Does Diastasis Recti Cause Constipation?

Many individuals experience both diastasis recti and constipation. This article explores the relationship between these two conditions, examining how a separation of abdominal muscles might indirectly influence bowel function. Understanding this connection is important for managing these often co-occurring issues and will offer insights into supportive strategies.

Understanding Diastasis Recti

Diastasis recti is a condition where the two halves of the rectus abdominis muscle, commonly known as the “six-pack” muscles, separate. This separation occurs along the linea alba, a band of connective tissue that runs vertically down the center of the abdomen. The linea alba stretches and thins, allowing the muscles to move apart.

This condition frequently develops during pregnancy due to the stretching of the abdominal wall from the growing uterus and hormonal changes. Other factors contributing to diastasis recti include excessive intra-abdominal pressure from heavy lifting, chronic straining, or certain exercises performed incorrectly. This results in a compromised abdominal wall that may appear as a bulge, especially when engaging the core muscles, leading to a weakened core and reduced abdominal integrity.

How Diastasis Recti Can Influence Constipation

A weakened abdominal wall resulting from diastasis recti can indirectly affect bowel function and contribute to constipation. The abdominal muscles play an important role in generating intra-abdominal pressure, which is necessary to assist with bowel movements. When these muscles are separated or weakened, the ability to create this effective pressure is diminished. This can make passing stool more difficult, requiring increased effort and potentially leading to straining.

The integrity of the core muscles contributes to overall trunk stability and posture. A lack of proper core support can affect the alignment of the pelvis and the function of the pelvic floor muscles. These muscles are integral to defecation, and their compromised function due to poor core stability can impede regular bowel movements. The abdominal wall also provides support for internal organs, including the intestines. When this support is inadequate, it may subtly influence the optimal positioning and motility of the bowels, potentially slowing transit time.

Strategies for Supporting Bowel Function

Supporting bowel function when experiencing diastasis recti involves a holistic approach that addresses both gut health and core stability. Incorporating adequate dietary fiber, both soluble and insoluble, is fundamental for promoting regular bowel movements. Consuming sufficient water throughout the day also helps soften stool and facilitates its passage through the digestive tract. These dietary adjustments can significantly improve bowel consistency and frequency.

Regular, gentle movement and physical activity can stimulate intestinal motility, aiding in preventing and alleviating constipation. Simple activities like walking encourage healthy bowel function. Adopting mindful bowel habits, such as responding promptly to the urge to defecate and using proper toileting posture (e.g., with knees elevated), can optimize elimination mechanics. Learning to gently engage the core muscles without straining, often guided by a specialized professional, can also support improved abdominal pressure during bowel movements. For persistent constipation or concerns about diastasis recti, consulting healthcare professionals, such as a pelvic floor physical therapist or a gastroenterologist, is recommended for personalized guidance.