Chronic Constipation

Chronic constipation means infrequent or difficult bowel movements that persist for weeks or months, affecting daily comfort.

While occasional constipation is common, a chronic pattern deserves proper evaluation — both to relieve symptoms and to rule out an underlying structural or motility-related cause.

Dr. Nair assesses diet, lifestyle and bowel habit patterns, using further tests such as motility studies when symptoms don't respond to initial management.

Common Symptoms

• Fewer than three bowel movements a week
• Straining during bowel movements
• Hard or lumpy stools
• A sense of incomplete evacuation
• Bloating and abdominal discomfort

Common Causes

• Low-fibre diet and inadequate hydration
• Sedentary lifestyle
• Certain medications
• Underlying motility disorders
• Ignoring the urge to pass stool

Dr. Nair's Approach

Management starts with dietary and lifestyle adjustment, escalating to targeted treatment where needed. For symptoms that persist despite these changes, further evaluation — including manometry — helps identify and address the underlying cause.