Constipation

What is Chronic Constipation?

Chronic constipation may have different meanings for different people. That’s because the frequency of bowel movements may considerably vary among individuals, ranging from 1-3 times a day to once in 3 days.

In general, chronic constipation is described as having bowel movements less than three times a week, infrequent passing of stools, or having issues in bowel evacuation. It affects an individual for several weeks, thereby causing significant pain and discomfort, and affecting one’s life quality. Chronic constipation can be painful and affects one’s overall health. If one is looking for an effective Chronic constipation treatment in Hyderabad they can consult the chronic constipation specialist at Sree Nandaka Advanced Surgery Hospital.

Causes of Chronic Constipation

Chronic constipation is primarily the result of:

  • A lack of dietary fibre in the diet (insufficient intake of fruits, vegetables, and other fibre-rich foods)
  • Inadequate amount of intake of water or fluids daily
  • A poor lifestyle or change in routine, such as eating habits
  • Lack of physical activities or a sedentary lifestyle
  • The ignorance of the urge to pass stools (commonly seen in children)
  • Pregnancy- wherein progesterone hormones cause intestinal muscles to relax and hamper the peristaltic movement
  • Side effects of certain medications such as iron and calcium supplements, anticholinergic drugs, antipyretic drugs, anti-psychotics, anti-epileptics, and antidepressants
  • Obesity
  • Inflammatory Bowel Syndrome or Obstructed Defecation Syndrome.
     

The secondary causes of constipation shared by Chronic Constipation Specialist in Hyderabad include the following diseases and conditions:

  • Mechanical causes- conditions like megacolon rectocele, diverticulosis, intestinal pseudo-obstruction, colon/rectal/anal stricture, unusual narrowing of the rectum or intestine, and injured tissues.
  • Organic stenosis- including cancer or cancer-related causes, intestinal masses, inflammatory and ischemic or surgical stenosis, sigmoid or cecal volvulus, and others.
  • Enteric neuropathies- like Hirschsprung disease
  • Neurological disorders like Parkinson’s disease, multiple sclerosis, autonomic neuropathy, stroke, and others
  • Myopathic disorders- such as amyloidosis and scleroderma
  • Endocrine and metabolic conditions- such as hyperthyroidism, hypothyroidism, diabetes mellitus, hypercalcemia, and others
  • Anorectal disorders- such as haemorrhoids, anal fissures, anal strictures, and others
  • Connective tissue disorders like lupus
  • Psychological conditions such as anxiety, depression, and eating disorders.

Some of the serious causes include Crohn’s disease, bowel cancer, and spinal cord injuries/diseases. Some people also suffer from chronic constipation with an unknown cause called idiopathic chronic constipation.

Symptoms of Chronic Constipation

  • Stomach cramps or aches
  • Bloating
  • Nausea
  • Hard, lumpy stools more than 25% of the time
  • Less than 3 bowel movements in a week
  • Straining while passing bowel for more than 25% of the time
  • A feeling of incomplete evacuation more than 25% of the time
  • Extremely bad odour from faeces and flatulence
  • Fullness feeling with loss of appetite
  • The need to empty the rectum by inserting a finger into the anus or using hands to press the abdomen and help remove the stool from the rectum.

Are you experiencing these issues? Get in touch with Best Doctors for Chronic Constipation in Hyderabad at Sree Nandaka Advanced Surgery Hospital. They diagnose the problem by conducting the following tests to determine the root cause and provide one with effective treatments to correct this health concern.

Diagnosis of Chronic Constipation

Chronic constipation diagnosis can be done simply by looking at the patient’s symptoms and reviewing the patient’s medical history, patient’s bowel habits, and general health and lifestyle. However, investigations are required to identify the underlying cause of chronic constipation. The diagnostic tests that the doctor may order include:

  • Rectal examination with a lubricated finger or proctoscope
  • Anal manometry- to measure pressure while relaxing, squeezing, and pushing rectal muscles and evaluate the working of the nerves and muscles in and around the rectum
  • Colonoscopy- to visualise the inside of the bowel
  • MRI defecography- to obtain images of different stages of defecation, provide insight into rectal function, and evaluate the working of pelvic muscles
  • Food intolerance test
  • Blood test- to check for levels of Serum D3, Serum B12, Serum Calcium, and thyroid hormones.

Chronic Constipation Treatment in Hyderabad

The first line of treatment for constipation is medication like laxatives, stool softeners, fibre supplements, stimulants, osmotic, and probiotic supplements, and lifestyle modification. For chronic idiopathic constipation, guanylate cyclase C-agonists are usually provided to the patient.

When constipation is caused by the unusual functioning of pelvic muscles involved in the passing of stools, a physical therapist can help train the muscles to do their job once again. This training is known as biofeedback. In this therapy, the therapist inserts a catheter through the rectum to measure the muscle tension while you exercise. The machine tells when muscles relax and tighten and helps the therapist know how to relax to pass stool.

If any of these does not work, surgery is the best option. But, it depends upon the reason behind the chronic constipation. The surgery is usually recommended if an individual is suffering from obstructed defecation syndrome or chronic constipation which has resulted in rectal prolapse. The surgery even helps repair problems like haemorrhoids and anal fissures.

At Sree Nandaka Advanced Surgery Hospital, Top constipation Hospital in Hyderabad we have internationally recognized doctors providing Avant-garde treatment for constipation using advanced technologies and state-of-the-art facilities. The doctors are also highly trained in STARR surgery 

STARR (Stapled Trans Anal Rectal Resection) Surgery in Hyderabad

STARR surgery aims to replace an obstructed or prolapsed rectum with a healthy part of the remaining rectum. It helps eliminate structural abnormalities associated with Obstructed Defecation Syndrome. This surgery was invented by world-renowned colorectal surgeon, Dr. Antonio Longo to cure chronic constipation.

STARR surgery is performed on the patient given general anaesthesia. The surgery is carried out through the anus. During the operation, the surgeon uses two circulars, surgical staplers to carry out a circumferential trans-anal full-thickness resection of the lower rectum, thereby reducing the deformities that can lead to ODS.    

Benefits of STARR Surgery

  • Cures obstructed defecation syndrome
  • No need to make external incisions so no visible surgical scars
  • Short recovery time
  • High overall patient satisfaction rate.
Frequently Asked Questions

1. What if chronic constipation is left untreated?

There are no such complications of transient episodes of constipation. However, chronic constipation if left untreated may result in haemorrhoids (bleeding during defecation), rectal prolapse (stretching and protruding of the rectum from the anus), anal fissure (tears in the skin around the anus because of passing of hard stools), faecal impaction that could lead to colonic perforation, and sigmoid volvulus (colon twisting). Besides, constipated people live a poor quality of life with a lot of stress and have issues with general health and well-being.

2. When to seek immediate help from a doctor for constipation?

If you have had chronic constipation symptoms for more than 3 weeks, worsening nausea and vomiting, severe and constant abdominal pain, rectal bleeding, or/and a change in frequency and size of stool, you must immediately seek medical attention from the doctor.    

3. How can I get my constipation quickly treated?

Constipation is when the stool becomes so dry and hard that it passes slowly through the intestines. So, you can get your constipation treated quickly by following ways shared by Constipation problem doctor in Hyderabad:

  • Drink a lot of water daily.
  • Eat a diet rich in dietary fibres.
  • Be regular in doing workouts.
  • Do not have a sedentary lifestyle.
  • Go to the washroom whenever you have an urge to defecate.

Constipation can affect people of any age or gender. Get effective treatment for it at Sree Nandaka Advanced Surgery Hospital. Consult now to learn more about treatments options and Constipation treatment cost in Hyderabad.

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Disclaimer: The content, images, and videos available on our website www.sreenandaka.com are aimed at raising awareness among individuals and should not be construed as medical advice. Results may vary for each patient based on their health status and physiological makeup. For further information, we invite you to reach out to us for a personalized consultation.