You train hard, you eat “pretty well”, and you still feel bloated, blocked up, or anxious about what’s happening in the bathroom. That’s not just awkward, it can turn into real problems over time. We’re joined by Dr Gian Capati, a Brisbane general surgeon with a special interest in colorectal surgery, to talk plainly about gut health, bowel habits, and the stuff people are too embarrassed to ask.
We get into what surgeons actually do day to day, and the real reasons someone might need an endoscopy or colonoscopy. We break down common symptoms like reflux, swallowing issues, bleeding, iron deficiency, and a sustained change in bowel habit, plus why you shouldn’t ignore “just a bit” of blood. Dr Capati also shares how he thinks about haemorrhoids and anal fissures, why recurrence happens, and when it’s worth investigating pelvic floor coordination rather than just treating the symptom again.
From there we zoom out to gut microbiome basics and the boring but powerful foundations: fibre and water. We talk fibre targets, why most Western diets fall short, how to increase fibre without blowing up your stomach, and why hydration changes everything. Then we go deep on the mechanics of defecation: obstructive defecation, breath holding, intra abdominal pressure, squatty potty positioning, and the surprisingly useful “moo to poo” cue.
We also cover bowel cancer in Australia, the FIT screening program, warning signs to take seriously, and why getting checked early can dramatically improve outcomes. If you found this helpful, subscribe, share it with a mate, and leave a review so more people can get evidence based advice without the shame.