Keto Means
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Why don't I poop on low-carb diet?

On a low-carb diet, especially one where you've committed to reducing or cutting out processed foods, the sodium balance in your body will change. The altered fluid balance can contribute to constipation. While you don't want to consume high amounts of salt, you do need to get adequate amounts in your diet.

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Whenever you make changes to the way you eat, you can expect to experience some changes in digestion. Many people on low-carb diets experience constipation when they first make the change, but it usually gets better with time.

Overview

Constipation can be caused by factors other than your diet. Certain medications and some health conditions can also be the culprit. While dietary changes are a common cause of bowel changes, if constipation persists, talk to your doctor. If you’ve recently started a low-carb eating plan and are experiencing “keto constipation,” there are several ways you can ease the symptoms and help your body adjust.

What Is Constipation?

The American College of Gastroenterology defines constipation as having fewer than three bowel movements per week—however, what’s considered “normal” varies widely from person to person. Symptoms include unsatisfactory defecation either with infrequent stools or difficulty of stool passage. Also any recent changes from normal defecation would be of concern. If you usually have a bowel movement each day and suddenly you don’t pass stool for several days, you’re straining to have a bowel movement, and/or you’re experiencing abdominal pain and bloated, you’re likely constipated. Constipation happens for a number of reasons. If you get dehydrated, your stool can get dried out, making it harder to pass. In some cases, the hard, dry, stool can get stuck and lead to fecal impaction. Sometimes, constipation is caused by problems with the intestines rather than the stool. Medications, health conditions, your level of physical activity, and even stress can make the bowel work more slowly, which means stool will take longer to move through the intestines. If you’ve recently had surgery, general anesthesia also causes nerve signals to your bowel to slow down, though the effect is temporary. Conditions that affect your nervous system, like multiple sclerosis and Parkinson’s disease, can also cause constipation. In some cases, there may be problems in the last part of the bowel or near the opening of the rectum that prevents stool from passing normally. Hemorrhoids, anal fissures, and rectal prolapse are common conditions that get worse when you strain to have a bowel movement.

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Serious health problems like anal cancer or complications from inflammatory bowel disease can also cause bowel changes. However, these conditions usually have other signs and symptoms, like rectal bleeding, fever, and weight loss.

Low-Carb and Keto Constipation

Any change to your diet can lead to changes in your bowel habits, especially when you first get started. In studies on children with epilepsy being treated with the Keto diet, constipation is a well-known side effect. While it generally doesn’t last long and can be treated, some people find the side effect of continued constipation to be troubling enough that they give up on a low-carb diet. One reason people on low-carb and Keto diets experience constipation is that they’re usually eating less fiber (soluble fiber, insoluble fiber, or both). Reduced fiber intake is especially common when people are unsure about what can be included on a low-carb diet. Foods that are high-fiber and nutritious, but low in digestible carbohydrates, are a staple of a well-rounded low-carb diet. For example, you might eat fewer starchy vegetables but not realize you should increase the number of non-starchy vegetables you eat. While fiber is a carbohydrate, most low-carb diets don’t factor it in as part of your daily carb allowance, since it doesn’t have an impact on your blood sugar. Even if you understand your diet plan and goals, eating low-carb or according to the Keto diet may still cause constipation. If it happens to you, use these tips and tricks to ease your symptoms until your body adjusts to the change.

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