A reader in Ho Chi Minh City asks whether squatting is truly a more effective position for bowel movements than sitting on a toilet, and if elevating feet is helpful. Online sources suggest squatting can aid defecation. This is potentially due to a more natural alignment of the colon, easing the process. While not definitively proven, the squatting position relaxes the puborectalis muscle, straightening the anorectal angle. Elevating the feet mimics this position when using a standard toilet. Further research is needed to confirm significant benefits, but adjusting posture could be a simple way to improve bowel regularity for some individuals.