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June 10, 2015 at 12:00 PM EDT

They never show this kind of stuff on Survivor.

On the next episode of NBC’s The Island—the Bear Grylls-hosted adventure series about a bunch of men who are left to fend for themselves on a deserted island—one of the participants battles an epic case of constipation.

Trey Williams, a 31-year-old digital marketing manager from Kansas City, Mo, is so traumatized by his inability to go No. 2 that it “petrifies me every time I hear that grumble” from his bowels. 

But you won’t believe how he finds relief. All we can say is, thank goodness Grylls and his people thought to include a trauma surgeon in the cast.

“You haven’t truly lived until you’ve spent two and a half hours digging four to five pounds of coconut, bark and crab shell out of your own butt,” admits Williams. 

Actually, we think you haven’t truly lived until you talk about spending two and a half hours digging stuff out of your butt on national TV. But we digress. 

Take a look:

The Island airs Mondays at 10 p.m. ET on NBC.

 

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