Constipation
If you’re struggling with chronic constipation, you’re not alone. In India, more than 40% population is suffering from the constipation problem. Minor health problems like constipation might turn out to be “more serious” if it is left untreated. Most of the people with constipation have straining problems during defecation. The muscle involved in passing stool does not coordinate correctly with the anal sphincter, also known as Dyssynergic defecation. At Kaizen Gastro Care, Dr. Rupali Bandgar-Jankar has taken an effective approach to chronic constipation treatment i.e. Anorectal Biofeedback Training. These conditions can be diagnosed with anorectal manometry with a Balloon expulsion test or defecography.
It involves treatment programs utilizing instrument-based and neuromuscular conditioning techniques to train muscle functions. As a result, regular bowel movements could be effectively and sustainably obtained and constipation can be sequentially relieved. If you are suffering from a constipation problem and not getting any relief from laxatives, drugs, or churns then you need to go for an alternative option of anorectal Biofeedback Training treatment for constipation Problem. At Kaizen Gastro Care, Dr. Rupali Bandgar-Janakr offers biofeedback therapy – a non-invasive, drug-free approach to help you overcome constipation and reclaim your digestive health. If you have been suffering chronic constipation long time then consult Dr. Rupali Bandgar-Jankar for Further treatment.
What is constipation?
“Constipation is a symptom, not a disease”
When the bowel movement is disrupted and is uncommon, the resulting stool is hard to pass. This condition is termed constipation. The Chronic Constipation Task Force from the American College of Gastroenterology defines chronic constipation as: “unsatisfactory defecation characterized by infrequent stool, difficult stool passage or both at least for previous 3 months.”
Types Of Constipation:
Constipation is mainly divided into main categories
- Dyssynergic Defecation, also called anismus, or pelvic floor dyssynergia, is the failure of the abdominal, rectal, pelvic floor, and anal sphincter muscles to coordinate and complete the act of defecation. This results in impaired propulsion of stool from the rectum, paradoxical anal contraction, inadequate anal relaxation, or a combination of these mechanisms. Roughly one-third of chronic constipation patients are diagnosed with dyssynergia defecation,
- Slow Transit Constipation is when the bowel contents move along through the digestive tract too slowly, allowing too much water to be drawn out, resulting in firmer stools, and
- Irritable Bowel Syndrome With Constipation (IBS-C) is when constipation is the predominant symptom among the classic IBS symptoms of abdominal pain, bloating, diarrhea, constipation, or alternating between diarrhea and constipation.
When do You Need to See a specialist in Kaizen Gastro care for your Constipation?
For any chronic constipation, you can visit our experts to get rid of the problem. You must visit constipation experts at Kaizen Gastro Care if you have anything mentioned below.
- Few or no bowel movements
- Trouble having a bowel movement (straining to go)
- Hard or small stools
- A feeling that everything didn’t come out
- Belly bloating
- A feeling like your rectum is blocked
- A stomachache or cramps
If you are dealing with one or more of these symptoms, then you must consult our expert Dr. Rupali Bandgar-Jankar for effective treatment.
Why shouldn’t chronic constipation be ignored?
Chronic constipation in the long run can cause an array of complications. These include hemorrhoids ( Piles ), Fissure, Rectal Prolapse, Faecal Impaction, Sigmoid Volvulus etc. Apart from these, constipation hampers one’s sense of well-being and vitality, indirectly affecting the hormonal and immune systems. Studies are on to find if a link exists between chronic constipation and colorectal cancer.
Diagnosis of Chronic Constipation:
If you’re a patient with severe or chronic constipation, will be ordered some tests to evaluate for potential causes. These tests may include:
- A Blood Test: checking your complete blood count, your metabolic profile, calcium levels, and thyroid-stimulating hormone levels.
- Video Proctoscopy (Examination of the anus): to rule out any fissures or piles as the cause of constipation.
- USG of abdomen and pelvis: taking a scan of your gut, and other internal organs in that area of the body.
- High-Definition Colonoscopy (Examination of the rectum and entire colon): using a camera on the end of a flexible tube, will be able to check for blockages or signs of colon cancer.
- Colonic Transit Study: The Colon Transit Study is a specialized diagnostic test used to evaluate the movement of fecal matter through the colon. It provides valuable insights into colonic transit time, helping identify abnormalities or delays in stool transit that may contribute to constipation.
- MRI Defecogram: During this procedure, as in barium defecography, a doctor will insert contrast gel into your rectum. You then pass the gel. The MRI scanner can visualize and assess the function of the defecation muscles. This test also can diagnose problems that can cause constipation, such as rectocele or rectal prolapse.
- Balloon Expulsion Test (Evaluation of anal sphincter muscle speed): Often used along with anorectal manometry, this test measures the amount of time it takes for you to push out a balloon that has been filled with water and placed in your rectum.
- Anal Manometry (Evaluation of anal sphincter muscle function): In this procedure, your doctor inserts a narrow, flexible tube into your anus and rectum and then inflates a small balloon at the tip of the tube. This procedure allows your doctor to measure the coordination of the muscles you use to move your bowels.
Benefits of Anorectal Manometry:
Anorectal Manometry offers several benefits, including:
- Accurate assessment of pelvic floor function
- Identification of underlying causes of constipation
- Guidance for personalized treatment plans
Constipation Treatment:
Biofeedback Therapy:
Treatment for improper straining is biofeedback therapy. The expectations for this approach are that people can pass stools with minimal or no laxative use and without digital stimulation. Biofeedback training allows patients to perceive their characteristics of fecal straining in real time by watching the visual feedback on the monitor and their muscle activity while bearing down. They will learn to remember the feeling of how to strain correctly, which requires learning time, and patients need to continue practicing at home. The training takes 45 – 60 minutes per session, not longer than 1 – 2 weeks apart, for at least 6 – 8 times. A tube used in Biofeedback has the same size as a catheter used in an anorectal manometry, which is 4 – 6 millimeters wide and no deeper than 10 centimeters. Biofeedback can be used to treat patients with rectal hypotension as well.
Biofeedback therapy mainly focuses on solving fecal straining problems, which are present in as much as 40% of people with constipation. However, in constipated people with not just straining problems but also gastrointestinal hypomotility and other disorders, after the straining issues are alleviated, there may still be a need to continue taking some types of laxatives to help with the contraction of the intestine or softening the stools for better bowel movement, which will allow patients to strain properly without passing out in a toilet, and lessen a feeling of incomplete evacuation and the urge for a digital rectal stimulation. Eventually, patients will spend less time on bowel movements.
Benefits of Biofeedback Therapy:
- Non-Invasive: Biofeedback therapy is entirely non-invasive, making it a safe and comfortable option for individuals of all ages.
- Drug-Free: Unlike some medications for constipation, biofeedback therapy does not involve the use of drugs or chemicals, minimizing the risk of side effects.
- Customized Treatment: Each biofeedback session is tailored to your specific needs and progress, ensuring that you receive personalized care every step of the way.
- Long-Term Results: By learning techniques to improve pelvic floor muscle function, you can enjoy long-term relief from constipation without the need for ongoing medication.
Why Choose Dr. Rupali Bandgar-Jankar for Chronic Constipation Treatment in Pune:
- Expertise and Specialization: Rupali Bandgar-Jankar is a highly skilled Consultant Gastrophysiologist with specialized expertise in diagnosing and treating gastrointestinal disorders, including constipation. With 8 years of experience and extensive training in the field, Dr. Rupali possesses the knowledge and proficiency necessary to provide comprehensive care for patients suffering from constipation.
- Comprehensive Evaluation: Rupali adopts a comprehensive approach to patient care, conducting thorough evaluations to understand the underlying causes of constipation. By taking into account various factors such as medical history, symptoms, and diagnostic test results, she tailors treatment plans to address each patient’s unique needs effectively.
- Advanced Diagnostic Techniques: At Kaizen Gastro Care, Dr. Rupali utilizes advanced diagnostic techniques and state-of-the-art technology to accurately assess and diagnose constipation. From colon transit studies to anorectal manometry, Dr. Rupali employs a wide range of diagnostic tools to provide precise evaluations and personalized treatment recommendations.
- Holistic Treatment Approach: Rupali believes in taking a holistic approach to chronic constipation treatment, focusing not only on alleviating symptoms but also on addressing the underlying causes of the condition. By incorporating dietary modifications, lifestyle changes, medications, and therapeutic interventions as needed, she aims to provide comprehensive care that promotes long-term digestive health and well-being.
- Compassionate Care: Patients who choose Dr. Rupali for chronic constipation treatment can expect to receive compassionate and patient-centered care throughout their treatment journey. Dr. Rupali takes the time to listen to her patients’ concerns, answer their questions, and provide support and guidance every step of the way.
- Positive Patient Experiences: Rupali’s dedication to providing high-quality care and achieving positive patient outcomes is reflected in the numerous success stories and positive testimonials from her satisfied patients. Patients consistently commend Dr. Rupali for her expertise, professionalism, and compassionate approach to care.
- Continued Support and Follow-Up: Beyond the initial consultation and treatment phase, Dr. Rupali remains committed to her patient’s well-being by offering continued support, follow-up appointments, and guidance as needed. Whether adjusting treatment plans or addressing new concerns, Dr. Rupali ensures that her patients receive ongoing care and support to maintain optimal digestive health.
Request a Call Back:
Dr. Rupali Bandgar-Jankar at Kaizen Gastro Care’s highly specialized doctors offer trusted medical advice and expert care for Constipation. Don’t hesitate to get in touch with our best gastrophysiologist in Pune if you’re experiencing symptoms of constipation. For more information about our comprehensive treatment options, or to request an appointment with the best Gastroenterologist in Pune call 9763635252