Chronic Constipation

Chronic Constipation

Complete Guide to Understanding and Treating Chronic Constipation

What is Chronic Constipation?

Chronic constipation is a common digestive disorder characterized by infrequent bowel movements, difficulty passing stools, or both. It affects millions of people worldwide and can significantly impact quality of life.

Unlike occasional constipation, chronic constipation persists for weeks or longer and may require medical intervention. It can be caused by various factors including diet, lifestyle, medications, and underlying medical conditions.

Primary Symptoms

Fewer than three bowel movements per week, straining during defecation, hard or lumpy stools.

Associated Issues

Abdominal pain, bloating, feeling of incomplete evacuation, and rectal bleeding.

Causes of Chronic Constipation

Dietary Factors

Low-fiber diet, inadequate water intake, and consumption of processed foods can slow bowel movements.

Lifestyle Factors

Sedentary lifestyle, ignoring the urge to defecate, and stress can contribute to constipation.

Medications

Certain medications like opioids, antidepressants, and iron supplements can cause constipation.

Medical Conditions

Conditions like hypothyroidism, diabetes, Parkinson's disease, and neurological disorders can affect bowel function.

Structural Issues

Rectal prolapse, anal fissures, or obstructions can make defecation difficult.

Symptoms of Chronic Constipation

Primary Symptoms

  • Fewer than three bowel movements per week
  • Straining during bowel movements
  • Hard or lumpy stools
  • Feeling of incomplete evacuation
  • Abdominal bloating and discomfort

Complications

  • Hemorrhoids (piles)
  • Anal fissures
  • Rectal prolapse
  • Fecal impaction
  • Encopresis in children

Diagnosis

Diagnostic Methods

  • Medical history and physical examination
  • Digital rectal examination
  • Blood tests to check for underlying conditions
  • Stool tests
  • Imaging studies (X-ray, CT scan) if needed

Rome IV Criteria

  • • Must include two or more of the following:
  • • Straining during defecation
  • • Lumpy or hard stools
  • • Sensation of incomplete evacuation
  • • Sensation of anorectal obstruction
  • • Manual maneuvers to facilitate defecation
  • • Fewer than three spontaneous bowel movements per week

Treatment Options

Conservative Treatments

Lifestyle Modifications

  • • Increase dietary fiber intake
  • • Drink plenty of water
  • • Regular physical activity
  • • Establish regular toilet habits

Medications

  • • Fiber supplements (psyllium)
  • • Laxatives (osmotic, stimulant)
  • • Stool softeners
  • • Lubricants

Advanced Treatments

Biofeedback Therapy

Training to improve coordination of pelvic floor muscles and improve bowel function.

STARR Surgery

Stapled Transanal Rectal Resection for severe cases with rectal prolapse or intussusception.

Sacral Nerve Stimulation

Implantable device that stimulates nerves to improve bowel function.

STARR Surgery (Stapled Transanal Rectal Resection)

STARR is a minimally invasive surgical procedure designed to treat chronic constipation caused by rectal prolapse or intussusception. It involves the removal of excess rectal tissue using specialized stapling devices.

How STARR Works

  • Performed through the anus without external incisions
  • Uses circular stapling devices to remove excess tissue
  • Corrects anatomical abnormalities causing constipation
  • Restores normal rectal function

Benefits of STARR

  • Minimally invasive procedure
  • Shorter recovery time compared to traditional surgery
  • Effective for severe constipation cases
  • Improves quality of life

Department of General & Laparoscopic Surgery

Laparoscopic Surgery (Keyhole Surgery or Minimal Access Surgery) is performed through incisions the size of a keyhole, offering minimal access surgery, quicker recovery, and faster return to a normal life.

Laparoscopic Procedures Offered

Common Procedures

  • • Laparoscopic Removal of Uterus (Hysterectomy)
  • • Laparoscopic Removal of Gall Bladder (Cholecystectomy)
  • • Laparoscopic Procedure for Ovarian Removal (Oophorectomy)
  • • Laparoscopic Removal of Appendix (Appendectomy)
  • • Diagnostic Laparoscopy

Indications

  • • Abnormal Uterine Bleeding, Pelvic Organ Prolapse
  • • Gallstones, Cholecystitis
  • • Ovarian cancer, Endometriosis, Large ovarian cysts
  • • Appendicitis
  • • Abdominal pain or growth investigation

Benefits of Laparoscopic Surgery

  • • Smaller incisions (Minimal scarring)
  • • Quicker recovery
  • • Early return to work

Hernia Repair

An advanced technique with excellent results in Hernia Repair.

Why Choose Jyoti Nursing Home?

Experienced Team

  • • 20+ years of clinical experience
  • • Specialized training in advanced treatments
  • • Pioneering Minimal Invasive Treatments
  • • Expertise in STARR Surgery and other MINIMAL INVASIVE SURGERY

Special Achievements

  • • International Recognition
  • • Presentations at international conferences (2018 & 2019)
  • • Modern Facilities with NABH certification
  • • State-of-the-art equipment

Recovery and Prevention

Recovery Tips

  • Follow post-operative instructions carefully
  • Take prescribed medications as directed
  • Gradually increase physical activity
  • Attend follow-up appointments

Prevention

  • Maintain a high-fiber diet
  • Stay hydrated
  • Exercise regularly
  • Respond promptly to bowel urges
  • Avoid ignoring constipation symptoms

Need Help?

Consult our specialists for personalized treatment plans.

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