“Sluggish bowel” often relates to slow transit, low fiber/fluid intake, inactivity, stress, medications (iron, some antidepressants, opioids), or pelvic-floor dysfunction. The solution is a gradual, systemic upgrade—not a one-time strong laxative. Step 1: increase fiber and fluids together (fiber without enough water can worsen constipation). Step 2: daily walking plus core/hip mobility to stimulate motility. Step 3: toileting mechanics—try at consistent times (often mornings), use a footstool to mimic a squat position, and avoid rushing. Step 4: short-term pharmacologic support may be appropriate; guidelines often list osmotic agents and certain stimulant laxatives as options, but long-term unsupervised use can lead to dependency. If pelvic-floor dysfunction is present (excessive straining, incomplete emptying), biofeedback-based therapies can be more effective. New-onset constipation after age 50 or red flags require further evaluation. A sluggish bowel is manageable—but sustainability is key.