Constipation in Adults
Constipation commonly results from decreased fiber intake, chronic dehydration, and lack of activity. However, it can also be the result of underlying disease processes, poor bowel habits, and pelvic dyssynergia.
While many medications provide short term symptomatic relief, they don’t treat the underlying disorder. When the etiology of the constipation is not addressed, the symptoms tend to worsen over time requiring stronger medications. As most Primary Care Physicians and GI Specialists are limited in the time and resources they can afford for management of this problem, much of an Office Proctology practice ends up involving treatment of its long-term sequelae. These include bleeding hemorrhoids, persistent painful hemorrhoids, anorectal spasms, rectoceles, rectal prolapses, fecal impaction and fecal incontinence.
Intervention at the earliest stages of the process is ideal. Unfortunately, by the time they seek evaluation from a proctologist, most adults have already developed severe chronic constipation and have become dependent on medications to manage their disease.
After treating any acute processes such as bleeding, pain, hemorrhoids or fissures, a thorough evaluation in the office allows us to understand the pathophysiology in the individual. Many patients see significant improvement with dietary changes, behavioral modification, and guided exercises. The response is augmented by optimizing the selective use of supplements and medications that are most effective for them during significant exacerbations. Surgery is rarely indicated or needed.
Our expert doctors empower our patients by educating them on the underlying cause of their symptoms and related management options so they may minimize reliance on medications, avoid future anorectal disorders, and improve their quality of life.