Why do I want to poop when I have my period?

The urge to defecate upon menstruation is a common physiological phenomenon, which may be related to hormonal changes, increased prostaglandin secretion, accelerated gastrointestinal motility, pelvic congestion, endometriosis and other factors.

1. Hormone changes

During menstruation, the levels of estrogen and progesterone in the body decrease, which may affect the contraction function of intestinal smooth muscle and lead to an increased feeling of defecation. This physiological change usually does not require special treatment, as long as you maintain a regular schedule.

2. Increased secretion of prostaglandins

When the lining of the uterus is shed, prostaglandins are released, which may stimulate contractions of the smooth muscles of the uterus and intestines, causing a feeling of bowel movement or mild diarrhea. Applying heat to the lower abdomen can help relieve discomfort.

3. Accelerated gastrointestinal motility

Pelvic congestion during menstruation may reflexively cause intestinal peristalsis to accelerate, causing frequent bowel movements. It is recommended to eat small meals frequently and avoid raw, cold and spicy foods.

4. Pelvic congestion

During menstruation, pelvic blood vessels dilate and may compress the rectum, causing tenesmus. Proper walking can promote blood circulation and reduce compression symptoms.

5. Endometriosis

If endometriosis spreads around the rectum, bleeding from the lesion during menstruation may cause symptoms of rectal irritation, often accompanied by severe dysmenorrhea. The diagnosis can be confirmed through ultrasound examination, and the disease can be controlled by using ibuprofen sustained-release capsules, drospirenone ethinylestradiol tablets and other drugs as directed by the doctor.

When you feel the sensation of defecation during menstruation, it is recommended to maintain a light diet, add an appropriate amount of warm water, and avoid strenuous exercise. You can try to massage the abdomen clockwise to relieve discomfort. If it is accompanied by severe abdominal pain, bloody stools or persistent diarrhea, you need to seek medical treatment in time to check for organic diseases. Pay attention to recording the menstrual cycle and accompanying symptoms every day to help doctors determine the cause of the disease.