Is your prolapse a depletion problem?

We all know that prolapse is associated with “weak” pelvic floors.
Most of you here have tried all the kegels.
Many of you have tried *breathing.
Some of you may have even worked on your **biomechanics/movement patterns in daily life and exercise.

If you HAVEN’T tried the ** strategies above those are HUGE rocks for overcoming prolapse, so file that away, we will come back to that!

But NOT many people know that prolapse is in fact a depletion issues.

When our bodies are lacking in energy, nourishment, emotional support and healing, they sink.

Yep they 100% do.

In fact, the Chinese, who have been treating prolapse since the Jin dynasty (266 AD to 420 AD) so I think they know a thing or two about it, focus PRIMARILY on treating spleen chi depletion in the body when prolapse symptoms arise.

They believe that a lifting of the energy lifts the organs and treats the underlying cause of the sinking of which we feel the musckoskeletal consequences.



And while that may sound a little “woowoo” to you, think about it.
Do your prolapse symptoms increase when you feel down, depressed, anxious, heavy from the world, slouch and sad?

I know mine does!

And so let’s talk a little bit more about the indicators that YOUR prolapse is an energy issue and NOT just a muscular one, i.e. you are struggling with depletion!


#1. You don’t sleep well.
If you’re sleeping less than 8 hours a night OR you sleep 8-9 hours a night but its disrupted, then that sleep deprivation could be contributing to your sinking feelings in your pelvic organs.
When we are well rested we are better able to detox appropriately, digest foods, repair tissues, recover from workouts etc., but we also carry our bodies differently.
We have a lifted spirit and a lifted body!

#2. You feel like you’re going to crash late afternoon OR after a workout.

Feeling SUPER low energy in the afternoon especially after a workout is an indicator that your adrenals are struggling.
Your adrenal glands are located at your kidneys and when they are not happy it can be an indicator of poor kidney health, maybe not the kind that sends you to the doctor with urinary issues, but the kind that causes an increase in prolapse problems, including incontinence.
MANY of us type A ladies grow accustomed to using adrenaline to get things done in our lives.
You know that urge to start a new project, solve someone else’s problems, do a hard workout, add more stress to our lives because when we are busy we are more productive?
Yeah, that’s bad for your prolapse-and can also cause over-tightening of the pelvic floor which is not uncommon in women with prolapse!

Spleen chi deficiency and kidney chi deficiency are two forms of energy depletion arising in the body that will absolutely manifest in prolapse issues.

We push, push, push on our bodies and even though many of us have heard about “adrenal fatigue” we don’t really

#3 You have skin and food intolerance issues.

Yes, this is linked to gut health, but if you’ve read my articles here then you know that gut health and pelvic health are 100% linked, like if you struggle with one, you most likely struggle with the other.

But in this case I would say that your liver is the kingpin for issues.
A congested liver makes it difficult for the body to remove toxins and expired hormones.
The result?

Bad skin. Bad gut. Bad hormones. Bad feelings.

Spleen chi is directly impacted by the liver as well so if your liver in working overtime either because your 1. disrupted sleep interrupts your detox cycles, 2. your stress prevents adequate digestions which creates toxicity in the body OR 3. because your life style leads to intestinal permeability (over-exercising, consuming toxins, under-resting), your prolapse is a depletion issue.

#4 You have a short fuse.

Maybe not all of the time, but if often you find yourself snapping at your kids or hubs, losing it when a glass get’s broken or just feeling so much stress and tension in your body when something goes wrong, that can be a sign you’re emotionally and energetically deplete!

You may feel that perhaps your frustrations with your body are causing you to be ill at ease and that if you could just get your body back, you would be calmer and feel more like yourself, but the truth is that a spleen that is struggling, a liver that is congested and a body that is deplete may actually be the source of your issues!

#5 Your hormones are erratic

I don’t care if it’s strong mood swings, sadness, the need to sleep, painful periods, irregular periods, STRONG emotional responses to things at certain times in your cycle, or just other common indicators of hormone imbalances, your hormones acting wacky is a sign of depletion!

When our livers are congested, they become stagnant and negatively impact the health of the spleen, gut and gall bladder.
The energy imbalance that ensues can cause tight jaws, muscle aches, headaches, sciatica and so many other issues, but the important thing to know is that hormonal imbalances almost ALWAYS indicate a liver health issue and a liver health issues means energy in the body is blocked.

Without that energy flow we sink and our organs sink with us.

What to do about it?

One of my FAVORITE aspects about God’s design for the human body is that there are MANY ways to heal, many roads in to the root cause of pain, discomfort and sub-optimal functioning.

If you’ve made it this far in the article and you’ve said, “Yes, this is me,” to any or all of these indicators, then you need SMART programming.
You need more than just kegels and core-training exercises, you need to learn how to STOP sinking!

I have an entire program designed do help women address this issue called, Hold Up!
Hold Up! is a digital course that will help you change the 5 habits behind your prolapse, address the depletion we talked about in this article and teach you how to USE EXERCISE to heal your body and CONQUER PROLAPSE.

***But before you’re ready for that program, I want you to try two things for me!

1. I want you to start practicing breathing with your diaphragm three times per day for 5-10 breaths minimum!

If you don’t know how to do that, please take my FREE digital course.
I will teach you how to breathe in the most effective way possible to start supporting and lifting your body.


What students are saying about my course:
”I feel like I’ve gotten more oxygen in these past 36 hours than I have in my whole life!” -Archi

”Makes so much sense. I have suffered from burning in the bladder for so many years. Tried so many diets, nothing has worked. Using the breath and focusing on relaxing my pelvic floor is the first time anything has worked to relieve the pain and make me regular in the mornings. Thank you Sarah, I’m so glad I have found you.” -Julie

”Single most powerful things I have done in my life!
Thanks to you and 2020 for calming my nervous system.” -Sam

It works and it will get you some early wins to help LIFT your body and support your liver, gut, hormones and nervous system to help you feel less like you’re drowning.

2. I also want you to take Epsom salt baths 3x a week to help detox the body and calm your nervous system.
BONUS points if you practice your breath IN the bath tub!

STAY tuned for Hold Up! coming soon!

In the meantime, tune into Dirty Strength Radio™ for more support, love and free coaching!

My personal benefits experienced from using an Infrared sauna and also, scientism

There are loads of articles on the benefits of infrared (IR) sauna use, but this ain’t one of them.

If you want evidence-based research on these things, then I recommend checking out the articles I link below.


THIS ARTICLE is simply about the changes I saw in my own body.

Our modern culture and obsession with “scientism” (research considered science that may or not be repeatable, scientific method-proof or without bias, aka-funded by the people that stand to make money off of the “results”.
Yes I made up that definition.

In the quest for regular folks to ONLY post “scientifically- sound” information on social media or even share it in conversation with friends, we have done something very silly and unscientific and that is we have lost an appreciation for anecdotal evidence.

A friend’s or trusted person’s testimony about their own person experience can in many cases be MORE relevant and helpful to regular folks like you and me, than a peer-reviewed journal articles conducted by strangers, on strangers.

YES we have to be discerning and responsible about what we believe, what we are willing to try with our own bodies and pocketbooks, but the idea that something ISN’T valid if it doesn’t have citations and footnotes from articles that let’s face it, most of the general public can’t even read and comprehend, is silly.

I’m not saying we should ignore science and or jump on every fad that comes down the pike, BUT I do believe that people’s personal stories can actually lead us to scientific discovery.
After all, all science is is people making observations about responses to changes in variable.

We are PEOPLE and we can make observations too!

In fact we regular people and our observations can drive scientific exploration and funding because science is a business.
It costs money to do science so then science needs to make money and if the public show that they are willing to pay for things, then the science will follow.

But I digress…

Ok, so SAUNA!

I have an IR sauna.
I purchased it in 2018 from High Tech Health because of their VERY low EMFs and VOCs.

I love it.

I typically sauna 3-4 times a week for 30-40 minutes.
The temperature reaches 145.

I TRY to mostly just read in the sauna, since it seems silly to buy a low EMF sauna and then BRING emfs in the sauna with you (i.e. my iPad) but I’m a human and sometimes I just want to. zone out and watch a show OR I need to do some work while I sauna and I just “kiss it up to God”-is that a thing for EMF’s? I don’t know, but I do it.

I do not plan my meals around the sauna-I MOST often sauna after dinner once the kids are in bed because that’s what I can do consistently.

And I typically drink an entire mason jar glass of water while I’m in there.


Ok, now lets get to the good part!

Why did I get an IR Sauna?

Most of you know me here as someone that values strength training, has worked hard to rehab my own pelvic floor ( I have pelvic organ prolapse ) as well as others and I LOVE supporting the gut.

I’ve learned over the years that BOTH pelvic health and gut health are tied strongly to LIVER decongestion.

A congested liver is bad for the gut and proper tissue growth.
It drains the entire system which creates a sinking of energy, organs and mood.

AND so after trying various other strategies to improve my overall health, I decided that an IR sauna was in order.
I had talked with multiple people that had explained to me how the routine gentle detox caused by an infrared sauna was just the ticket to getting their bodies to slowly release toxins in return to homeostasis.

”It has been known for decades that sweating is a wonderful way to get rid of stored chemicals, including heavy metals. In fact, a sauna is one of the detoxification procedures used in the Environmental Units in Dallas (Dr. William Rea) and North Charleston (Dr. Allan Lieberman) where the sickest of folks go to heal.” Dr. Sherry Rogers, Total Wellness, May 2000.”

What changes have I noticed from using the sauna?

1. The most noticeable change is my sensitivity to food and digestive distress
   When I purchased the sauna, despite having worked with TWO different functional medicine doctors that supposedly helped me clear out Candida and multiple parasite infections, I was still having random stomach aches, digestive issues and sensitive to various foods with no clear pattern.
   
   Just BAM for no reason I was struggling.
   
   After about 4 months of using the sauna routinely, I noticed that stopped.
   Stomach aches and digestive challenges no longer just appeared for no reason.
   I would get them, but for very specific reasons-more on that another time.
   
   I also noticed that I just wasn’t nearly as food sensitive.
   I could be less militant about avoiding certain grains and dairy because my body was cool with it.
   I didn’t go off the rails or anything, but feeling LESS fearful or stressed about food triggers relaxed me which also contributed to my reduced digestive issues.
   
   
   
   
   

2. My skin
   Before the sauna I had noticed that my back was more susceptible to breakouts. I wasn’t getting them on my face so much, but my back, so annoying!
   My acupuncturist explained to me that it’s excess heat or dampness in the body, which is ALSO associated with Candida.
   Using the sauna seemed to resolve this in about 2 months.
   
   While I do believe that sweating so much helped me to clean out my pores and clear my skin, I was pretty sure my back breaking out was a toxin/hormone/liver issue brought on my stress and Candida.
   I was lifting heavier at the time, which means more testosterone and other hormones, which means the liver has to work harder to clear out old expired hormones.
   I also wasn’t resting as much as I needed too, too much life in the sympathetic and not enough parasympathetic.
   AND I knew I had tested with some high levels of Candia multiple times.
   
   Since we know that sauna helps to gently detoxify the body especially of heavy metals and toxins associated with liver congestion and Candida, I’m not surprised that using it for a couple of months cleared my skin.
   Learning to value the process of resting and detoxifying the body because I saw the value of it via the sauna, ALSO contributed to my shifting my training program and expectations for my body that no doubt helped with toxin load as well!
   
   
   
   
   

3. Soreness
   
   I pretty much sauna every day that I train and I’m now rarely very sore from a workout.
   Keep in mind that being sore from EVERY workout is not normal.
   It can be a sign of over-training, so if you’re reading this and you do experience lots of soreness form every workout, I would recommend getting with a professional that can take a second look at your training program and make sure you are getting adequate rest and recovery-a MUST for good gains and results.
   
   But yeah, there are workouts that I do that challenge my body in a new way and I expect to be sore from it and it’s just not the case if I sauna and I usually do.
   
   
   
   
   
   

4. Sleep
   
   When I first started with the sauna it would knock me out.
   
   I would sauna, shower and get in bed and pass out and sleep the entire night.
   And that was mostly the case for months.
   
   I don’t notice that as much any more.
   My body has adapted to the sauna and I think I have also caught up on a lot of MUCH needed sleep.
   I don't pass out and I may wake up from time to time, but in the beginning when I was probably severely sleep-deprived after a sauna sesh, I was ZONKED!
   
   I typically sleep 10 hours a night now, but if you are someone that struggles to fall asleep and stay asleep, I tell ya, try the IR sauna-just don’t bring your blue light screen in there with you which will wake you up!
   
   
   
   
   

5. Sickness
   
   If any of us (my husband or one of my three boys) feel under the weather, run down or like we are fighting something but are neither dehydrated or nauseous, we do the sauna.
   
   My boys (10, 8 and 5) do abbreviated sessions at lower temperatures and MAN it’s remarkable.
   They rarely get sick as it is, but when they feel a little run down, we put them in there for about 15-20 minutes and not only do they sleep harder, but they don’t get sick!

   
   Same goes for my husband and I.
   Any indication that we are not feeling well or are fighting something off, we get in the sauna and we don’t get sick, Praise the Lord!
   
   **I will say, having this baby over the past year (2020) has been a HUGE blessing.
   I totally trust in our immune systems and the decisions we’ve made/work we do in this household to invest in, exercise and protect them and to me having an IR sauna is part of our prevention program at the Smith household!
   
   
   
   
   
   Ok well, in the words of the great Levar Burton, “Don’t take my word for it, find out for yourself!”
   Get in a sauna!
   
   Many cities have IR sauna and cryotherapy spas that you can join and use.
   I think the lowed model for the HighTech health sauna is about $4k or so.
   Not cheap, I get it, but when I tallied up all the money I was spending on tests and solutions for my gut health issues, I have to say that sauna has paid for itself OVER and OVER again!
   
   We know that parasite infections, Candida (and I had both detected by various tests) are connected to heavy metals in the body.
   In fact, some research shows that Candida is PROTECTIVE against heavy metal poisoning because Candida complexes with the metals in the body to render them less harmful.
   
   Using the sauna to GENTLY detox my body seemed to help me with the symptoms associated with high levels of Candida in the body AND improve the overall health of my microbiome and intestinal lining.

   
   Now for some science!
   Most of these sources are enjoyable to read and cite peer-reviewed science too!
   
   
   
   Resources on IR saunas:
   
   Mercola on sauna use for protection against disease
   Detoxify or Die
   Ten Scientifically Proven Reasons I’m Addicted To A Daily Sauna
   Candida and sauna

   Science behind heavy metal detox and sauna
   Maximize the benefits of sauna detox
   
   
   
   Sauna’s are AWESOME, but if you want to maximize the benefit of your sauna time, then take my nervous-system relaxing breath course, Better Than Kegels and literally change your body!
   
   
   “Having pelvic floor problems for about 16 years, I have tried many, many different methods for treatment and relief. Not until Sarah’s program of diaphragmatic breathing have I begun begun feel better and not had a need for daily medication to relax my pelvic floor. My new breathing practice has helped me to fall back asleep if I awaken in the night — a many years’ struggle for me.  I am a convert and true believer in her programs and so thankful to have found her!!!”

   ~Amanda ❤️ 
   
   ”It’s a miracle! I already have less pain and I haven’t been dizzy after just three days of breathing like this!”

   -R. Boer
   
   

Tap into the power of your breath

to soother your pain, digestive distress and pelvic floor problems!

Detoxing your liver to support your pelvic floor

It’s NOT uncommon for the women I work with to in addition to having pelvic organ prolapse or pelvic floor dysfunction, to ALSO struggle with poor gut health.

It’s SUPER important to address gut health if you want to experience pelvic healing, BUT you can’t TRULY heal the gut and restore health to your vital organs if you don’t ALSO address your liver.

Your liver’s job is to produce bile. Bile helps your enzymes break down fats so you can extra energy from them and prevent them from clogging the digestion process.
Livers also filter your blood and removes toxins (ahem, booze) and old expired hormones.
It also stores pieces of protein (amino acids) can synthesize fats, break down cholesterol and store sugar for energy to be used when necessary.

It’s a WONDER of an organ.

In Traditional Chinese Medicine , “stagnation of the flow of liver qi frequently disrupts emotional flow, producing feelings of frustration or anger. Conversely, these same emotions can lead to a dysfunction in the liver, resulting in an endless loop of cause and effect.” (link)

And did you know that the LIVER is a PRIMARY organ involved in your menstrual cycle?

When your liver isn’t functioning properly, emotional problems, rib pain or fullness, dizziness, headache, cramping, tendon problems, menstrual problems, jaundice, weak or blurry vision, and digestive disorders can ensue.

**Attn: pelvic floor peeps,

The liver stores blood when you’re resting and releases its to your tendons when you’re active.
When liver blood becomes limited due to congestion and stagnation in the liver, one can experience “tightness” in the tendons of the pelvic floor and throughout the body, neck, shoulders, etc.
So you can see why it’s worth devoting some attention, right?!!

Your liver is directly connected to your gut via the portal vein.

If we are suffering from gut dysbiosis, inflammation and toxin overload or toxic microorganism build up in the gut, that vein can directly transport these issues to the liver via that vein.

For example, lipid polysaccharides (toxin released in large numbers by bacteria in the gut) are one of the major culprits and that causes liver damage and inflammation in the body.

Poor liver health results in:

• hormonal imbalance

• gut health and digestion struggles

• nutrient deficiency

• muscle tightness and restricted blood flow

• low energy

• and more!

If you want to learn more about why gut health, nutrient deficiency and hormones impact the pelvic floor, then head here and here.

So what to do?

There are TONS of supplements and “cleanse diets” on the market to help “flush out” your liver and help you lose weight and I would caution you to be super discerning when they come across your path.

Many people rightfully find some of these approaches ridiculous.
After all, the liver detoxes, you don’t need to “detox” the liver.
Right??
Well, yes and no.

As I mentioned above, livers in bodies that have been struggling for a while DO in fact benefit from some support.

Individuals with adrenal fatigue, hormone imbalances, chronic gut health struggles or all three, DO in fact benefit from some liver support, when applied gently.


So today I’m sharing my THREE favorite ways for you to support your liver!


But first, who should consider trying these strategies?

1. Individuals with prolapse and pelvic floor dysfunction

2. Peeps with a history of under-eating

3. Folks with current or a history of gut health issues

4. Anyone struggling with exhaustion, depletion and lack of vitality

5. Those that take or have taken a lot of prescription medications or routinely drink alcohol

Dandelion Root Tea

I’ve talked here before about the benefits of bitters for your liver and digestion ( read here!)

Sipping on dandelion root tea throughout your day is a gentle way to detoxify your liver because it gently stimulates your liver to produce bile to help remove toxins from the body and get digestion moving again.

I’ll warn you, it kind of tastes like dirt, but then again, so does coffee.

You can purchase bags of dandelion root tea, loose tea versions OR you can simply find dandelion in your yard and make your own which is the MOST effective form of any herbal tea, IF you’re up for the challenge!

Additionally, Dandelion root is used for the treatment of muscle aches, loss of appetite, upset stomach, intestinal gas, gallstones, joint pain, eczema and bruises. It also increases urine production and serves as a laxative to increase bowel movements.

Some people use dandelion to treat infections, especially viral infections and even cancer. It’s also used as a skin toner, blood tonic and digestive tonic. (Dr. Axe)

Milk Thistle

Milk thistle is a member of the daisy family and probably my FAVORITE liver supplement. I take milk thistle nightly in the form of a pill.

It’s incredibly mild so unless you decide to start taking 3 pills a day or more, you’re not going to experience much of anything, but may start to notice some changes in liver-function related symptoms of the body.

Sleep for example improved for me when I started taking milk thistle.
Wakefulness at night, particularly waking around 3 or 4 am is often related to your liver detoxing.

Milk thistle is SO pretty and such a cool looking plant, that I’ve decided to cultivate it in my garden in order to make my own extract. But a simple over the counter supplement made by a trustworthy supplier is certainly adequate for getting started on your liver support journey!
**discuss all supplements with your healthcare provider, I am not prescribing it or diagnosing conditions. This is purely educational information.

Liver

Interestingly enough, one of the BEST things you can do for your liver is to consume LIVER.
Yeah, I’m not really a fan of the smell, taste or consistency of it, but organ meats have LONG been contributing to the health of humans on this planet and I do think it’s a shame that many of us have lost our palate for them.

Fortunately there are FREEZE-dried pill options that don’t taste or smell at all!!
And that’s more my jam.

But IF you like liver, then I would say start there.

Fried chicken livers are quite popular as is beef.
Just be sure to choose organic and or pasture fed versions.
There’s no sense in you eating the liver from an animal that is chock full of antibiotics, pesticides and herbicide from their GMO feed.

Movement and breathing

Can movement help your liver?

100%!

Your lymphatic system is part of your circulatory system but unlike the the circulatory system if doesn't have a pump like the heart, it’s pump is YOU, you’re movement and your breath!!!

It’s job is to remove toxins from the blood and help them exit the body.

The lymphatic system of the liver is not super well understood, EXCEPT that we know lack of movement and stagnation is BAD for liver function.

When you take my Breath Like A Bad Ass, It’s Bettter Than Kegels, course OR Connect Your Core and Pelvic Floor ™ you will learn how your BREATH and movement practice creates a PUMP effect that moves and massages your vital organs in your abdominal cavity, liver included!

When we stop moving and breathing fully with the diaphragm, then the lymphatic system is stalled and can become stuck, contributing to congestion of the liver.
So if you want to keep your liver healthy and functional to improve sleep, pelvic health, digestion and detoxification, you BEST move your butt AND your diaphragm!

Learn to breathe, strength train AND care for your liver all in one digital course!

Check out HOLD UP!

Conquer prolapse by getting to the root cause of your problems in one simple, self-paced digital course!

Learn more

Sarah Smith is a Functional Pelvic and Gut Health Educator Level, Strength Coach, Original Strength Pro, Level 2 Russian Kettlebell Instructor and postnatal fitness specialist and functional pelvic floor and with a Masters in Soil Science and Agriculture.

She helps women feel confident, capable, content and STRONG in their bodies. As someone with pelvic organ prolapse, Sarah understands the mental and physical challenges of over-coming this condition speaks frankly about the most progressive strategies for moving forward and finding your strength IN SPITE of prolapse and pelvic floor problems!

Sarah is a published author and has a decade experience conducting research at The National Institutes of Health, National Cancer Institute, University of Arizona and North Carolina State University.

She uses evidence-based strategies to help her clients grow strong, and conquer their pelvic floor dysfunction, pelvic organ prolapse, diastasis recti and gut health complications and other injuries or health conditions. 

Sarah is a mom to three wild boys and one English Bulldog.
She loves kettlebells, leisure walks, chickens, soil, coffee, not folding laundry and watching people move-in a non-creepy way.

Three ways the gut impacts the health of your pelvic floor.

✅Tissue regeneration-your cells are dying and regrowing all of the time.
Without adequate nutrient uptake, they don’t have the necessary building blocks to build the best new tissue possible, the muscle tissue that makes up your pelvic floor, core AND your biceps!

Nutrition matters, we know that, but a diversely populated gut microbiome that is adept at processing your food and helping you extract the nutrition from it while keeping food particles from getting into the the blood stream via leaky holes in your intestines is also key!

✅Inflammation-can occur for LOTS of reasons.

It can be a response to those food particles and other toxins leaking out of the gut into your blood stream where they are attached by the immune system leading to a chronic state of inflammation..

It can also become a consistent state that occurs because one of the chief jobs of your gut bugs is to help clear oxidative stress-a normal outcome of chemical reactions taking place in the body...

But if they ain’t there or they aren’t healthy and numerous, they can’t clear the stress and BOOM we got inflammation 🔥🔥🔥

And this inflammation doesn’t just stay in the gut my friends, it can be in the brain, the joints, the pelvic tissues...

✅Elimination

You know, like how and how often you poop?

THIS is mediated by the bugs in your gut as well!

They have NUMEROUS jobs that help to make your stool the right consistency for it to EXIT consistently.
You need fiber to poop well not just because it adds bulk to your stool, but because the microbes that are process and package your poop up to exit the body LIVE on fiber.
But when you have a compromised gut microbiome, eating foods high in fiber leads to bloating, cramping and LOTS of discomfort.


Without the bugs and their food source we can find ourselves in vicious cycles of diarrhea AND constipation or just constipation/dry, hard, difficult to eliminate stools

Constipation is a HUGE problem for both folks with #pelvicfloordysfunction and #pelvicorganprolapse.
In fact in my experience, my clients with an over recruited #pelvicfloor, aka #pfd, both constipation and inflammation are an issue.

Any of my clients with #prolapse, particularly, rectoceol, are WAY more symptomatic when they are constipated due to that extra pressure and straining or the presence of old expired estrogen and toxins that are being resorbed instead of exiting in their stool.

The gut is SOOOO important for our health and the health of our pelvic floors, don’t leave it behind when working to improve your pelvic health!

Listen to my podcast on how your GUT work and what you can do to care for it by clicking here AND use the search function to read the other articles here on gut health and pelvic health!

Prolapse symptom increase, WHAT TO DO??!!

Increase in prolapse symptoms? 

Don’t freak out!!!

Read this.

Hey there!

I know ALL TOO WELL how frustrating and fear-inducing an increase in prolapse symptoms can be. 

“Did I make it worse?”

“Are my organs going to fall out”

“What was I doing wrong?” 

are ALL questions that have crossed my mind MANY times. 

What I’ve learned over the years is that:

1. Increase in symptoms does NOT necessarily mean a worsening of your prolapse.

2. An increase in symptoms can teach us something about our bodies. 

3. Sometimes it’s nothing and it passes with no good explanation.

my tips for dealing with an increase in prolapse symptoms!

Check your pelvic floor tension. 

If you have prolapse, chances are good that you have a history of not recruiting your pelvic floor enough, so I know it’s difficult to imagine, but you actually might be OVER-RECRUITING your PF. 

Before you are convinced that your prolapse is getting worse, either see your pelvic floor PT and have her check your pelvic floor muscles, MAYBE do some internal release of those muscles, or if you know how, use your thera wand to do it yourself. 

Here’s a video on that.

Pay attention to your bowel movements AND if you’re still menstruating, your menstrual cycle.

Even if you’ve been having regular bowel movements, are you sure that everything is coming out?
There have been times when after I use the Thera-wand for some release or some Moxibustion (that I ordered through my acupuncturist), a lot of waste, that apparently was hanging around for too long comes out and I have felt to much better!

Other times, a build up of gas from controversial foods or too much fiber has made everythgin feel swollen and uncomfortable for both me and my clients .
So there’s that too. 

When our period is approaching, peristalsis (contractions that move your food waste through your intestines) can slow down which can result in constipation for some women, not to mention that our hormones during ovulation or right before menstruation can ALSO make us more symptomatic. 

Check your digestion and check your calendar to see where you are in your cycle. 

It absolutely could be that!

What about your stress/breathing and movement lately?

It is NOT uncommon for many of us Type A personalities (Hi!) to process our stress by clenching our bellies, tucking our tailbones or tightening our pelvic floors. 
When is the last time you took some time for you and breathed with your diaphragm?

When I start feeling like this-and it happens often, so I’m better at recognizing it, I do some Original Strength resets, PARTICULARLY rocking and rolling because they are such SOOTHING movements. 

I also focus on my breath-more on that here. 

I may even do some belly massage. 

And what about your alignment and movement?

Check those ribs. Are they down? 

Is your pelvic position mostly neutral?

Are you focusing on your inhale/relax your PF and intently as you do your exhale/lift?
If you’re like, “What is she talking about?” or “I need help with this!” grab my freebie on the topic: here.

And then there are always a WHOLE host of other things you can explore with respect to diet, liver health, sleep and more!

If you want to learn about THAT, check out my upcoming Gut Health for Pelvic Health course!!!

The bottom line?

Once you have prolapse, you always have prolapse.
It’s a vulnerability in your body and mine.
Your prolapse may become symptom-free, undetectable and you may never notice it.
Perhaps your symptoms come and go randomly, or it may be that it persists, but you learn lots of ways to manage it.

The reality is that there’s a LOT about the body, hormones, inflammation, muscles, ligaments and the nervous system that we are still learning, so while there may not be a perfectly OBVIOUS cause and effect relationship between your symptoms and something else that is taking place in and around your body right now, we may one day soon discover MORE branches of the body and lifestyle that impact prolapse symptoms.
In the meantime, if you experience and increase in symptoms, try my recommendations above, do the things that typically make you feel best and give is a little bit of time.
These things happen sometimes.

Managing prolapse is LARGELY a mental process, but I’m here to HELP you!!
Amiright??!!

Before you freak out that this is your new normal, throw in a pessary-if you have one, to give you an extra lift, make an appointment with your PT to get checked and go do something that makes you HAPPY!

Sarah Smith is on a mission to help women conquer their pelvic health struggles and build STRENGTH and SKILLS!
She is a strength coach, RKC2 Kettlebell Instructor, Original Strength Pro Instructor, certified personal trainer, postnatal fitness specialist and pelvic floor and gut health advocate with a Masters in Soil and Agricultural Science.
Sarah works online and in Raleigh, North Carolina. 
She is a Believer, wife to her best friend, Jeremiah, a mom to three boys and one English Bulldog.
She loves soil, coffee and not folding laundry. 
Come follow her on Instagram or Facebook.

Five Ways the Pelvic Floor and Gut Impact One Another

1. Gut dysbiosis and elimination

http://gonatureswellness.com/2017/01/10/dysbiosis/

Gut dysbiosis is when there is an imbalance in the presence of beneficial and pathogenic microbes in your gut. Gut dysbiosis can cause a number of negative symptoms, but one of the most common is diarrhea. 

The frequent elimination and inflammation that occurs when one is experiencing frequent bouts of diarrhea irritates not just the rectum, but the entire pelvic floor. 
The increased incidence of elimination leads involves straining that puts consistent and persistent downward pressure on the muscles of the pelvic floor and like any muscle, they can fatigue and become weak from CONSTANT pressure. 

For those of you that don't know, weak pelvic floor muscles are not as effective at supporting the pelvic organs (rectum, bladder and uterus (if you have one)).

Weak pelvic floors can also cause urine and fecal leakage. 


2. Poor nutrient absorption and depletion of spleen Qi. 

The microbes that reside (or are supposed to reside) in your gut have the amazingly important responsibility of harvesting energy from the food that you eat.
I know you've been walking around giving yourself and your body credit for this incredible job, but sorry. Your body has LONG been outsourcing it. 
There's even research to suggest that the efficiency of nutrient absorption AND how the fuel is used  (is it being used as energy or stored as fat) is determined by specific strains of microbes. Citation

Poor nutrient absorption disregulates the metabolism which frequently results in cravings, consuming more calories than necessary and high BMI in patients, ALL of which can play a role in elimination struggles and pelvic floor dysfunction. 

Additional, a lack of nutrient absorption in the gut ALSO contributes to reduced elasticity, tension and recovery of muscles. 
Weak muscles and lack of tension/elasticity contributes to the incidence of pelvic floor dysfunction and pelvic organ prolapse. (Citation)

But what's even more amazing (to me) is that the first step in the nutrient absorption process is DIGESTION. Digestion begins in the mouth with teeth and saliva. It continues in the stomach thanks to enzymes and acid. And then continues in the small intestine.

 In Chinese medicine, pelvic organ prolapse is associated with a depletion of spleen energy. The health and balance of the spleen (yang) is directly related to the health of its yin, the stomach. 

When the stomach (part of the gut!) is dysbiotic (remember that means that good microbes are absent and bad ones are present)  it produces less acid and inefficiently digests food. 
Inefficient digestion and low acid conditions allow pathogens that should otherwise be killed and starved in the stomach to thrive and survive on the undigested foods. 

Inefficient digestion negatively impacts nutrients absorption while the impaired health of the stomach ALSo negatively impacts the spleen...

"One of the most common patterns found in western people is something we call Spleen Qi Deficiency. This can arise from any number of reasons but a poor diet mixed with irregular eating patterns and stress is a common way to develop this pattern. Spleen qi deficiency involves symptoms such as poor appetite, bloating (particularly after eating), weakness of the arms and legs, fatigue and/or loose stools.

As spleen qi deficiency continues to progress a subsequent pattern may develop called Spleen Qi Sinking. This pattern is essentially the same as spleen qi deficiency but with prolapses of the stomach, uterus, anus and/or vagina along with frequency or urgency of urination. This pattern shows a more internal weakness where the body can no longer hold the organs in place."  (Reference) 

Come on! Now tell me THAT isn't interesting and a perfect illustration of how the health and wellness of the pelvic floor and gut are intricately intertwined!

Citation

3. Gut microbiome determined muscle wasting and insulin resistance

The pelvic floor is this amazing system of muscle, ligaments and fascia at the base of your trunk that stabilize and support your body!
In order to effectively do it's job, these muscles and ligaments need to have some bulk, elasticity and resilience. 

Sarcopenia, the progressive loss of muscle mass and strength is associated with aging, cancer and other diseases but it's also highly correlated with inflammation, chronic infection and malnutrition caused by imbalanced gut micro biomes deficient in legacy keystone strains of microbes.

"One recent animal study suggests a relationship between muscle wasting and alterations in the gut microbiome. Muscle wasting induced by a model of acute leukemia in mice was reduced by orally supplementing the mice with specific Lactobacillus species.(44) The Authors suggest that gut micro- biota may influence muscle physiology through altering amino acid bioavailability; influencing metabolites such as bile acids; and modulating production of pro-inflammatory cytokines.(42)"
(Citation)

In 2015 Maranhao et.al., evaluated the relationship between insulin resistance  and pelvic floor strength. 

They found that in their small sample group that as insulin resistance increased, strength of pelvic floor contractions and ability to recruit all the muscles of the pelvic floor decreased.

We know that the gut microbiome plays a significant role in the development of insulin resistance therefore this is yet another way in which the condition of the gut microbiome could impact the health of the pelvic floor.  (Citation)

Citation

4. Anxiety and mood

https://www.boredpanda.com/anxiety-comics-funny-illustrations-gemma-correll/

The research is in, the oxytocin, dopamine, serotonin, endorphins are all neurotransmitters that control stress, anxiety, mood and behavior whose production by the body is MEDIATED by the bugs in your gut.
Stress, mood and anxiety are responsible for increased pelvic floor dysfunction and pelvic organ prolapse symptoms.
Citation

The peer-reviewed literature is ALSO showing that the psychological state of an individual contributes to flare-ups of irritable bowel syndrome (IBS). 

IBS is highly associated with pelvic floor dysfunction because of the strain and pressure that bouts of diarrhea and constipation place on the pelvic floor. 

Citation

5. A hypertonic (too tight) pelvic floor

Over-recruiting the pelvic floor muscles via exercise or every day life makes for too tight pelvic floor muscles and results in pelvic floor dysfunction.
You can imagine that since your pelvic floor stretches from your bladder to your rectum if it was too tight it could make you feel urge to urinate frequently AND could make elimination difficult. 
Health routine bowel movements and urination rely upon the pelvic floors ability to relax. 
When the pelvic floor is overly and consistently tight, then elimination habits are disrupted and trouble starts. 

The colon is where water is resorbed or absorbed by the stool, depending on what is necessary to create healthy, easy to eliminate stools.
When overly-tight pelvic floor muscles make it difficult for waste to be excreted,  one becomes constipated. 
Besides being uncomfortable and causing straining to the pelvic floor, constipation ALSO negatively impacts the gut. 
When stools remain in the colon for too the toxins that are supposed to be excreted begin to accumulate. The accumulation of these toxins leads to intestinal permeability (leaky gut syndrome) in which the mucosal lining of the intestines breaks down and begins to allow various substances to leak out of the gut into the blood stream. 

Constipation can also mean that metabolized hormones in the stool are hanging around (causing hormonal imbalance and inflammation) preventing the body from making fresh new hormones!
 

Citation Citation

So there you have it!
If you didn't consider the pelvic floor and gut to be two parts of the body that were impacted one another AND your whole body strength BEFORE you read this article, then hopefully you are beginning to see their connection now!

The body never ceases to amaze and fascinate me.

Sarah Smith is a trainer, lifestyle coach and postnatal fitness specialist that specializes in helping women feel strong, confident and capable in their bodies!
Her specialties include kettlebells, gut health and optimization for fitness goals, pelvic floor health and function and making fitness fun! Check her out on social media here or email her!
 

Microbiology, diarrhea, constipation, the pelvic floor and whole body strength: Things you have to know about getting stronger!

Greetings from snowy Raleigh, North Carolina!

We woke up to a wintery wonderland this morning and while this former New Englander isn't a huge fan of wintery weather, I secretly think the snow today is rather beautiful. 
 

This winter I've been taking more time to write. 
In fact, I'm going back to my microbiology roots and talking about the gut microbiome and its influence on metabolism and whole body strength. 
My new project is called "Strong butts and guts: increasing whole body strength with microbiology and natural daily movement"...or something like that..

For those of you that don't know, before I was a trainer, I worked in microbiology, first on the health front at the National Institutes of Health, then as environmental microbiologist at the University of Arizona and finally finished with a masters in soil and agricultural science at North Carolina State University. 
I. LOVE. MICROBES. 

My husband has been a pest management professional  and self-proclaimed "bug geek" for close to 15 years now and the other day I realized,
"Oh my goodness, I'm totally a bug geek too!" 
Just a different kind of bug....the microscopic kind!

The amazing thing is that I never ever ever would have thought that my love for microbiology would be SO RELATED to my job as a trainer and lifestyle coach. 

But we are learning more every day about the far-reaching influence of the trillions of microbes that live in our gastrointestinal system (the gut). 

Nutrient absorption, to metabolic regulation, cravings, energy, sleep, muscle synthesis, hormonal regulation (very important for both metabolism and building lean muscle) the gut is an INTEGRAL part of all of these functions of the body. 
 

One of the biggest issues that we are facing in modern life is that lack of movement, little time outdoors and the Standard American Diet are all killing the ancestral strains of microbes that have been evolving with us since the beginning. 
These strains are designed to keep us alive and well and fully functioning, because we are engaged in a symbiotic relationship that is mutually beneficial!

They keep our bodies running like a top, we provide them with a safe place to live, aka, food and shelter. 

BUT these strains of bacteria (many of which derived from the soil, we inoculated ourselves by being outside and eating foods that were grown in the dirt) are not happy. 
In fact, they are dead (or close to it) in many a gut!

Herbicides, pesticides, antibiotics, oral contraceptives, many prescription medications, loads of processed sugar, food additives (like guar and xanthan gums), and artificial sweeteners (Splenda!) are killing off the good guys (dubbed "Gut Guardians" by Dr. Grace Liu) in our gut microbiome,  and leaving room for nasty ones that historically were kept in check by the guardians. 


Consequently we are seeing more and more food sensitivities,  autoimmune diseases, inflammatory bowel syndromes and diseases (which by the way are symptoms, not medical conditions), chronic fatigue, inefficient metabolisms, mental emotional health conditions....and the list goes on. 

 

My interest was peaked when I realized that the pelvic floor is strongly impacted by the gut, makes perfect sense since they are neighbors!

So I have launched a whole research project into better understanding how our lifestyle, and nutrition habits are impacting our guts and how our guts are impacting our abilities to build strong bodies!

AND logically, I'm writing an ebook on the topic. 

I'm not totally out of depth here, I am a published author in a bunch of other super obscure topics (look to the right!)
But never have I ever written something about which I feel so much passion. 

So, e-book is coming. 
As part of my Inner Circle you will be learning about how your gut is impacting your body and ways to get it on board with you and your personal goals. 

Today I am sharing a link to a recent blogpost that I wrote on the interactions between the gut and the pelvic floor. 
 

It's written to coaches and trainers, and I know that some of you are that!
BUT it's about all of us, so don't skip it if you don't work in fitness. 
YOU NEED TO KNOW THIS STUFF in order to protect yourself and possibly even get to the bottom of some chronic health issues that you've been ignoring!

The post is mostly about diarrhea, constipation, bloating and how irregular digestion is negatively impacting our pelvic floor, potentially causing pelvic organ prolapse and incontinence of ALL kinds. 

I'd love for you to check it out here and leave comments!

This effects us all!