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Sri Venus Gastro & Liver HospitalSri VenusGastro & Liver
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Condition

Constipation

Chronic constipation evaluation and a structured plan that actually works.

Overview

Chronic constipation affects roughly one in five adults and is one of the most common reasons patients see a gastroenterologist. It usually responds to a structured approach — fibre, fluids, dietary changes, the right medication — but stubborn or recent-onset constipation in older adults can signal an obstructing problem, including colon cancer, that needs ruling out.

Common symptoms

  • Fewer than three bowel movements per week
  • Hard, dry, or lumpy stools
  • Straining or pain when passing stool
  • Sense of incomplete emptying
  • Bloating and abdominal discomfort
  • Sometimes needing fingers or pressure to help passage

When to see a doctor

See us if constipation has lasted more than three months, is worsening despite fibre and fluid changes, or is new in someone over 45. Blood in stools, unintentional weight loss, anaemia, or family history of colon cancer make evaluation more urgent — usually with colonoscopy.

How we help

We assess for treatable causes (low fibre and fluid intake, medications, thyroid problems, irritable bowel) and rule out obstructive causes with colonoscopy when red flags are present. Most patients respond to a structured plan: optimising fibre and fluids, a regular toileting routine, the right laxative for the situation, and treating any underlying disorder. Severe motility issues are managed with specialist medications and lifestyle support.

This is general information, not a substitute for medical advice. For guidance specific to your case, please consult Dr. Ch. Saikumar or another qualified specialist.

Patient questions

Constipation — common questions

Answers to the questions we hear most often about constipation.

When is constipation serious?
New constipation in someone over 45, especially with weight loss, blood in stools, or anaemia, deserves colonoscopy to rule out an obstructing problem. Chronic severe constipation also warrants evaluation for underlying causes.
Are laxatives safe long-term?
Some are — osmotic laxatives like PEG and lactulose are safe for long-term use. Stimulant laxatives are best for occasional use. The goal is to address the underlying cause and reduce laxative reliance over time.
What dietary changes help constipation?
Adequate fibre (25–30 g/day from fruits, vegetables, whole grains), 2 or more litres of water daily, and regular physical activity. Build fibre up gradually to avoid bloating.
Do I need a colonoscopy for constipation?
Recommended if you're over 45 with new constipation, or at any age with red flags — blood in stools, weight loss, family history of colon cancer, or constipation that's worsening despite proper treatment.
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