Atlas Functional Wellness

Daily Constipation Relief Protocol

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Phase 1

Your Morning Routine

Give yourself at LEAST 15-20 minutes in the morning to slow down and set your intentions for the day.

The BEST time of the day to have a bowel movement is first thing in the morning, so if you’re in a constant rush, and immediately in reactionary mode from the second you wake up, it’s going to be harder to get the urge to go.

Your morning routine should be SACRED.

It’s what helps to regulate your nervous system and sets the tone for the whole rest of your day.

Here’s the steps you want to follow:

Step 1

No phones or social media

  • Absolutely NO phones for social media the first 30 minutes of your day.

Step 2

Rehydrate with warm mineral water

  • Create a homemade Adrenal Cocktail by mixing 16 ounces of WARM water with the following:
  • 1/2 teaspoon Celtic Sea Salt
  • 1 teaspoon Cream of Tartar (500 mg of potassium)
  • 1/2 Lemon Juice (avoid with reflux)
  • Warm liquids stimulate peristalsis and movement in your GI tract.
  • Provides a high amount of potassium and other minerals to stimulate smooth muscle contractions in your digestive tract.
  • Follow up with a shot of Extra Virgin Olive Oil
  • Work up to 1 teaspoon - 2 tablespoons daily
  • Stimulates the Gastrocolic Reflex which releases bile and improves intestinal motility. Can also help to lubricate the bowels to soften stools.

Step 3

5–10 minutes of direct sunlight

  • Aim to get 5-10 mins of direct sunlight in your eyes as soon as possible after waking up.
  • Ideally, go sit on your porch with your ginger + lemon tea, get sunlight in your eyes while you practice 5-10 minutes of diaphragmatic breathing and think of everything you’re grateful for.
  • You will be amazed at how much this practice impacts your digestive system.

A randomized controlled study published in 2015 found that diaphragmatic breathing significantly improved symptoms of constipation, including stool frequency, reduced straining, and improved ease of bowel movements.

Participants who practiced daily diaphragmatic breathing reported better coordination during bowel movements, along with reduced abdominal discomfort and a greater ability to fully evacuate.

Diaphragmatic breathing works by stimulating the vagus nerve, which activates the parasympathetic “rest and digest” nervous system. This helps increase gut motility, improve coordination of the digestive tract, and promote relaxation of the pelvic floor muscles. It also helps regulate intra-abdominal pressure, allowing the body to generate a more natural and effective bowel movement without excessive straining.

Step 4

Gentle movement for motility

  • After this, you can implement 5-10 minutes of walking, abdominal self-massage, or yoga poses/stretches specifically designed for constipation.
  • All of these things can help to stimulate motility.

CLICK HERE for a tutorial video breaking down the top yoga poses to alleviate constipation.

CLICK HERE for a tutorial video on how to perform an abdominal self massage to break up stagnation and get the bowels moving.

A randomized controlled trial published in 2011 found that abdominal self-massage significantly improved symptoms of constipation, including stool frequency, consistency, and reduced straining.

Participants who performed daily self-massage for 4 weeks reported less abdominal discomfort and bloating compared to controls.

Step 5

Fiber + bowel-friendly breakfast

  • Next, incorporate a fiber like Sunfiber (PHGG) or Psyllium Husk Powder, along with a breakfast that contains foods designed to improve bowel regularity.
  • While this may look different for each person, some of the top foods for constipation include:
  • 1-2 tablespoons of chia seeds soaked in water or almond milk overnight.
  • 1-2 tablespoons of ground flaxseed
  • 1/3 cup of raspberries
  • 1-2 kiwifruit
  • 1/3 cup oat bran
  • 1 cup cooked spinach
  • You could make overnight oats, smoothies, or an omelet or egg skillet with fruit on the side. 🍳

Alkaline Green Smoothie 🥬

8 oz waterHalf cucumber2 stalks celeryHalf avocado1 cup spinach1 cup kale1/2 cup fresh parsleyFresh mintHalf lemon juiceHalf green apple1 teaspoon chia seeds1 tablespoon ground flaxseeds

Start with 1/4 or 1/2 of each ingredient and drink slowly the first few times to assess tolerance. Consider drinking a little bit with each meal until you know your body can tolerate it.

Step 6

Use a Squatty Potty

  • Next, make sure that you have a squatty potty or some sort of small foot stool to prop your feet on whenever you’re trying to have a bowel movement.
  • When your knees are elevated above your hips on the toilet, it puts your body in the optimal anatomical position for you to have an easy bowel movement.

CLICK HERE to purchase a squatty potty.

Diagram comparing sitting vs squatting posture on a toilet

Throughout the Day

Keep Things Moving

Fiber Foods

  • Next, aim to incorporate additional fiber throughout the day from the following foods:
  • 1 cup of cooked carrots
  • 1/4 cup of cooked red lentils
  • 1 cup cooked leafy greens
  • 1-3 tablespoons of wheat bran (if tolerated)

Hydration & Movement

  • Ensure you are consuming at least 80 ounces of water throughout the day (not all at once).
  • Improve electrolyte balance by adding Celtic Sea Salt to your water throughout the day, along with high potassium foods like leafy greens, avocado, sweet potato, and bananas.
  • Aim to go for a 5-10 minute walk after each meal.

When You Need Relief Now

Top Supplements for Immediate Constipation Relief

  • Mag071-3 capsules before bed
  • Triphala500-1000 mg before bed
  • High Dose Vitamin C1000-2000 mg, morning & night as needed
  • Glycerin Suppositorymorning
  • Water or Coffee Enemamorning
  • Dulcolax Suppositorymorning, 1-2x/week (intermittent stimulant support if needed)

Bisacodyl stimulant suppositories are stronger and more aggressive for stubborn constipation when glycerin is not enough.

NOTE: stimulant laxatives/suppositories always come with a higher risk of cramping & urgency.

For The Long Run

Foundational Support for Long-Term Relief

Motility Supplements

  • Ginger Extract

    500-1500 mg at night, or 1-4 capsules of MotilPro
  • Iberogast

    20-30 drops mixed in water, 10 mins before each meal

Bile Support Supplements

  • Digestive Bitters

    10 mins before each meal, also improves vagal + enteric reflexes
  • Ox Bile

    125-500 mg with each meal

Fiber Supplements

  • Sunfiber (PHGG)

    5 grams daily each morning
  • Psyllium Husk Powder

    5 grams daily each morning

Best Probiotic

For Constipation & Improved Transit Time

Strain

Bifidobacterium lactis HN019

Best Product

Life Extensions, FLORASSIST Daily Bowel Regularity

1 capsule daily

In one 2011 study, 100 adults with functional GI symptoms took HN019 for 14 days. Both low and high doses improved transit time, with a dose-response effect. High dose (17.2 billion CFU) reduced colonic transit by about 28 hours, low dose by about 18 hours, compared with placebo.

Dig Deeper

Other Factors That Contribute to Constipation

Electrolyte Imbalances

Your body relies on electrolytes to control muscle contractions, including the muscles that move food through your digestive tract.

If your electrolyte levels are off, your colon literally cannot contract properly.

Electrolytes like sodium, potassium, and magnesium play a critical role in digestion by helping trigger peristalsis, coordinate muscle contractions, and pull water into the stool.

When these are out of balance, it can lead to sluggish or weak bowel movements, dry and hard stools, a constant feeling of incomplete evacuation, and even needing higher and higher doses of supplements just to go.

This is extremely common in people who:

  • drink a lot of water but don’t replenish electrolytes
  • eat low-carb or low-calorie diets
  • sweat frequently (exercise, sauna, hot climates)
  • rely heavily on caffeine or stimulants

The best ways to support proper electrolyte balance are:

  • adding 1/2–1 tsp of high-quality salt to water daily
  • eating potassium-rich foods (avocado, leafy greens, bananas, sweet potatoes, coconut water)
  • using a bioavailable form of magnesium like magnesium glycinate.
  • avoiding excessive plain water intake without minerals

You can’t just “hydrate” your way out of constipation. Your body needs the right balance of minerals to actually move things forward.

Ignoring The Urge To Go

Your body has built-in reflexes that trigger bowel movements.

Ignoring the urge repeatedly can:

  • dull that signal over time
  • lead to stool sitting longer in the colon
  • make constipation worse

I know some people get embarrassed by going to the bathroom at stores or at work, but if you get the urge to go, suck it up and do it.

It’s a completely natural human instinct that you should never feel ashamed for. You can either feel embarrassed or constipated. The choice is up to you.

Chronic Under-Eating

If you’re not eating enough food, your body simply doesn’t have enough material to create strong, regular bowel movements.

Your colon relies on volume, stretch, and pressure to trigger contractions. When your food intake is too low (usually less than 1200 calories per day), this leads to less frequent urges, smaller stools, and incomplete bowel movements.

Even if you eat very “clean”, if you’re skipping meals, eating low calorie or low carb (lower than 100 grams of carbs per day), or fasting frequently it will throw your body out of rhythm.

The best solution for this is to get on a consistent schedule for when you eat each of your meals. This will train your body to get in a rhythm and improve digestion overall.

Poor Bile Flow (Cholestasis)

While bile is essential for helping to emulsify and digest fats, it also helps stimulate intestinal movement, lubricate stool, and trigger bowel movements.

When bile flow is sluggish:

  • stools may become dry or difficult to pass
  • bowel movements may feel slow or incomplete

This is more common in people who:

  • eat very low-fat diets
  • have gallbladder issues
  • have elevated estrogen levels
  • experience bloating after fatty meals

The best ways to support optimal bile flow are to eat a 20-40 grams of healthy fats each day from omega-3’s, nuts/seeds, avocado, and Extra Virgin Olive Oil.

You can also include bile supporting supplements like digestive bitters, ox bile, TUDCA, phosphatidylcholine, and taurine.

Pelvic Floor Dysfunction (Dyssynergia)

This is one of the most overlooked causes of constipation.

Instead of relaxing to allow stool to pass, the pelvic floor muscles tighten or don’t coordinate properly.

This can lead to to:

  • straining
  • incomplete evacuation
  • feeling like stool is “stuck”
  • needing to rely on suppositories or laxatives

Some of the best ways to address this are through biofeedback therapy or pelvic floor therapy. You can even go on YouTube and find pelvic floor exercises for constipation that you can start doing immediately if you feel this may be an issue for you.

A pelvic floor physical therapist or a gastroenterologist specializing in motility can diagnose this using tests like anorectal manometry or balloon expulsion.

Biofeedback therapy helps retrain these muscles to relax and coordinate properly. Success rates are high, with about 70-80% of people experiencing significant improvement in symptoms.

Bacteria or Fungal Overgrowths

Imbalances like SIBO (small intestinal bacterial overgrowth) or fungal overgrowths like Candida can also slow gut motility and contribute to bloating and constipation.

These are imbalances that can be identified through a BiomeFX stool test and SIBO breath test, and we will be working to eliminate any of these issues as you go through the steps in this program.

Slow Thyroid Function (Hypothyroidism)

Your thyroid is your primary metabolic hormone that controls the speed & function of almost every system in the body, including your digestive tract.

When thyroid function is low:

  • gut motility slows down
  • transit time increases
  • constipation becomes more persistent

Other signs may include:

  • fatigue
  • cold intolerance
  • weight gain
  • dry skin
  • hair loss

When you get your thyroid tested, you want to be sure to ask for a full panel that not only looks at TSH and T4, but also tests for:

  • Free T3
  • Reverse T3
  • TPO Antibodies

There are many possible reasons why your thyroid may be slow, but some of the most common are low carbs/calories, nutrient deficiencies, and poor liver/gut health. Depending on your levels you may consider trialing Thyroid Glandular supplements to see if it improves your symptoms.