Massage therapy is a popular form of alternative medicine that involves the manipulation of soft tissues in the body to promote relaxation, reduce stress, and relieve pain. However, some people may experience unexpected side effects from massage therapy, including diarrhea. While it may seem unlikely, there is some evidence to suggest that can a massage cause diarrhea. This article will explore the potential link between massage therapy and diarrhea, the possible causes of diarrhea during or after a massage, and the precautions and preventive measures that can be taken to reduce the risk of this unwanted side effect.
What is massage therapy?
Massage therapy is a hands-on technique used to manipulate the soft tissues of the body, including muscles, tendons, ligaments, and connective tissues. The primary goal of massage therapy is to promote relaxation, reduce stress, and relieve pain.
There are many different types of massage therapy, each with its own unique techniques and benefits. Some of the most common types of massage therapy include:
- Swedish massage: This type of massage therapy involves long, flowing strokes, kneading, and circular movements to promote relaxation and improve circulation.
- Deep tissue massage: This type of massage therapy involves more intense pressure and is designed to release tension in the deeper layers of muscles and connective tissue.
- Sports massage: This type of massage therapy is specifically designed for athletes and involves a combination of techniques to help prevent and treat injuries, improve flexibility, and enhance performance.
- Trigger point massage: This type of massage therapy focuses on specific areas of muscle tension, known as trigger points, to relieve pain and improve the range of motion.
Regardless of the type of massage therapy, the benefits are numerous. Massage therapy has been shown to improve circulation, reduce stress and anxiety, promote relaxation, improve flexibility and range of motion, and relieve pain and muscle tension.
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Diarrhea: Causes and Symptoms
Diarrhea is a condition that is characterized by loose, watery stools that occur three or more times per day. It is a common digestive problem that can be caused by a variety of factors.
Causes
- Infection: Diarrhea can be caused by viral, bacterial, or parasitic infections, such as norovirus, Salmonella, or Giardia.
- Food intolerance: Some people may experience diarrhea after consuming foods that they are intolerant to, such as lactose or gluten.
- Medications: Certain medications, such as antibiotics and laxatives, can cause diarrhea as a side effect.
- Digestive disorders: Conditions such as inflammatory bowel disease (IBD), irritable bowel syndrome (IBS), and celiac disease can cause chronic diarrhea.
- Stress and anxiety: Emotional stress and anxiety can affect digestive function and lead to diarrhea.

Symptoms:
- Loose, watery stools
- Abdominal cramps and pain
- Bloating and gas
- Nausea and vomiting
- Dehydration (symptoms of which include dry mouth, thirst, and fatigue)
In most cases, diarrhea is a self-limiting condition that resolves on its own within a few days. However, it is important to stay hydrated by drinking plenty of fluids and avoiding foods that may aggravate the condition. If diarrhea persists for more than a few days or is accompanied by severe symptoms, it is important to seek medical attention to rule out underlying conditions and to prevent dehydration.

Can a massage cause diarrhea?
The link between massage therapy and diarrhea is not well understood, but it is thought to be related to the stimulation of the parasympathetic nervous system, which can affect digestive function.
It is also possible that the pressure and manipulation of the abdomen during a massage can stimulate bowel movements and lead to diarrhea.
Potential causes of diarrhea during or after massage therapy:
Infection: If a massage therapist does not wash their hands or uses unsanitary equipment, it is possible to contract an infection that can cause diarrhea.
Food intolerance: If a person has a food intolerance and consumes a trigger food before a massage, the stimulation of the digestive system during the massage could exacerbate symptoms and cause diarrhea.
Dehydration: If a person is already dehydrated before a massage, the relaxation response induced by the massage could lead to increased bowel movements and diarrhea.
Evidence supporting or refuting the link:
There is limited research on the link between massage therapy and diarrhea, but some studies have found a significant association between the two.
However, other studies have found no significant association, suggesting that the link may be weak or dependent on individual factors.
Precautions and Preventive Measures:
- Massage therapists should wash their hands thoroughly and sanitize their equipment before each session to prevent the spread of infections.
- Individuals should avoid consuming trigger foods before a massage and should stay hydrated before and after a massage.
- If a person experiences diarrhea during or after a massage, they should inform their massage therapist and seek medical attention if symptoms persist or worsen.

Precautions and Preventive Measures
Precautions and preventive measures are essential to minimize the risk of experiencing diarrhea during or after a massage therapy session.
Choose a reputable massage therapist:
- Make sure to choose a massage therapist who is licensed and has received proper training in massage therapy.
- Look for reviews and recommendations from previous clients to ensure that the therapist has a good track record.
Communicate with your massage therapist:
- Be sure to communicate any concerns or medical conditions you may have with your massage therapist before the session begins.
- If you have a history of digestive issues or food intolerances, let your therapist know to avoid aggravating symptoms.
Maintain proper hygiene:
- Before the massage session, ensure that you and the massage therapist have washed your hands and sanitized any equipment that will be used.
- If you have a weakened immune system or are prone to infections, consider bringing your own sheets and towels.
Stay hydrated:
- Drinking plenty of fluids before and after a massage session can help prevent dehydration, which can exacerbate digestive issues and lead to diarrhea.
- Avoid caffeine and alcohol, which can contribute to dehydration.
Avoid trigger foods:
- If you have a history of food intolerances, avoid consuming trigger foods before a massage session.
- Trigger foods can vary from person to person, but common culprits include dairy, gluten, and spicy or fatty foods.
Take it slow:
- If you are new to massage therapy or have a history of digestive issues, consider starting with a shorter session to gauge your body’s reaction.
- If you experience any discomfort or digestive issues during the session, inform your massage therapist and take a break if necessary.
By following these precautions and preventive measures, you can minimize the risk of experiencing diarrhea during or after a massage therapy session. As with any health-related concern, it is important to listen to your body and seek medical attention if symptoms persist or worsen.
Conclusion
While the link between massage therapy and diarrhea is not well understood, it is important to take precautions and preventive measures to minimize the risk of experiencing digestive issues during or after a massage session. Choosing a reputable massage therapist, communicating with them about any concerns or medical conditions, maintaining proper hygiene, staying hydrated, avoiding trigger foods, and taking it slow are all important steps to take to prevent diarrhea.
FAQs
Is diarrhea common after a massage?
No, diarrhea is not a common side effect of massage therapy, but it can occur in certain circumstances.
What causes diarrhea after a massage?
The exact cause of diarrhea after a massage is not well understood, but it may be related to the stimulation of the parasympathetic nervous system or pressure and manipulation of the abdomen.
How can I prevent diarrhea after a massage?
Taking precautions such as choosing a reputable massage therapist, communicating any concerns or medical conditions, maintaining proper hygiene, staying hydrated, avoiding trigger foods, and taking it slow can help prevent diarrhea.
Should I avoid massage therapy if I have a history of digestive issues?
No, massage therapy can be beneficial for those with digestive issues, but it is important to communicate any concerns with your massage therapist before the session begins.
Can dehydration during a massage cause diarrhea?
Yes, dehydration can exacerbate digestive issues and lead to diarrhea, so it is important to stay hydrated before and after a massage session.
Should I seek medical attention if I experience diarrhea after a massage?
If diarrhea persists or worsens after a massage session, it is important to seek medical attention to rule out any underlying conditions or infections.
Can massage therapy cure diarrhea?
Massage therapy is not a cure for diarrhea, but it can help alleviate stress and tension that may contribute to digestive issues.
Medical references
- “Diarrhea.” Mayo Clinic, Mayo Foundation for Medical Education and Research, 21 Nov. 2020, www.mayoclinic.org/diseases-conditions/diarrhea/symptoms-causes/syc-20352241.
- “Massage Therapy for Digestive Issues.” American Massage Therapy Association, 6 Dec. 2019, www.amtamassage.org/research/Massage-Therapy-Research-Roundup/Research-Roundup0/massage-therapy-for-digestive-issues.
- “Massage Therapy: Understanding the Mechanisms of Action on Blood Pressure. A Scoping Review.” Health Psychology Research, vol. 7, no. 4, 2020, p. 8975., doi:10.4081/hpr.2019.8975.
- “Massage Therapy.” National Center for Complementary and Integrative Health, U.S. Department of Health and Human Services, 1 Nov. 2019, www.nccih.nih.gov/health/massage-therapy-what-you-need-to-know.
- “Prevention and Treatment of Traveler’s Diarrhea.” American Family Physician, vol. 96, no. 10, 2017, pp. 656-661.
- “Prevention of Diarrhoea in Travellers.” The Lancet Infectious Diseases, vol. 16, no. 9, 2016, pp. 976-977., doi:10.1016/s1473-3099(16)30184-3.