Narayana Hospital, Guwahati
Intestinal Disorders

Chronic Constipation

Comprehensive Care for Intestinal and Bowel Disorders

The small intestine and large intestine play an essential role in digestion, nutrient absorption, and normal bowel function. Disorders affecting the intestines may cause abdominal pain, bloating, diarrhoea, constipation, blood in stool, weight loss, anaemia, or changes in bowel habits. Some intestinal disorders are functional and do not damage the bowel, while others may cause inflammation, ulcers, narrowing, bleeding, or long-term complications. Persistent or recurrent symptoms should be evaluated to identify the underlying cause and begin appropriate treatment. Dr. Dipankar Das provides comprehensive evaluation and management of intestinal disorders using blood and stool tests, colonoscopy, biopsy, advanced imaging, and individualized medical treatment.

What is Chronic Constipation?

Chronic constipation is characterized by infrequent bowel movements, hard stools, excessive straining, difficulty passing stool, or a persistent feeling of incomplete evacuation. It may result from low fibre intake, inadequate hydration, reduced physical activity, medications, thyroid disorders, neurological disease, slow bowel transit, or pelvic floor dysfunction.

Common Signs & Symptoms

Fewer bowel movements than usual
Hard or dry stools
Excessive straining
Feeling of incomplete evacuation
Abdominal bloating
Need for digital assistance to pass stool
Prolonged time spent in the toilet

Common Causes & Risk Factors

Low fibre intake
Inadequate fluid intake
Sedentary lifestyle
Certain medicines
Hypothyroidism
Diabetes
Neurological disease
Pelvic floor dysfunction
Structural disease of the colon

How is it diagnosed?

1Detailed Clinical Assessment
2Digital Rectal Examination
3Blood Tests
4Colonoscopy when indicated
5Colonic Transit Study in selected patients
6Anorectal Manometry
7Balloon Expulsion Test
8Defecography in selected patients

Treatment

Increased dietary fibre when appropriate
Adequate fluid intake
Regular physical activity
Stool softeners or laxatives
Prescription medicines for chronic constipation
Pelvic floor biofeedback therapy
Treatment of the underlying cause

Why early diagnosis matters

Evaluation is especially important when constipation is new, progressive, associated with bleeding, anaemia, weight loss, severe pain, or a family history of colorectal cancer.

Appointments

Book Consultation

Consult Dr. Dipankar Das at Narayana Superspeciality Hospital, Guwahati or visiting consultation centres across Assam.

Instant OPD BookingWhatsApp Support
Call NowWhatsAppBook Slot