Help yourself to better health!!

Good!! Now that you’ve located this website, please spend a little time to take it in.   Be assured – there are health benefits available in no other way – and largely by your own minimal effort.   And health benefits mean financial benefits too!  (Please do not gloss over this – 5 years of mental slog by a lay person reviewing years of research has led to what follows.)

Constipation, haemorrhoids, anal fissures, diverticulitis, irritable bowel syndrome, bowel incontinence, bladder incontinence (including children’s bed-wetting), prolapse, prostate disorder, cystitis and urinary tract infections, Crohn’s Disease, low back and sciatic pain.  Anecdotally, all of the above have improved, and have often been completely corrected,  after a simple change in daily habitfrom sitting to squatting for bowel movements.  Unbelievable?  If it’s true, why hasn’t someone realised this before?  Read on –  be astounded!

Other probable health benefits:

Such other conditions could include ulcerative colitis, solitary ulcer syndrome, rectal prolapse, non-infant Hirschprung’s Disease, intussusception, appendicitis, abdominal hernia, impotence, perianal pain, rectocele, colorectal cancer, and prostate cancer.  In fact cancers in general should be less aggressive.  Taken a step further in theory, scoliosis may also be a complication of the daily use of the pedestal toilet.  Scoliosis possibly could be prevented, corrected or improved by squatting for bowel movements.  And because squatting for bowel movements results in more complete elimination of toxins, skin problems should be more easily manageable. 

How could such a simple change in daily habit have such a profound effect?

Just do it!!

It could take you many years to understand the importance of this needed change.  But, like most people who drive motor vehicles without understanding their mechanical workings, there is no need for you to understand details of the concept to obtain benefits which, for some, could be beyond their wildest dreams.   It is important to begin squatting for defaecation and to continue throughout life – on every occasion. 

But simply stated:  

The colon stores body wastes until we decide the time and place for elimination.  Our flexible colons have one inlet valve from the small intestine (the ileocaecal valve) and one outlet valve (the anal canal).  When the anal canal opens, gravity and muscular peristaltic waves help move body wastes from the body.  Now, if  a  container requires internal pressure (peristalsis) to empty it, it is necessary for the inlet valve to close when the outlet valve opens.  The indications are that both these valves function as they should only when we squat.  Think carefully about this – your decision to eliminate with a daily squat could prolong your life and, more importantly, will improve your quality of life.

Inlet valve backflow?:

With pressure in the colon and the inlet valve not closed properly (shown frequently by barium in the small intestine during barium enemas) a backflow of bowel material into the small intestine could result in the development of inflammatory bowel conditions such as Crohn’s Disease.  If not involved in its development, it would most certainly aggravate Crohn’s Disease and other inflammatory bowel conditions..

Straighten the anal canal!:

The anal canal straightens physiologically only when we squat.   When we squat, in response to an urge, and relax “it just falls out” – in the words of one satisfied convert.  His previous experience of almost constant constipation no longer exists – and so it can be for everyone who chooses to make the change.

Straightened, it’s easy – kinked, it’s forced:

Because the outlet (the anal canal) is forced open when we sit for bowel movements, (we don’t need to strain for this forced opening to occur) gradual injury, pain-free at first, to the anal and pelvic areas can initiate, or aggravate, numerous bowel and bladder conditions.   Squatting is not a cure-all, but anyone suffering from any of the above conditions, and everyone who wants to avoid them, should try squatting as a means of helping prevent injury which otherwise contributes to the condition’s development or continuation. 

Another thought:

What happens if we stifle a hearty sneeze?   We all know people or have heard reports of people who have burst a blood vessel in an eye, burst an ear drum, or have even dislodged a rib by stifling a sneeze.  A variety of injuries can occur by restricting the explosive outflow of a sneeze from the upper end of the alimentary canal. 

A comparison between stifling a sneeze and stifling the outflow from the colon, when we sit rather than squat, would seem valid.  By restricting the outflow from the lower end of the alimentary canal, isn’t it reasonable to expect that a variety of injuries could occur?

Constipation – leprosy of the affluent?

In his book Pain The Gift Nobody Wants, Doctor Paul Brand comments that “most of the gross deformities and dreaded symptoms of leprosy had the same cruel source – damaged nerves.”  People with leprosy can repeatedly injure themselves in the same part of their bodies because they feel no pain.  Our anal canals have no pain receptors in the vicinity of the kink (the anorectal angle).  The kink allows us to remain continent.  When we sit with the anal canal still kinked - or almost so depending on individual anatomies - elimination in this seated position results in repeated injury, complications of which, ultimately, can kill.

Battered pelvic floor nerves:

Pelvic floor nerves can be protected only by squatting for bowel elimination.  Incontinence conditions, as devastating for the individual as they are, represent only the tip of the iceberg regarding long term harm which can develop from the daily repeated injury we do to ourselves when we evacuate our bowels in the seated position.  Please understand that it is not a matter of taking a risk.  Pelvic floor injury is an inevitable consequence of your own actions, when you eliminate while seated, even when not consciously aware of injury occurring.

You’ll continue to sit? – aaarrrgh!!

Then expect the wheels to fall off your future health one way or another.  By sitting with the anal canal still kinked, the canal has to be opened forcibly by the descending fecal mass, by peristalsis and often by straining which can, in fact, close the bowel more firmly.  People hospitalised for severe constipation have been found to be “straining against an unyielding pelvic floor” according to one medical research paper.  (A philosophical ponder.  There is an unconscious closure of the bowel when we cough or sneeze.  If we strain to try to empty the bowel while seated, would not the receptors, which are triggered to close the bowel when we cough or sneeze, operate consistently to any downward pressure which threatens continence?)

Remember Thomas Crapper:

It seems altogether unbelievable that complications from this injury have been

commonly occurring in western societies since the mid 1800’s – when Thomas

Crapper and his colleagues introduced the flushing, sitting loo after sewer mains

were constructed in London.  The flushing bit is excellent.  Thomas Crapper should be remembered for his contribution to human health, namely, for the significant improvement in hygiene which resulted from using his products.  But the sitting bit has been, and is, an on-going disaster of gigantic proportions.  How could our near ancestors, who accepted the pedestal loo so readily when it became available to members of our society only about 150 years ago, have been so stupid!!  Surely someone would have wanted to know what the effects of this radical posture change from squatting to sitting for bowel movements were likely to be in the long term.  There were such thinking people, but their voices fell on deaf ears – and we all suffer the consequences. However, even though we all should have been squatting for bowel movements throughout life from the toddling age, it is not too late to experience benefit, irrespective of age, providing we are sufficiently flexible to squat. 

Don’t pussyfoot!!:

For maximum benefit it really needs to be a full drop down, relaxed squat.  Anything less than a full squat, such as placing feet on a raised platform in front of the toilet, is really a decision regarding how much subtle injury we are prepared to accept. 

Remember – half-hearted measures – half hearted results!   Don’t pussyfoot with this.  If you are capable of squatting, then squat!!

To squat properly means to squat with knees and hips fully flexed and relaxed with all body weight being taken on our feet and none on our buttocks.  Squatting is the only way to open the bowel physiologically.  Sitting results in a forced bowel opening with gradual, repetitive injury, imperceptible at first because of the absence of pain receptors at the kink in the anal canal. This kink (the anorectal angle) helps us remain continent.  Pelvic floor nerve stretch injury is also a casualty of repeatedly opening the bowel while seated, and it is nerve stretch injury which adversely affects bladder and prostate function.

(A philosophical ponder.   Why are there no pain receptors at the anorectal angle?)

University studies:

Studies for two years are being conducted at James Cook University, Townsville, Australia, regarding the long term effects of squatting for bowel movements.   Wait for the James Cook University results if you must, but why risk delay?

Your own review:

A university medical library, or the internet, could allow you to complete your own review of this subject.  After I realised that injury was occurring during the elimination process whilst seated, it became apparent to me that every able person should squat, rather than sit, for bowel movements, and the sooner the better.

Squat – how?:

If you are a member of western society you may never have seen a squat toilet.  If you have seen one, it was probably messy, smelly and unhygienic – a real turn off. 

There is no need to reduce your standards of hygiene to squat for bowel movements in the privacy of your own home.  Hygiene can be improved by squatting.  For example it is not hygienic to replace lowered clothing before washing hands as is usual when seated.  Removal of lower clothing is needed to squat and hands can be washed before clothing is replaced. 

An appropriate westernised porcelain squat toilet is yet to be designed and manufactured, (currently floor models are not, in my view, appropriate) but other options are available:

  1. Use a bed-pan on the floor.

  1.  Make two piles of 3 or 4 house-bricks and tape them together.

       Place one pile each side of your toilet.  When the need arises (it’s best to wait

       for an urge) lift the lid and seat of the toilet and, using the low platforms as

       footprints, step across from one to the other (facing outwards – grasp the

       back of a high backed chair for support) and drop down into a full, relaxed

       squat posture – just as if you needed a comfort stop on a bush walk (or a walk

       in the American woods).  It’s important for all body weight to be on the feet. 


  1. For Americans who prefer a customised squatting accessory for their toilets,

      Jonathan Isbit’s Nature’s Platform ( is designed to

      fit American toilets and can be adapted to fit almost any toilet.

  1. For Australians the “In-Lieu” is designed to fit snugly around 99% of

      Australian toilets.  For the remaining 1% modification is possible.  The

      In-Lieu is sturdy, stable and easily cleaned, but is not generally suitable for

      American toilets which are broader and are about 25 mm lower than

      Australian toilets.  Enquiries about the In-Lieu should be directed to Rotadyne

      Pty. Ltd ( PO Box 390 St. Marys NSW 1790 Australia.

      Phone 02 9623 8877 for latest pricing and contact details of your nearest

      distributor.  (Current recommended retail is $155 Australian plus p & p)


Again – just do it!:

However you manage it, please squat on every occasion for bowel movements.  It’s a “no lose” situation.  Try it for at least seven days consecutively and, if you suffer from haemorrhoids, you are almost certain to notice a considerable improvement. 

And remember your fellow human being – let us know your results:

By changing from sitting to squatting for defaecation as a daily habit, haemorrhoids will heal more quickly, and with far less trauma, than undergoing surgery.  Whatever you experience from this daily change, email your results to   It could be a long time (it’s been about 150 years so far!) before any official pronouncement on this important health issue is made, so your input, together with that of others, could help other people help themselves to better health.  Watch for future updates to this website.

But DON’T squat on the porcelain:

It’s most important that you do NOT squat directly on the porcelain toilet rim.  It’s known to fracture from this practice, sometimes with serious injuries.

“Hovering” encourages cystitis:

              The common habit of many women to “hover” over public toilet seats to

        urinate, has merit hygienically, but it is not squatting and can be more

        harmful than sitting.  Research has shown that when women  urinate

       whilst “hovering”, urine is retained in the bladder.  If suffering from a

        bladder infection or cystitis, the retained infected urine makes the condition

        difficult to heal.


       When women squat to urinate, the urinary flow is usually noticeably

       stronger than when seated.  The indications are that the bladder is emptied

       more completely  when squatting than either sitting or “hovering”.  Even if

       squatting is not the  complete  answer, episodes of urinary tract infections

       will almost certainly  reduce in  frequency and intensity.

Don’t forget the kids – encourage toddlers to do what comes naturally :

It’s important for children to squat too, which they all do as toddlers.  When sitting on a potty they are not taking body weight on their feet.  Better for them to squat over a low receptacle or sheets of newspaper on the floor.  You might be surprised at how quickly they have no need to wear nappies or diapers and have dry sheets at night.

No option:

Whatever else we might do for our continued health and well-being, we have no option but to squat for bowel elimination to help maintain normal function and avoid gradual pelvic injury and its many complications.  Our only alternative is to put up with what currently exists in the way of management options.   It’s important, of course, to have an appropriate diet and water intake, and to exercise regularly.  Dietary fibre will affect the consistency of bowel content, but please do not be misled.  Fibre helps manage the problem of constipation, but it doesn’t open the bowel or close the ileocaecal valve.  Only by squatting is the bowel opened physiologically.

Avoid  self-inflicted injuries and save:

As well as improvement to well-being, the savings to families, to health care funds and to governments, soon after families begin to squat and in years to come, will be enormous.  It must happen. No society can continue to finance the many medical complications which develop, or are aggravated significantly by, what are, in fact,  repetitive self-inflicted injuries.

Lazybones – this is for you!:

Professional and lay people alike are unenthusiastic about making this apparent retrospective change – until they try it.  For some people it’s about as difficult to accept this change by rational argument as it is for them to change religious beliefs.   (The retrospective change was in fact made with the introduction of the sitting toilet.) It saddens me that most people accept medication more readily than squatting when in fact they only manage the problem and delay the inevitable.  

The infirm and people with a disability:

People with a disability and infirm people (age is no barrier, providing people are still reasonably flexible) if unable to squat will need to continue to manage their bowel and bladder problems and, unfortunately, will probably pay an illness penalty.  Future generations, who have squatted all their lives, will have no difficulty in continuing to squat in their later years.


Even a professional video encourages it:

Hire the comedy video film A Weekend in the Country.  About 55 minutes into this entertaining video the In-Lieu is given excellent coverage, with a succinct explanation of its purpose.  Actors include Jack Lemmon, Dudley Moore, Rita Rudner and Australia’s own Ernie Dingo.

Multifactorial - Factors in combination:

A number of factors operate in combination to affect health outcomes.  My reason for emphasizing the need to squat is to alert people to the fact that they are injuring themselves, gradually, repetitively, relentlessly - and initially without feeling pain.  Repetitive injury is a most harmful factor in the development of any condition.  An injury will never heal if we keep repeating the same injury.  When researchers ultimately have a “eureka” experience about this concept they will surely look back in dismay at the enormous blunder which was made with the introduction to humanity of the pedestal toilet, with the consequent unnecessary human suffering.  

Please visit this website:

I wholeheartedly recommend the website    Jonathan Isbit has reached a similar understanding to my own regarding the importance of squatting.   Visit his website, especially the “health benefits” page.  Increasing numbers of people are understanding the implications of the long term effects of defaecation posture and, like Jonathan, have “grasped its earth-shaking significance.”  The Nature’s Platform website explains why repeatedly sitting for bowel movements is disastrous in the long term.  

Or purchase a booklet:

If you prefer similar information in booklet form and if you live outside Australia, send a cheque or money order for $10 (Australian, payable to Self-Help Concepts) to Self-Help Concepts, PO Box 222 Macksville NSW 2447 Australia.  (If you live in Australia, a cheque for $8 will cover the cost of the booklet, GST and postage). A 32 page booklet Improving on the World’s Greatest Invention – A Healthy addition will be mailed to you.  Ongoing anecdotal evidence has been consistently positive for both men and women who have changed to squatting for bowel movements. The 63 year old man (page 21 of the booklet – he is now 69 years of age) has noted that his psa results have continued to reduce – last report was 1.5 ng/ml, and his only lifestyle change has been to squat for bowel movements.  (In general, the higher the psa reading, the more likely it is for men to develop prostate cancer.)

We should all squat – every time!!


The simple message is that we should all squat for bowel movements – on every occasion.  And all women are encouraged to squat to urinate too.  (A small win for us guys – I’ve found no practical reason why males should squat to urinate.)

Please do not become complacent:

If you’ve been squatting regularly and, because of this and other lifestyle practices, you feel wonderfully well, it’s no reason to become complacent and revert to sitting for defaecation.  Please remember that when you sit for defaecation you re-injure yourself in the same area of the pelvic floor without feeling the injury occurring.  And repeated stress, however gentle, will ultimately cause tissue to break down. 


The Australian “In-Lieu” toilet converter fits snugly around 99% of Australian toilets.   It is available from Rotadyne Pty Ltd (telephone 02 623 8877) email or check their web site  

Doctor B.A. Sikirov:

Check the internet for Sikirov B A, and see what Dr Sikirov’s results have been after people change habit from sitting to squatting for bowel movements.  There can be no doubt that, for most people, constipation and haemorrhoids can be a thing of the past.  For most people, significant benefit is noticeable within 7 days of making the change from sitting to squatting for bowel movements.  If your haemorrhoids are not healed completely, squatting for defaecation will most certainly reduce their severity.  

Developing countries:

The first known sitting toilet was crafted from limestone over 3000 years ago, but sitting toilets in those days were rare.  It has been only during the last 150 years when sitting toilets, as we know them, have become commonly accepted.  The trend of citizens of developing countries to install pedestal toilets in their homes must be reversed, or these countries will develop the same horrendous medical conditions we westerners have.


Please consult your medical practitioner if in doubt about any symptom. (Your medical doctor is unlikely to be aware of the enormous benefits of squatting for bowel movements, and the long term continuing harm of seated bowel elimination.)

The author of this website is W.H. Bowles PO Box 222 Macksville NSW 2447 Australia.  (email:  The suggestions in this website are supported consistently by positive reports from people who have made the change.   Future research may refine some of the detail.  Anything contained herein should not replace medical advice.  Squatting as a daily habit for bowel movements should be seen as a self help means of preventing injury, and this can only help medical treatments succeed.  

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