Gastroenterology Pearland, Houston, Bay City, Lake Jackson
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Constipation

Conditions

Comprehensive Constipation Treatment in Houston, Bay City & Lake Jackson

Chronic constipation affects millions of Americans, significantly impacting quality of life, work productivity, and overall well-being. At Your GI Center, our board-certified gastroenterologists provide expert diagnosis and treatment for constipation at three convenient Southeast Texas locations in Houston, Bay City, and Lake Jackson. With advanced diagnostic technology, evidence-based treatment approaches, and a commitment to understanding each patient’s unique situation, we help patients find lasting relief from constipation and restore normal bowel function.

Understanding Constipation

Constipation is a common digestive condition characterized by infrequent bowel movements or difficulty passing stools. While occasional constipation is normal, chronic constipation—lasting three months or longer—requires medical evaluation and treatment. Constipation isn’t simply about frequency; it also involves the consistency and difficulty of passing stools. Normal bowel movement frequency varies widely among healthy individuals, ranging from three times daily to three times weekly. What matters most is change from your normal pattern, along with associated symptoms like straining, hard stools, or incomplete evacuation.

Why Choose Your GI Center for Constipation Treatment?

Infrequent Bowel Movements

Fewer than three bowel movements per week, though some patients have even less frequent movements.

Hard or Lumpy Stools

Stools that are hard, dry, and difficult to pass. The Bristol Stool Scale classifies these as Type 1 (separate hard lumps) or Type 2 (lumpy and sausage-shaped).

Straining

Excessive effort required to pass stools. Some patients spend prolonged time on the toilet attempting to have bowel movements.

Incomplete Evacuation

Feeling that you haven’t completely emptied your bowels even after a movement.

Abdominal Discomfort

Bloating, cramping, or pressure in the abdomen. Some patients experience significant abdominal distension.

Rectal Blockage

Sensation of an obstruction in the rectum that prevents bowel movements.

Need for Manual Maneuvers

Requirement to press on your abdomen or use a finger to remove stool from the rectum.

Rectal Pain or Bleeding

Hard stools can cause anal fissures (tears in the anal lining) leading to pain and bright red blood with bowel movements.

Loss of Appetite

Chronic constipation can cause early satiety and reduced appetite.

Causes of Constipation

Constipation has numerous potential causes. Identifying the underlying cause is essential for effective treatment:

Lifestyle Factors
  • Low-Fiber Diet: Insufficient fiber intake is one of the most common causes. Fiber adds bulk to stool and helps it pass more easily.
  • Inadequate Fluid Intake: Dehydration causes the colon to absorb more water from stool, making it hard and difficult to pass.
  • Lack of Physical Activity: Sedentary lifestyle reduces intestinal motility.
  • Ignoring Urge to Defecate: Regularly suppressing the urge to have bowel movements can lead to chronic constipation.
Medications

Many medications can cause or worsen constipation, including:

  • Opioid pain medications
  • Antacids containing aluminum or calcium
  • Calcium channel blockers for blood pressure
  • Antidepressants
  • Iron supplements
  • Antihistamines
  • Diuretics
  • Anti-Parkinson medications
Medical Conditions

Various diseases and conditions can cause constipation:

  • Irritable Bowel Syndrome (IBS-C): IBS with constipation as the predominant symptom
  • Hypothyroidism: Underactive thyroid slows metabolism and intestinal motility
  • Diabetes: Can affect nerves that control intestinal function
  • Neurological Conditions: Parkinson’s disease, multiple sclerosis, spinal cord injuries, or
    stroke can affect nerves controlling bowel function
  • Pelvic Floor Dysfunction: Inability to properly coordinate muscles involved in bowel movements
  • Intestinal Obstruction: Tumors, strictures, or other blockages
  • Colon Cancer: Can cause obstruction or changes in bowel habits
  • Diverticular Disease: Can alter colon function
  • Anal Fissures or Hemorrhoids: Pain with defecation can lead to voluntary withholding
Functional Causes
  • Slow Transit Constipation: Stool moves too slowly through the colon
  • Pelvic Floor Dyssynergia: Inability to relax pelvic floor muscles during defecation
  • Inadequate Rectal Sensation: Reduced ability to sense when rectum is full

Diagnosis

Our comprehensive diagnostic approach identifies the cause of your constipation:

Detailed Medical History

We discuss your symptoms, bowel habits, diet, fluid intake, physical activity, medications, and medical conditions. Understanding your symptom pattern helps guide diagnosis.

Physical Examination

We perform abdominal examination to check for masses, tenderness, or distension. Digital rectal examination assesses anal sphincter tone, identifies hemorrhoids or fissures, and evaluates pelvic floor function.

Blood Tests

We may order tests to check thyroid function, blood sugar, calcium levels, and complete blood count to rule out underlying medical conditions.

Colonoscopy

For patients over 45, those with alarm symptoms (blood in stool, unintentional weight loss, family history of colon cancer), or constipation not responding to treatment, colonoscopy examines the entire colon for polyps, tumors, strictures, or other abnormalities.

Specialized Tests

For chronic constipation not responding to initial treatment, we may recommend:

  • Colonic Transit Study: Measures how quickly material moves through your colon
  • Anorectal Manometry: Tests coordination of muscles used for bowel movements
  • Balloon Expulsion Test: Assesses ability to expel a balloon from the rectum, evaluating pelvic floor function
  • Defecography: X-ray study showing how well you evacuate stool

Treatment Options

We develop personalized treatment plans based on constipation severity and
underlying causes:

Lifestyle Modifications
  • Increase Fiber Intake: Gradually increase to 25-35 grams daily through whole grains, fruits, vegetables, legumes, and fiber supplements
  • Adequate Hydration: Drink at least 8 glasses of water daily
  • Regular Exercise: At least 30 minutes of moderate activity most days promotes intestinal motility
  • Establish Routine: Try to have bowel movements at the same time each day, particularly after meals when colonic activity is highest
  • Don’t Ignore Urges: Respond promptly when you feel the need for a bowel movement
  • Allow Adequate Time: Don’t rush bowel movements
  • Proper Positioning: Elevating feet on a stool creates a more natural position for defecation
Medications

When lifestyle changes aren’t sufficient, medications can help:

  • Fiber Supplements: Psyllium (Metamucil), methylcellulose (Citrucel), or wheat dextrin add bulk to stool
  • Osmotic Laxatives: Polyethylene glycol (Miralax), lactulose, or milk of magnesia draw water into the intestines
  • Stimulant Laxatives: Senna or bisacodyl for short-term use when other treatments fail
  • Stool Softeners: Docusate helps moisture penetrate stool
  • Lubricants: Mineral oil eases stool passage
  • Prescription Medications: Lubiprostone (Amitiza), linaclotide (Linzess), plecanatide (Trulance), or prucalopride (Motegrity) for chronic constipation
Pelvic Floor Physical Therapy

For patients with pelvic floor dysfunction, specialized physical therapy teaches proper muscle coordination for effective bowel movements. This biofeedback
training can be highly effective.

Treating Underlying Conditions

We address medical conditions contributing to constipation, such as managing thyroid disorders, adjusting medications, or treating diabetes.

Advanced Interventions

For severe constipation not responding to conservative treatment, options may include:

  • Sacral nerve stimulation
  • Surgery for anatomic abnormalities or slow transit constipation

When to Seek Medical Attention

Seek evaluation from our gastroenterologists if you experience:

Prevention

You can often prevent constipation through:

Why Choose

Your GI Center for Diverticulitis Care?

Expert Diagnosis

Our board-certified gastroenterologists have extensive experience identifying the many potential causes of constipation. We don’t just treat symptoms—we find the underlying cause to provide lasting relief.

Comprehensive Treatment Options

We offer the full range of treatment options from lifestyle modifications through advanced therapies, tailoring our approach to your specific situation.

Patient Education

We take time to explain your condition and teach you strategies for maintaining regular bowel function. Our goal is to empower you to manage your digestive health.

Convenient Locations

With offices in Houston, Bay City, and Lake Jackson, expert care is accessible close to home throughout Southeast Texas.

Schedule Your Constipation Consultation

If you’re struggling with chronic constipation, don’t continue to suffer. Our experienced gastroenterologists can identify the cause and develop an effective treatment plan to restore normal bowel function and improve your quality of life.

To schedule your appointment, call 1-888-292-0010 or contact your preferred location:

Houston

(713) 436 8171

12951 South Freeway, Houston, TX 77047

Bay City

(979) 292-0033

720 Avenue F North, Bay City, TX 77414

Lake Jackson

(979) 292-0033

109 Parking Way, Lake Jackson, TX
77566

During business hours, appointment requests are typically handled the same day, usually within three hours. Let us help you find relief from constipation and restore normal digestive function.