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Other 'colon cleanser' products contain bentonite clay that, when ingested, would also result in production of bulky stools.
A diet containing 25 to 30 grams of fiber a day is needed to form soft, bulky stools that are easy to pass, but most Americans consume half that or less.
He theorized that because Africans eat a diet containing more fiber than Europeans and use the natural squatting position for defecation, they pass bulky stools without straining, and hence rarely if ever develop colonic diverticulosis.