it safe?
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ABC Health & Wellbeing
By Tegan Taylor for Life Matters
Posted Wednesday at 14:30
A woman holds a paper cut-out of a large intestine in front of her abdomen.
Our guts are already pretty good at clearing out waste.


(Getty Images: LightFieldStudios)
After the excesses of Christmas and New Year, I'm feeling pretty bloated and lethargic. A couple of friends have suggested colonic irrigation to help me detox and reset. Is colonic irrigation safe and does it live up to the hype? — Angela
It might seem trendy, but colonic irrigation — the process of flushing out the bowel with water — has been practised since at least the time of the ancient Egyptians.
But just because humans were doing something 3,500 years ago doesn't necessarily mean it's good for you.
So what is colonic irrigation, and does it live up to the various wellness claims that are made about it?
What's your burning question?
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Do you have a burning question about health you have always wanted to know the answer to? Get in touch via [email protected] and we can take your question to the experts.
What is colonic irrigation?
Colonic irrigation, also known as colonic cleansing, colon hydrotherapy or transanal irrigation, involves a tube being put into your anus and flushing out your bowel with water.
It's often performed at specialty wellness clinics as well as by medical professionals.
Colonic irrigation differs from an enema in that a lot more water is used, whereas enemas are a single injection of fluid (not always water) into the anus.
What's it meant to treat? And what does the evidence say?
Fans of colonic irrigation say it can help with things like bloating, irritability, low energy, managing weight, and general detoxification.
"There's this belief that if you build up a lot of waste in the gut, toxins can enter the bloodstream and slowly cause people to get those symptoms," said Vincent Ho, a gastroenterologist from Western Sydney University.
"So there are people who believe if you clean the colon and get rid of all that waste, it can help improve your health," Dr Ho said.
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But, he said, when experts have pulled together all the available evidence from various studies, there doesn't seem to be any clear benefit.
"There's really no support for this practice for general health promotion, in other words, detoxification, improving your general wellbeing."
OK, so the wellness evidence is scant, but is it harmful?
On the whole, Dr Ho said colonic irrigation was pretty safe, but there are certain conditions that make the procedure potentially harmful.
People with conditions like haemorrhoids, anal fissures, inflammatory bowel disease, diverticulitis and other conditions that affect the anus or bowel are at risk of injury from either the tube used in the procedure or the water that's introduced into the bowel.
Extra water being introduced into your body can also put pressure on your kidneys, which could cause problems for people with kidney issues.
I had my poo tested to discover the truth about gut bacteria


There are more than 1,000 species of bacteria fighting deep inside your body. But what does the makeup of that bacteria tell us about our health?

The thing is, you could have one of these conditions and not know about it, Dr Ho said.
There are other considerations, for example, if people have a history of sexual abuse or are at risk of self-harm.
"If you're thinking of undertaking colonic irrigation, it should be something you should discuss with a qualified health professional, such as a general practitioner, just to go through the pros and cons."
Flushing out the colon also affects beneficial gut bacteria that live in our digestive tracts and contribute to your overall health in ways science is discovering more about every day.
Does this mean colonic irrigation is completely useless?
No, actually. There are a few groups of people it's very beneficial for, namely those with bowel dysfunction.
Bowel dysfunction can result in chronic problems like faecal incontinence, where people have difficulty controlling their bowel movements, or severe constipation.
Faecal incontinence can be intensely embarrassing. Here's how it's treated


It's a debilitating condition that's more common than you might think — but the people who have it are often too embarrassed to seek treatment.

It often happens in people with conditions like spina bifida, multiple sclerosis and spinal injury, where issues with their nerves mean their digestive system doesn't work as well as it should.
For these people, colonic irrigation can be a lifeline.
"It improves constipation, incontinence ... quality of life, and it can help promote their dignity and independence," Dr Ho said.
"It gives them control over their bowel motions in a way they haven't had before."
I still feel like I need to detox. What should I do?
Your body already has great detoxifying machinery in the form of your liver and kidneys, and your gut is already really good at expelling waste.
But if you feel like you've been giving these organs more than their fair share of work recently, there are ways to give your body a break without resorting to special procedures.
"I can understand the need sometimes for a reset," Dr Ho said.
"That idea is very appealing but there are better ways to achieve that. One of the ways is to look at your diet and exercise and, in some cases, medications administered by a health professional."
A healthy, high-fibre diet will help your gut expel waste, as well as support your gut bacteria.
Fibre has big benefits, and we're not getting enough of it


Have you been straining when you visit the toilet lately? It could be a sign you're not getting enough fibre. And a study has found fibre can also reduce your risk of heart disease and stroke.

And while the wellness benefits of colonic irrigation aren't backed up by science, Dr Ho said there is plenty of evidence other wellness practices really can make a difference to your gut.
"There's been good evidence that some practices — relaxation exercises, meditation, yoga — can be helpful for irritable bowel syndrome," he said.
This is part of our Burning Question series, answering your questions about health and wellbeing. Read some of the questions we've answered in the past:
 

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Faecal incontinence, or bowel leakage, can be intensely embarrassing. Here's how it's treated
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ABC Health & Wellbeing
By James Bullen for the Health Report
Updated 1 July 2019 at 1:50 pm
First posted 1 July 2019 at 8:01 am
A toilet door with the stick figure crossing legs as if desperate for the toilet.
Many people with faecal incontinence suffer in silence.


(Getty Images: Peter Dazeley)
It's a debilitating condition that's much more common than you think — but the people who have it are often too embarrassed to seek treatment.
Key points:
  • Bowel leakage affects between 10 and 20 per cent of Australians, studies have found, but this may be an underestimation
  • For many people, it can be managed with lifestyle changes under the guidance of physiotherapists and other specialists
  • Surgery and nerve stimulation are also possible treatments
Faecal incontinence is bowel leakage, or difficulty controlling your bowel movements, and it's thought to affect more than one in eight Australians.
Dulcie Commons is 68 years old and has lived with the disorder for 20 years. As a high school teacher, she found it disruptive and sometimes humiliating.
"I can remember one Year 12 class I had, they were doing a test and I thought, 'what am I going to do?'. And I left that 30 seconds too long in making a decision," Dulcie remembered.
She dashed out of the classroom, but by the time she made it to the nearest toilet, it was too late.
"Then I had to virtually strip off, try and have a wash — thank goodness the kids were in class.
"Dumped half my things in a bin, pulled the trousers back on and thought — well, here goes, this is an interesting day."
It's not the only time Dulcie's been caught out by her condition.
"I would be in the supermarket, just about finished and I'd think, 'I can't wait'. So I'd just dump my trolley and run," she said.
These accidents were intensely embarrassing for Dulcie. And they started to happen more often.
When it got to the stage where it was interfering with shopping or enjoying a Sunday afternoon drive with her husband, Dulcie finally decided to seek help.
"I should have realised a lot earlier that it was a problem, rather than thinking I had an upset tum," she said.
"But things like that you don't expect to be happening until you're really old, and I don't consider myself really old just yet."
Who's most likely to have faecal incontinence?
Studies have found between 10 and 20 per cent of Australians have faecal incontinence, but because so many people suffer in silence, the actual number is probably much higher, said Dr Naseem Mirbagheri, a colorectal and pelvic floor surgeon from Melbourne.
The typical patient is female, often middle-aged, around menopause, who may be overweight and who has had multiple children, Dr Mirbagheri said.
Dulcie said the point about childbearing resonated with her.
"No one ever explains to you after you've had your kids, what they've had to do, where they've had to stitch you, what damage has been caused," she said.
Men can also have faecal incontinence, but it's reported more often in women, and their symptoms seem to be more severe.
Dr Mirbagheri said for some patients, the problem wasn't physical. Rather, it can be an issue with the brain's connection to nerves that control the bowel and sphincter.
This can occur in people with spina bifida, spinal cord injury or nerve damage from diabetes.
There's also a large overlap with the better known type of incontinence — urinary incontinence — with half of people with faecal incontinence also having trouble controlling their bladder.
Fibre has big benefits, and we're not getting enough of it


Have you been straining when you visit the toilet lately? It could be a sign you're not getting enough fibre. And a study has found fibre can also reduce your risk of heart disease and stroke.

"Because the pelvic floor and the pelvis itself contains three different organs, the rectum, the vagina, the bladder, when one dysfunctions the other one also dysfunctions," Dr Mirbagheri explained.
"The ligaments supporting these structures support the other organs as well."
This link between organs is what gives rise to the overlap between urinary and faecal incontinence.
Vaginal prolapse is often associated with pregnancy — when the pelvic floor is weakened by extra weight and hormone changes. And the risk increases if you've had more than one baby or an extended labour.
"So if you have a vaginal prolapse — prolapse by definition means something protruding out of its normal place — you're more likely to have a rectal prolapse," Dr Mirbagheri added.
"They go together, which is why multidisciplinary management of this condition is crucial."
Too embarrassed to seek help
The stigma and shame surrounding faecal incontinence can stop people from getting treatment.
"Every one of the patients who come to me, they tell me: 'I wish I knew there was help available. I was so embarrassed, my partner doesn't even know about it'," Dr Mirbagheri said.
"Or, 'I was going to talk to my GP about it, but I was embarrassed'.
"These people contend with socially isolating symptoms, and they can have psychological symptoms like anxiety and depression."
A close up of a woman wearing a gingham shirt and jeans clutching stomach as if in pain.
Faecal incontinence affects many more women than men.


(Getty Images: Арман Женикеев)
Therese, who asked that we didn't use her real name, is another woman with faecal incontinence who struggled before finally seeking help.
"What it brings up for me is that whole thing of the smelly older woman," she said.
"I don't want to be considered to be a smelly old woman, but a lot of women are dealing with these problems every day of their life, as they get older it becomes even more difficult because your muscles generally aren't as strong."
Therese visited her GP, who referred her on to a physiotherapist.
The exercises she's been learning have helped manage her symptoms, which have also included flatal incontinence, or the inability to control when she passes wind.
There have been a few surprises along the way, though.
"The physio said, at one point, that I could use, literally, a butt plug," she said.
"So if you have a huge event you have to go to and you don't want to worry about having flatulence, you might use one of those to guarantee things are pretty well safe. The butt plug removes your anxiety — but I haven't gone there yet.
"I can't believe I'm in this world, I can't believe I'm talking about this. It's a whole world that is the great unspoken."
How is faecal incontinence diagnosed and treated?
Dr Mirbagheri said the first step when treating someone with faecal incontinence was to rule out any physical abnormalities that may be able to be corrected, as well as screen for more sinister but less common causes.
For example, bowel cancer symptoms can overlap with faecal incontinence.
Next comes a pathway of investigations that may include imaging, endoscopy, colonoscopy or examinations under anaesthetic to look for underlying anatomical factors that may be contributing to symptoms.
"Has the patient got a haemorrhoid that's protruding, that might be causing some of the discharge or incontinence?" Dr Mirbagheri said.
"Is there underlying prolapse that's contributing to symptoms? I look for the strength of their sphincter muscle, any possible fistula, which is essentially a track communicating from outside of your skin to your anal canal. And that's an easily correctible problem."
A close-up image showing the Engaged sign on a public toilet door when the lock is turned
Debilitating and stigmatised, faecal incontinence is the 'great unspoken'

It's a common and debilitating condition, and those with it are often too embarrassed to seek treatment. Listen to the Health Report.

But for the majority of patients, there isn't an obvious physical cause. That's where lifestyle changes can help.
Keeping the stool consistency not too loose and not too firm is a key part of managing incontinence.
"Caffeine reduction, stopping smoking, losing weight, increasing fibre supplementation," Dr Mirbagheri said.
"Physiotherapy, helping patients do pelvic floor exercises. Learning how to defecate properly, certainly don't strain.
"And those things are our first-line treatment options for patients who don't have a clear underlying anatomic abnormality that's easily amenable to a surgical correction."
When these conservative treatments don't work, people might look to more drastic action, like surgery.
Sometimes the surgery will be simply correcting a physical issue, like a prolapse or haemorrhoids. This is relatively straightforward, though not without complications.
Nerve stimulation an emerging treatment
In cases where the condition is neurogenic — a broken neural connection between the brain and the bowel — things are more complex.
For Ms Commons, Dr Mirbagheri tried a less common treatment called sacral nerve stimulation, which uses a small electrode to stimulate the nerves in the lower back to improve symptoms.
The device, which is effectively a pacemaker, is inserted into one of the buttocks. A wire then connects it to the sacral nerve, a nerve that sends messages from muscles in the pelvis to the brain.
"We change the signalling in that nerve, which in turn changes the chemical signalling in the brain," she said.
It's been a couple of months since Dulcie's surgery, and so far, it's been helpful.
"It seemed to give me enough time to get to the toilet, at home or at the shops. I didn't have any accidents at all in that time," she said.
"The idea of being able to go places now and know that, hopefully, I'll have time. So far it's been wonderful ... it's early days, but the fact it's been wonderful already, I can't see that it's not going to keep working."
As for Therese, her physical symptoms are relatively mild, so she's been undertaking conservative first steps with the help of specialists.
And now she's urging other people with the same uncomfortable experiences to seek help sooner rather than later.
"I want to encourage women not to put this off. It's important to look after yourself, because women are notorious at putting themselves last. Get onto it earlier."
 

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With all these scary stuff microbes and bacteria inside the poo, there are still people who indulge and enjoy scat porn. Wtf!
 

nightsafari

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can I propose the alternative spelling for ang moh pai to call him acai instead of ah sai??

same pronounciation. please forgive me, I don't know how to insert special characters.
 

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Australia's first public stool bank is paying people to donate their poo for faecal transplants - ABC News
A close-up photo of a lady with the BiomeBank logo in the background.
Kristy Wildy donates her poo at BiomeBank.(ABC News: Shuba Krishnan)
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Kristy Wildy did not know she could get paid for donating her poo, but it was an unexpected bonus for the 55-year-old who has been contributing for the past 12 months.

Key points:
A lab in Adelaide is paying people to donate their stool
It is used for faecal transplants around Australia
The treatment is particularly useful for people with gut infections
Ms Wildy has been a blood donor for years, and she said donating her stool was a no-brainer.

"I wanted to become a donor because I thought I was a fairly healthy person and I would have something to contribute," she said.

Ms Wildy donates about three or four times a week and said the process was quick and easy.

She said the $25-per-donation payment was a bonus and could be lucrative, depending on donation rates.

"The fact that it works so well, it's so quick and the effects are so long-lasting, I thought, 'Well, maybe I can help'."

Ms Wildy goes to BiomeBank, Australia's first public stool bank at their newly expanded lab in the inner-western Adelaide suburb of Thebarton to donate her stool.

Two men in suits smiling at the camera with a man and woman working in a science lab in the background.
BiomeBank co-founders and gastroenterologists Sam Costello and Rob Bryant.(Supplied: BiomeBank)
BiomeBank is funded by the Hospital Research Foundation and processes and stores healthy stool so it can be distributed to hospitals around the country and overseas.

BiomeBank's founders, doctors Sam Costello and Rob Byrant, want to increase accessibility to the lifesaving treatment and are encouraging more people to donate their poo.

A poo transplant saved my life
Jo O'Brien's life was turned upside down in 2018 when she contracted a Clostridioides difficile (C. diff) infection.

It was brought on by a spate of illnesses which required high doses of antibiotics that wiped out her good gut bacteria.

"Over the course of two years, I had in between 30 and 40 lots of antibiotics. I had a really bad couple of years, I had pneumonia, chest infections and a tooth abscess," Ms O'Brien said.

"So, to treat myself, I went to Bali on a yoga retreat … but unfortunately, that's where I contracted C. diff … I was weak and had no good stomach bacteria left."

A lady with short purple hair looking at the camera and holding a poo emoji toy
Jo O'Brien says FMT saved her life.(ABC News: Shuba Krishnan)
Leading a normal life became nearly impossible for Ms O'Brien.

Ms O'Brien said she only ate twice a week to avoid using the bathroom, and she slept in a separate bed to her husband, on a picnic blanket with a rubber back.

"I would sit on a towel in the car and had an emergency pack of clothes in the car, with wet wipes, paper towels, everything," she said.

Ms O'Brien became reclusive and her mental health deteriorated.

"I used to exercise a lot, but I couldn't even go for a walk, because I had to chart where the toilets were," she said.

"I became a homebody … my socialisation was down … I didn't really see many people."

Ms O'Brien said her life was so unbearable, that when her gastroenterologist, Dr Costello, suggested a poo transplant, she did not think twice.

"I would do anything to get better," she said.

"People tend to laugh when you say things like, 'Oh, I'm having a poo transplant', but for me, it was the very last resort."

Ms O'Brien said three days after having the FMT she felt normal again.

"I went to the pub for tea … and I didn't take a change of clothes," she said.

Donating your poo
Dr Costello said prospective donors must undergo a rigorous screening process before they are cleared to donate.

"Donors typically have to be healthy people, without any active medical problems, then undergo a multistage assessment. That includes a medical history, physical examination, and then they have a blood and a stool test," he said.

"If they pass all of those screens, then they can become a donor and we encourage people to donate regularly over a period of time, so we can collect an adequate amount of stool from them."

Once stool was donated, it was then processed by mixing it with saline and glycerine.

This process takes place in conditions which replicate the bowel to ensure the best healthy gut bacteria remain viable.

The processed stool is then stored in a minus 80-degree Celsius freezer until needed by a hospital.

It can then be transported by a dry-ice courier and thawed out and used as required.

Why do people need my poo?
Dr Costello and Dr Bryant said there was a growing need for safe and effective FMTs across Australia.

FMTs are mainly used to treat people suffering from C. diff infections, a condition becoming more common due to the widespread use of antibiotics.

"Antibiotics strip the bugs in your bowels such that it creates a niche where C. diff can proliferate and expand and with that expansion it becomes a pathogen and makes people sick," Dr Bryant said.

Paper flyers calling for stool donors sit on a table.
BiomeBank is calling on the public to donate poo in order to provide faecal microbiota transplantation.(ABC News: Shuba Krishnan)
Patients with C. diff suffer from bloody diarrhea, abdominal pain and fever.

It is life-threatening for a proportion of patients and can lead to intensive care admissions, as well as colectomy, which is the removal of the large bowel for those who are most severely affected.

Dr Costello and Dr Byrant said with C. diff infections on the rise, they expected to supply about 500 treatments per year Australia-wide.

"We currently treat about 30 patients a year in South Australia alone," Dr Costello said

While FMT was a relatively new procedure in Western medicine, Dr Costello said it had been practised in ancient cultures for years.

"There reports of faecal transplants being used in Chinese medicine, the Bedouin people in North Africa have a long history of using faecal transplant to treat dysentery," he said.

"It has really come to prominence in the last 10 years in the Western literature."

Posted Yesterday, updated Yesterday
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thanks! i like to add that if you flush without covering your shithole, the flushing will spew micro droplets (vapor) of flush water all over your loo carrying urine and fecal matter with them. and if your toothbrush and towels are left exposed on the counter and rack, the airborne droplets will eventually settle and rest on them. you may be brushing your teeth with your own pee and poo. :poop::whistling:
Smart toilet knows your ‘anal print’

The smart toilet recognises your anal print. Credit: Lanz-Andy/Pixabay
Bang Showbiz
April 9, 2020 10:14AM
A "smart toilet" that recognises users by the shape of their bottoms has been developed in the US.

Researchers at Stanford University have added cameras and motion sensors to the toilet to analyse urine and faeces as they pass through.

The hope is the camera will identify a range of disease markers in faecal matter.

The process involves an ordinary toilet being fitted with the gadgets to perform the tests and has a companion app to analyse the data and display the results.

The researchers who developed it hope it becomes part of the average home bathroom.

Sanjiv Gambhir, who is the Professor behind the idea, said the technology is based on our unique “print”.

“We know it sounds weird, but as it turns out, your anal print is unique. Our concept dates back well over 15 years,” he said.

“When I'd bring it up, people would sort of laugh because it seemed like an interesting idea, but also a bit odd.

“The thing about a smart toilet is that, unlike wearables, you can't take it off.

“Everyone uses the bathroom - there's really no avoiding it - and that enhances its value as a disease-detecting device.”
 

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Ah Sai..

Pls donate

This research company wants your poop for cancer research and transplants
By Coconuts Singapore May 5, 2021 | 11:26am Singapore time
POOPFILEsg.jpg

Here’s something else to think about the next time you sit on a toilet.
Singapore-based Asian Microbiome Library, a gut microbiome company and Southeast Asia’s only stool bank, is calling on Singaporeans to donate poop that could potentially be used to treat cancer and more than 10 other diseases, such as inflammatory bowel disease and irritable bowel syndrome. Donors would need to undergo strict reviews and tests before they can donate their feces for use in transplants, while any form of stool is welcome in its microbiome library for research purposes.
“For this to happen, we will need to [have] a large library of donors with faeces containing suitable gut microbiota that will enable future therapeutic applications of [Faecal Microbiota Transplant] in cancer management,” said David Tan, senior consultant at the National University Cancer Institute.
Evidence has shown that gut bacteria responds well to cancer treatments like immunotherapy, according to the poop library. It can also be used to treat bacterial infections like clostridium difficile, a spore-forming bacteria that causes diarrhea for people who have been treated with antibiotics, it said. This is done through a fecal microbiota transplant, in which feces from healthy individuals are used to repopulate patients’ intestines with the right bacteria.
The stool bank has already kicked off its #PoopSavesLives campaign, in partnership with the National University Health System, urging non-constipated individuals to come forward and add to their fecal library with quirky posters across Singapore.
“Dropping the kids off at the pool saves lives,” reads one showing an image of children smiling and posing underwater, while another said, “Sitting on the throne saves lives,” against a backdrop of a man sitting on a throne in royal garments.
Interested donors can fill out an online questionnaire to find out whether their poop is worth the scoop.
A promotional poster features children swimming. Image: AMILI
A promotional poster features children swimming. Image: AMILI
A man on a throne in another poster. Image: AMILI
A man on a throne in another poster. Image: AMILI
Other stories you should check out:
 

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Ancient vs modern poo study shows how much our gut microbiomes have changed — and mostly not for the good
Posted 7h
A fossilised faeces
Looking at the microbial DNA in ancient human poo samples — such as this one found at a Viking site in Coppergate in England — can tell us how our gut microbiome has evolved over time.( Wikimedia Commons: Linda Spashett )
A lot has changed for humans over the past 2,000 years.

Key points:
International researchers analysed microbial DNA in 1,000-2,000-year-old human faeces
They compared these microbial genomes to those found in modern samples from Western and developing countries
The gut microbes from the present-day non-industrial population were more similar to those in the ancient samples than they were to the urban samples
Many of us spend more time sitting than moving, and we are more likely to reach for a highly processed snack than a stick of celery.

And it turns out our poo has also changed.

A new study has found that our gut bugs are vastly different from those that inhabited our hunter-gatherer ancestors, revealing how our switch to a more industrial lifestyle has influenced our microbiome.

An international team of researchers analysed ancient poo samples from rock shelters in the US and Mexico, and compared the microbial make-up to those found in modern samples from Western and developing countries.

The findings have been published today in Nature.

"There's a theory that the human microbiome has been disappearing in recent times and that this is one of the reasons we're seeing an increase in chronic diseases," said study co-author Aleksandar Kostic, a microbiologist at Harvard Medical School in Boston.

Hold up … what is a microbiome?
With estimates ranging from 30 trillion right up to 400 trillion microbes crawling around in the human gut, one thing's for certain: we are far from alone.

Around 90 per cent of these "friendly" microorganisms are bacteria, with the rest being fungi and archaea.

These tiny powerhouses perform an array of important functions that help keep us healthy, such as digesting food, producing vitamins and fending off their more harmful relatives.

But some of the things that come with modern living — such as processed foods, antibiotics, and even cleaner living conditions — can throw our gut's microbial ecosystem out of whack.

Living in cleaner conditions is a double-edged sword, with many household disinfectants wiping out both bad and good bacteria.

But while it's tricky to pinpoint when our microbiome began to change, Dr Kostic said the timing of the emergence of chronic illnesses can give us a clue.

"The incidence of chronic diseases tracks surprisingly well with industrialisation," he said.

Digging into our ancestors' poo
While research on the human microbiome has exploded over the last decade, not much is known about the microbiomes of our ancestors.

Dr Kostic and colleagues analysed eight samples of palaeofaeces — or ancient poo — that had been collected from rock shelters in the south-west US and north-west Mexico.

Radiocarbon dating revealed the faeces samples were between 1,000 and 2,000 years old.

To identify the bacteria that inhabited our ancestors' guts, the researchers used the DNA present in the faeces to reconstruct 498 microbial genomes.

Scientist working in the lab
Study co-author Marsha Wibowo analyses samples in a lab at the Joslin Diabetes Center, Boston.( Supplied: Joslin Diabetes Center )
Of those 498 genomes, they concluded that 181 had originated in the guts of our ancestors.

The team compared these microbial genomes to those present in 789 poo samples from people living today.

Roughly half of these samples were from people living in the US, Denmark and Spain who ate a Western diet, used antibiotics frequently, and lived a largely sedentary lifestyle.

The other 371 samples were from populations in Tanzania, Fiji, Peru, Madagascar and Mexico.

This group lived a "non-industrialised" lifestyle, relying on a diet of unprocessed, home-prepared food.

They also rarely used antibiotics and engaged in more physical activity than the group living in Western countries.

Diverging microbiomes
A total of 61 microbial genomes in the ancient samples had not been described previously, indicating that our ancestors' gut flora differed from our own.

The team found that the gut microbiomes of people living in non-industrialised countries had more in common with those detected in the ancient poo samples than their more urbanised counterparts.

Both the ancient and non-Western samples contained Treponema succinifaciens, a spiral-shaped bacterium that has been labelled as a pathogen.

But it was virtually absent in the samples from Europe and North America, suggesting that it had been largely wiped out by antibiotics.

This isn't necessarily good news, Dr Kostic said.

"It was present in every single one of our ancient samples, which suggests that it's a human-associated microbe."

While the samples from industrialised countries lacked some of the bacteria present in the ancient poo, they contained a higher concentration of other types.

For instance, samples from Europe and North America contained Akkermansia muciniphila, a species that produces mucous in the intestines.

The presence of this bacterium has been linked to conditions such as inflammation, obesity and diabetes.

On the other hand, this mucous-producer was very rare in the non-Western samples and totally absent in the ancient poo.

All in the genes
A person eating a clock with bacteria
It's estimated anywhere between 30 trillion and 400 trillion microbes are crawling around in the human gut.( Supplied: Valentino Sudaryo & Cindy Lin )
When the researchers looked at the functions of the genes in the three sample types, they found that the ancient and non-industrial groups contained a diverse array of genes linked with the breakdown of starches.

This indicates that the diets of the ancient and non-industrialised populations were high in complex carbohydrates, like vegetables and grains.

Under the microscope, the team found traces of pollen, mushrooms, insects, and Ustilago maydis — a corn fungus that is behind the Mexican delicacy huitlacoche — in the ancient faeces.

While the fossilised poo contained no antibiotic-resistant genes, they were present in all modern-day samples.

A diverse, plant-rich diet and a lack of antibiotics allowed our ancestors' gut bugs to flourish, Dr Kostic said.

"They ate everything that was available in order to get enough calories and we think that contributed to a more complex microbiome," he said.

Keep your friends close
Samuel Forster, a microbiologist at the Hudson Institute of Medical Research in Melbourne, says looking into the past can help us better understand how our changing lifestyles can influence the microbial communities that live inside us.

"While this work is based on only a small number of individuals, it provides an important snapshot into the types of bacteria that may have been carried by our ancestors," said Dr Forster, who was not involved in the study.

"It is certainly possible that some of the species identified through this work have already been lost, or are being lost now."

Dr Forster and his team are currently working on growing and preserving bacteria from the Australian population to help maintain these species for future generations.

Dr Kostic and his colleagues are planning to look at the microbial composition of poo samples from people from other parts of the world and implant some of those beneficial bugs into mice to study their impact on chronic diseases.

One day, these species could be stored at a biobank, where clinicians can grab them off the shelf to treat patients, Dr Kostic said.

"Luckily, they do exist in other parts of the world and there are efforts to create a 'conservancy' of the microbiome."
 
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