From pelvic floor specialist Sheree DiBiase, PT — 40+ years helping patients with bowel and pelvic floor problems
Constipation Relief Course • 12 Video Lessons

Fiber, Water & Laxatives Not Working? The Problem May Be Your Pelvic Floor.

Many people with chronic constipation don't need more fiber. They need muscles that know how to let go. Learn the pelvic floor approach Sheree uses in her clinic, so you can empty more completely, strain less, and stop planning your day around the bathroom.

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Woman relaxing at home with a hand resting on her abdomen, breathing calmly
Sheree DiBiase, PT
Sheree DiBiase, PT, PRPC Pelvic floor specialist • 40+ yrs
4+ hrs
Expert instruction
12
Video lessons
30+
Exercises & techniques
∞
Lifetime access

You've Done Everything You Were Told. You're Still Stuck.

If any of these sound like you, the problem may not be what you're eating. It may be how your pelvic floor is working.

You strain and push, even when the stool isn't hard
You leave the bathroom feeling like you didn't fully empty
It feels "blocked at the exit," like something won't open
You rely on Miralax, laxatives, or enemas just to go
You deal with hemorrhoids, fissures, or bloating that makes going harder
Your urge to go has faded, or it comes at the worst possible time

Fiber and water change what's inside the bowel. They can't teach a tight, uncoordinated pelvic floor how to release.

4 Pelvic Floor Reasons Constipation Doesn't Go Away

These are the patterns Sheree sees in her clinic over and over, and none of them can be fixed with diet alone.

1

The sphincters stop coordinating

Your internal sphincter senses when the rectum is full. Your external sphincter has to relax all the way for stool to pass. When they stop working together, the signal fades. Every time you ignore the urge, stool moves back up, dries out, and gets harder to pass.

2

A tight pelvic floor won't let go

The external anal sphincter has three layers, connected to the perineal body, the sacrum, and the pubic bone. If the back half of your pelvic floor or your inner thighs are tight, the sphincter can't fully open, no matter how hard you push.

3

Your tailbone is in the way

Your tailbone and pelvis have to move to open the path out. A tailbone caught forward after labor or a fall, or a puborectalis muscle that won't lengthen, keeps that path kinked.

4

Your nervous system is on high alert

Bowel release happens in "rest and digest." Stress, rushing, and pain keep your body in fight-or-flight, and the pelvic floor is one of the first places that tension shows up.

“It's really crazy when you think about how mechanical having a bowel movement is every day, but I just want you to know it's possible to reset this system.” — Sheree DiBiase, PT, in the course

Stop Managing Symptoms. Retrain the System.

What you've probably tried

  • More fiber, even when it just adds bloating
  • Laxatives that work until they don't
  • Bearing down harder, or Kegels that tighten an already-tight floor
  • Being told "it's just how your body is"

What this course teaches

  • Retraining the sphincter reflex to contract, relax, and coordinate
  • Releasing your pelvic floor, tailbone, and hips
  • Toilet positioning and breathing that open the emptying angle
  • Calming the nervous system so your body can release
  • Bowel massage and belly techniques to get things moving

The Complete Constipation Relief Course

More than 4 hours of teaching, from how your bowel really works to a home program you can follow step by step.

Sheree DiBiase teaching a lesson from the Constipation Relief Course
Sheree teaching inside the course
12Lessons
3Parts
4+Hours
Part 1 · Foundations & Sphincter Retraining

Why constipation is a whole-body problem: fluid, fiber, fitness, nerves, and mood. Then a standing and all-fours session that trains the anal sphincter while the pelvic floor is stretched, plus lymphatic drainage for bloating.

What a healthy stool looks like, why a tight back half of the pelvic floor means a tight sphincter, and how its three rings attach to the perineum, sacrum, and pubic bone.

Breathing and seated and standing movements that let your tailbone move out of the way, ending with sphincter holds in a stretched position.

How to read your stool type, track what's really driving your constipation, and build a daily routine that brings a lost urge back.

Why your inner and outer sphincters need to be “best friends,” and exactly how to sit, lean, breathe, and schedule so you stop bearing down.

A lying-down session to release your pelvic floor, hips, and trunk, plus the jaw–gut connection and eye-tracking to calm your nervous system.

Part 2 · Bowel Abdomino-Pelvic Techniques

Using silicone cups along the path of your colon, always starting in the lower-left belly.

How to use a home TENS/NMES unit with crisscrossed belly pads, and who shouldn't use one.

How to find the valve between your small and large intestine and reset it with a gentle, rhythmic touch.

Why you clear the lower-left colon first, then the full “I Love You” massage with skin-drag strokes.

Part 3 · Postural Alignment, Hip Power & Mobility

How your feet, arches, calves, and walking pattern load your pelvic floor, with arch and calf work you can do while brushing your teeth.

Strengthening the side hip and rotator muscles so your pelvic floor and sphincter stop overworking. Yes, this is where “butt gripping” gets fixed.

A Clear Plan Instead of Guesswork

By the end of the course, you'll understand what's happening in your body and have a routine you can follow every day.

  • Find out what's really driving your constipationwith a bowel diary and the Bristol Stool Chart, so you stop guessing.
  • Go without strainingusing positioning and breath that let the pelvic floor open instead of fighting it.
  • Rebuild the urge-and-release reflexwith sphincter exercises trained in stretched positions, plus daily triggers that bring a lost urge back.
  • Get things movingwith bowel massage, belly cupping, an ileocecal valve reset, and mat work for your pelvic floor, hips, and tailbone.
  • Know when to get more helpand what to ask your doctor or pelvic floor PT.
Woman doing a supported deep squat stretch on a mat at home

Ready to Stop Straining?

Get the same approach Sheree uses with her constipation patients, available at home whenever you need it.

Enroll Now — $249

Built for People Who Are Tired of Guessing

This course is for you if…

  • You've had constipation for months or years and diet changes haven't solved it
  • You strain, feel incomplete emptying, or feel blocked at the exit
  • You have a tight pelvic floor, hemorrhoids, or fissures
  • You've had a birth injury or a tailbone injury and bowel movements haven't been the same since
  • You depend on Miralax or enemas and want a plan to rely on them less
  • You can't get to a pelvic floor PT, or you want to get more out of the sessions you have

It's not the right fit if…

  • You want a pill or a quick fix
  • Your symptoms are new, sudden, or include bleeding. Please see a doctor first

Learn From a Specialist With 40+ Years in the Clinic

Sheree DiBiase, PT, PRPC, ICLM

Sheree DiBiase, PT, PRPC, ICLM

Pelvic Floor Specialist — 40+ Years Clinical Experience

Sheree is the founder of Lake City Physical Therapy, the creator of the Pelvic Floor Pro app, and a former professor at Loma Linda University. For four decades she has treated the problems most people are too embarrassed to bring up, bowel trouble included.

This course walks you through what she teaches her constipation patients in the clinic: the anatomy, the toilet routine, the sphincter retraining, and the hands-on belly techniques.

PRPC Certified ICLM Certified 40+ Years Experience Former Professor, Loma Linda University Pelvic Floor Pro Creator

Everything You Need, In One Course

Constipation Relief Course

Self-paced video course • Lifetime access

$249

One-time payment. No subscription.

  • 4+ hours of expert instruction across 12 video lessons
  • Bowel diary and Bristol Stool Chart guide
  • Sphincter reflex retraining exercises
  • The toilet position and routine Sheree teaches in her clinic
  • Bowel massage, belly cupping, ileocecal valve reset, and home EMS
  • Pelvic floor, tailbone, and hip release sessions
  • Foot, posture, and hip strength work so your floor can relax
  • Lifetime access on any device
Get Instant Access — $249
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For context, a single hour-long visit with a pelvic floor specialist often costs $250 or more. For less than that one visit, this course gives you 4+ hours of Sheree's expertise to come back to whenever you need it.

Frequently Asked Questions

Fiber and hydration improve stool consistency, but they can't make a tight pelvic floor or anal sphincter let go. If you strain, empty incompletely, or feel blocked at the exit, the pelvic floor is often part of the picture. This course focuses on that missing piece.
No. The course is education and a home program, not a diagnosis. See a healthcare provider for blood in your stool, unexplained weight loss, severe abdominal pain, fever, or a sudden change in bowel habits. You can use the course alongside care from your doctor or pelvic floor PT.
That's one of the goals. Sheree explains why Miralax and enemas aren't meant for long-term use, and teaches the routine, triggers, and sphincter retraining that help your body go on its own. Talk with your doctor before changing any medication.
The wrong ones can. Squeezing an already-tight floor over and over can make it tighter. Sheree teaches the right balance: sphincter work done in stretched positions, with a full relaxation after every contraction, so your sphincter can both hold and let go.
Lifetime access. Watch on any device and return to the home program as often as you like.
A mat, a sturdy chair or counter, a pillow, and a towel or yoga strap are all you need. Sheree also demonstrates optional tools like a massage ball, silicone cups, a home EMS unit, and a pulse oximeter.
A note on safety: This course is for education and is not a substitute for individual medical care. Get medical attention right away for blood in your stool, unexplained weight loss, severe abdominal pain, fever, or constipation that starts suddenly or gets rapidly worse.

You Don't Have to Plan Your Life Around the Bathroom

More fiber and harder pushing haven't worked. Learn how your pelvic floor really works and start retraining it today.

Get Instant Access — $249
One-time payment • Lifetime access • Watch on any device
Constipation Relief Course $249 • Lifetime access
Enroll Now