Constipation Specialist NYC
If you have difficulty moving your bowels you may be suffering with constipation. Constipation is when a person either moves their bowels infrequently, less than once every 3 days, or has to strain when passing stool. Persistent constipation should always be evaluated with a thorough consultation and examination by a physician for an accurate diagnosis and treatment plan and to exclude a serious illness or condition.
There are many causes of constipation. The most common is simply poor eating habits. Many people don’t realize it but they are eating a low fiber diet or don’t get enough exercise. Other things to consider are hormonal and central nervous system disorders, pregnancy, use of various medicines, ignoring the urge to have a bowel movement and dehydration. It is also common for women to become constipated at particular times of the month.
It is important to seek the medical advice from the NYC gastroenterologist, Dr.Shawn Khodadadian, MD if there is a change in bowel habit or new development of constipation because you may have a digestive disease. You will likely need to be tested for the presence of blood in the stool (visual or seen microscopicaally) and may need a colonoscopy to exclude colon cancer depending on your specific condition. However, constipation symptoms are usually able to be managed successfully with dietary and lifestyle changes (such as adequate fiber and fluid intake and physical activity). Laxatives are sometimes required and in some people with very severe constipation medical investigations and other treatments may be needed.
Chronic constipation is defined as presence of two or more of the following:
- Straining during at least 25% of bowel movements
- Lumpy or hard stools in at least 25% of bowel movements
- Sensation of incomplete evacuations for at least 25% of bowel movements
- Sensation of anorectal blockage for at least 25% of bowel movements
- Manual manoeuvres to facilitate at least 25% of bowel movements
- Fewer than three bowel movements each week.
Your constipation may be caused by Irritable Bowel Syndrome (IBS). IBS refers to shifting abdominal pain with alternating constipation and diarrhoea. This is sometimes described as irregular or disturbed bowel function including frequent constipation.
IBS has recurrent abdominal pain plus two or more of:
- Pain better from defecation
- Altered stool at the onset of pain
- Abdominal bloating
- Increased or decreased stools at the onset of pain
- A ‘never completely empty’ sensation after passing stool
- Passing mucus from the rectum
- Morning cluster of motions
- Constipation alternating with diarrhea
Other symptoms reported by patients with IBS:
- Fatigue (some IBS patients also have Chronic Fatigue Syndrome)
- Unexplained insomnia or disturbed sleep patterns
- Susceptibility to colds, flus, sinusitis or post-nasal drip
- Allergic sensitivity
- Restless leg syndrome
- Gastric reflux
Important Reminder: This information is only intended to provide guidance, not definitive medical advice. Please consult a doctor about your specific condition. Only a trained gastroenterologists like Dr. Khodadadian can determine an accurate diagnosis and proper treatment.
For more information about constipation treatments or to schedule an appointment with the NYC Gastroenterologist (GI doctor), Dr. Shawn Khodadadian, please contact our Upper East Side NYC office.