Using the toilet, or commode, may seem like a simple daily activity, but the way we position ourselves while using it can have significant effects on our digestive health and overall well-being. With rising concerns about the impact of certain toilet ergonomics, it’s important to understand how to use a commode correctly, and what health issues improper usage might lead to, particularly in relation to the colon.
In this article, we will explore how the use of high commodes may impact your health, including potential risks like constipation, hemorrhoids, and even colon cancer.
How to Use a Commode Properly
When using a commode, proper posture is key to promoting healthy bowel movements and preventing unnecessary strain on your body. Whether you are using a traditional toilet or a high commode (elevated toilet seat), here are the key steps to use a commode correctly:
Proper Positioning
- Feet Flat on the Floor: Ideally, your feet should be flat on the floor or on a footstool, especially if you are using a high commode. This allows your body to assume a more natural squatting position. The squatting posture helps open up the pelvic region and reduces pressure on the colon, making bowel movements easier and more efficient.
- Knees Above Hips: When seated, your knees should be slightly higher than your hips. This positioning mimics the natural squatting posture, which aligns the colon and allows for better stool passage. High commodes can sometimes make this difficult, so a footstool or other support may be necessary to achieve the right posture.
- Lean Slightly Forward: Leaning slightly forward while sitting helps to engage the abdominal muscles and promotes more effective bowel movements. This can also reduce the strain on your digestive system and prevent constipation.



Avoid Straining
Never force bowel movements. Straining during bowel movements increases pressure on the colon and can lead to various health issues such as hemorrhoids and anal fissures. Taking your time, staying relaxed, and ensuring you are in the correct position are all crucial to avoid unnecessary strain.
Maintain Cleanliness
Keep the commode clean to avoid infections. Regular cleaning of your toilet seat and surrounding area helps prevent the buildup of bacteria and germs, which could cause health complications, particularly for people with weakened immune systems.
How High Commode Toilets Can Impact Your Health
High commodes are commonly used in homes, particularly for elderly individuals or those with mobility challenges. They provide a more accessible seating position for users but can cause certain health issues when used improperly.
Impaired Posture
When using a high commode, the seat is raised higher than standard toilets. While this can help with sitting and standing for those with mobility issues, it often leads to improper posture. Sitting too high, with your knees lower than your hips, can reduce the natural angle that facilitates a smooth and comfortable bowel movement. This misalignment can lead to issues like constipation, straining, and even the development of diverticular disease, which could eventually contribute to an increased risk of colon cancer.
Constipation and Straining
One of the most common issues linked to improper use of high commodes is constipation. Poor posture can slow down the passage of stool, making it more difficult to pass. This may lead to chronic constipation, which increases the need for straining. Straining places pressure on the colon and rectal veins, potentially causing hemorrhoids and increasing the risk of colorectal diseases.
Risk of Hemorrhoids
Hemorrhoids are swollen blood vessels in the rectal area that are often caused by excessive pressure. Individuals who use high commodes and adopt a poor posture (such as sitting with knees too low) are at an increased risk of developing hemorrhoids, as they may strain more frequently during bowel movements. This not only causes discomfort but also affects overall colon health.
Increased Risk of Colon Cancer
While high commodes themselves do not directly cause colon cancer, prolonged periods of constipation and the chronic straining that often accompanies it could contribute to the development of conditions that increase the risk of colorectal cancer. When bowel movements are strained, harmful pressure builds up in the colon, which can damage the lining of the colon over time. This repeated trauma may lead to the formation of polyps or other abnormalities that could potentially evolve into cancer.
Lack of Proper Squat Position
Studies have shown that the natural squatting position is the most effective for emptying the bowels, as it relaxes the puborectalis muscle and opens up the rectum for an easier passage of stool. A high commode may not promote this posture, especially when users sit with their knees too low, hindering bowel movement efficiency. In the long term, this can contribute to chronic digestive issues.
Statistics on Colon Cancer and Risk Factors
Colon cancer is one of the most common cancers worldwide. According to the World Health Organization (WHO), colon cancer accounts for more than 1.9 million new cases annually, and over 900,000 deaths globally. The rates of colon cancer have been rising, particularly among adults aged 50 and under, which points to the importance of prevention measures.
Colon Cancer Risk Factors:
- Age: Most cases are diagnosed in people over the age of 50.
- Family History: A family history of colon cancer or polyps increases your risk.
- Diet: A diet high in red meat, processed foods, and low in fiber increases risk.
- Physical Activity: Lack of exercise is a known risk factor for colon cancer.
- Obesity: Being overweight increases the risk of developing colon cancer.
- Smoking and Alcohol: Both have been linked to increased risk.
Preventive Measures
- Screening: Early detection through regular screenings (e.g., colonoscopies) is crucial in catching precancerous growths before they turn into full-blown cancer. The American Cancer Society recommends starting screening at age 45 for those at average risk.
- Diet: Eating more fruits, vegetables, and fiber while limiting processed foods and red meat can lower your risk.
- Physical Activity: Regular exercise is essential in maintaining a healthy colon.
- Avoid Straining: Avoiding straining during bowel movements and maintaining proper posture when using the toilet can reduce the risk of developing hemorrhoids and other complications.
Conclusion: Take Care of Your Colon Health
Using a commode may seem like a routine task, but it’s important to ensure that you are positioning yourself correctly to avoid potential health issues. For those using high commodes, being mindful of your posture can help you prevent constipation, hemorrhoids, and the associated risks to colon health.
Incorporating a healthy diet, staying active, maintaining a healthy weight, and scheduling regular screenings are key to preventing colon cancer and promoting overall digestive health. By taking these proactive steps, you can ensure a healthier colon and a reduced risk of disease.