Wipe backward from the perineum , the space between the genitals and anus, moving toward and past the anus. Use additional wads of toilet tissue as needed until the paper is mostly clean. Never scrub the skin around the anus, called the perianal area, as this can cause microtears in the skin.
Over-wiping with rough and dry toilet paper can lead to itching, pain, and bleeding. In fact, improper wiping is the leading cause of America's most common bum-related injury – anal fissures (aka anal tears). Other common problems include UTI's and hemorrhoids.
Common causes of fecal incontinence include diarrhea, constipation, and muscle or nerve damage. The muscle or nerve damage may be associated with aging or with giving birth. Whatever the cause, fecal incontinence can be difficult to discuss. But don't shy away from talking to your doctor about this common problem.
The Right Way to Wipe
Wipe backward from the perineum , the space between the genitals and anus, moving toward and past the anus. Use additional wads of toilet tissue as needed until the paper is mostly clean. Never scrub the skin around the anus, called the perianal area, as this can cause microtears in the skin.
An anal fissure is a tear in the skin of the anus that results after the passage of hard stool or from the trauma of excessive wiping.
Jacqueline Metz of Southfield Pediatrics recommends when potty training it is “usually easier for children to reach their bottoms when standing up” but in adulthood “people can wipe sitting down or standing up, depending on what is easiest for them.”
Common benign (non-serious) causes — If you see a small amount of bright red blood on the toilet paper after wiping, on the outside of your stool, or in the toilet, this may be caused by hemorrhoids or an anal fissure. Both of these conditions are benign, and there are treatments that can help.
It's usually a good idea to reach out to your healthcare provider whenever you have rectal bleeding. It can be a sign of another health condition that might need treatment. If you have heavy bleeding or are seeing blood in multiple bowel movements, it's urgent that you see your provider.
Sometimes people see blood on the paper after wiping. Hemorrhoids are the most common reason, but rectal bleeding can also indicate a serious gastrointestinal condition that needs medical attention. A few occasional drops or streaks of blood in the toilet when wiping or in the stool are usually not a worry.
It ultimately comes down to your preference. If you have sensitive skin, run-of-the-mill unscented TP might be a better choice for you. But if you suffer from UTIs or have difficulty getting clean after you poop, it might be a good idea to keep wet wipes handy, just in case.
Tenesmus is a feeling of being unable to empty the bowel or bladder. It usually refers to rectal tenesmus, which can occur with inflammatory bowel disease (IBD), rectal cancer, and other conditions. Vesical tenesmus is a separate condition that relates to the bladder.
If the stool is too soft, then it is difficult for the anal sphincter muscle to 'pinch it off' for a clean evacuation, leaving fecal matter to smear in the perianal creases. Another reason for this could be a weakness of the pelvic floor muscles.
Studies have shown that the average bowel movement takes 12 seconds. Sometimes it does take longer, however, so at maximum, you should not spend more than 10 minutes on the toilet.
“If you wipe back to front, there's a potential to introduce bacteria from the feces into the urinary tract and get an infection,” he says.
If you are using the bidet properly, and if your bidet is of high quality, you should not have to use toilet paper to wipe yourself clean. A high-quality bidet will clean your backside more thoroughly than any amount of wiping. However, you may want to use a small amount of toilet paper to dry yourself.
While a Reddit user surveyed 950 participants—626 identified as male, 306 identified as female, and 18 people put their gender as “other”—they found that 65.7% of respondents wipe sitting down and 34.3% wipe standing up. But even though standing wipers may be in the minority, they do exist.
Apply a Barrier Cream
Barrier cream coats the skin of the bum and protects it from moisture and stool. You can apply a diaper rash cream containing zinc oxide or petroleum jelly or vitamin D and A cream to dry, clean skin. Reapply after every bowel movement.
Not every diaper change may require a wipe. If your baby has only urinated, then you can probably skip wiping to avoid unnecessary irritation. However, always wipe after every poopy diaper, and always wipe front to back to help prevent the spread of bacteria.
From a hygiene perspective, wet wipes win. For a more effective clean, wet wipes win hands down. For a more soothing and gentle cleansing experience, we'll have to go with wet wipes again. From a cost perspective, toilet paper comes out ahead.
She goes on to explain,"when you are wiping more than two or three times, that is called faecal smearing.. "So it is essentially when too much faecal matter stays at the entrance of the anus even after you have finished your poo."