Get Relief from Bowel Issues with Pelvic Floor PT

Pelvic physical therapy can help if you’re dealing with constipation, bloating, bowel urgency, or leakage. Many bowel issues are not just about diet or fiber—they’re about coordination between your breath, abdominal wall, diaphragm, and pelvic floor.

Pelvic Physical Therapy Can Help With:

  • Pelvic floor therapy for constipation

  • Distended or bloated abdomen

  • Stomach feels bloated “all the time”

  • Abdominal and abdomino-phrenic dyssynergia

  • Exercises that help relieve constipation

  • Bowel urgency

  • Fecal incontinence

  • Gas incontinence

  • Leaking stool during pregnancy (including third trimester)

  • Anal pain or spasms with bowel movements

  • Nausea associated with GERD

Related reading about pelvic PT for constipation
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“How Do I Poop Correctly?”

If you’ve ever wondered this, you’re not alone—and it’s a very common question.

Your pelvic floor muscles play an important role in controlling stool and gas and in supporting digestion by eliminating waste. The anus and rectum are highly sensitive structures that communicate with your brain to tell you whether there is gas, stool, or diarrhea present.

A healthy bowel movement requires coordinated effort between:

  • Your respiratory diaphragm

  • Your posture

  • Your abdominal wall

  • Your colon

  • Your pelvic floor muscles

In simple terms:
Can you breathe while relaxing your pelvic floor enough to allow your abdominal wall to assist, without straining or holding your breath?

When this coordination is off—as with pelvic floor tension or abdomino-phrenic dyssynergia—you may experience constipation, bloating, incomplete emptying, or a visibly distended abdomen.

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Pelvic Floor Therapy for Constipation & Bloating

We work with your nervous system, breath mechanics, and muscle coordination.

Our approach includes:

  • Somatic movement and verbal approaches to gently connect with your relationship to your pelvic floor

  • Skilled therapeutic touch to assess and treat pelvic health, including internal work when appropriate

  • Visceral and fascial mobilization to support bowel movement and abdominal mobility

  • Movement and posture training to reduce straining and improve bowel mechanics

  • Hip mobility and gluteal muscle support for pelvic health

  • Individualized home exercises that help relieve constipation and abdominal bloating and fit into real life

This is far more than “Kegels.”

Many people notice changes within 2–4 visits, with more lasting improvement over about 3 months as your body relearns efficient bowel mechanics.

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Constipation During Pregnancy

Constipation is very common during pregnancy.

As your posture changes and a growing baby adds load to your pelvis:

  • Pelvic floor muscles work harder

  • Hormones slow digestion

  • There is less space for your organs to move freely

Straining, breath-holding, and incomplete bowel movements often follow. Pelvic physical therapy can help you learn how to poop with less effort and more coordination, which also supports smoother labor and delivery.

If bowel movements feel hard or strained during pregnancy, pelvic PT is encouraged. If you’re pooping with ease, your body is better prepared for birth.

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Postpartum Bowel Changes

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After having a baby, pelvic floor sensation, coordination, and endurance may change.

A pelvic physical therapist can assess:

  • Breath support

  • Abdominal and pelvic floor relaxation and strength

  • Awareness and coordination

  • Strength and endurance needed to reach the bathroom in time

  • How posture and movement affect bowel control

This comprehensive screening helps address constipation, urgency, leakage, and rectal and tailbone pain postpartum.

Learn more about postpartum pelvic PT