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Chronic Idiopathic Constipation

At GastroDoxs in Houston, our gastroenterology team offers personalized Chronic Idiopathic Constipation evaluation and treatment, combining advanced diagnostics and compassionate care to help local patients restore regular bowel function and improve quality of life right here in the Bayou City.

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Bharat Pothuri
Symptoms

What is Chronic Idiopathic Constipation?

Chronic idiopathic constipation (CIC) is long-term constipation without an identifiable medical or structural cause. It lasts longer than three months and cannot be explained by nerve or muscle disease. In medical records, it's coded as ICD-10 K59.01 and is sometimes called functional constipation.

Common Symptoms

People with CIC often experience:

  • Fewer than three bowel movements per week
  • Hard, dry, or lumpy stools
  • Straining or pain while passing stool
  • Sensation of incomplete evacuation
  • Bloating, gas, or abdominal pressure

Causes

Although the exact cause is unknown, several factors can contribute to CIC:

  • Low dietary fiber intake
  • Inadequate fluid (water) consumption
  • Physical inactivity or sedentary lifestyle
  • Habitual delaying of bowel movements
  • Side effects of certain medications (e.g., opioids, antidepressants)
Treatment

Treatment Options for Chronic Idiopathic Constipation in Houston

Treatment includes lifestyle changes and medical care:

  • Fiber-rich diet: Eat more fruits, vegetables and whole grains to bulk and soften stools.
  • Hydration: Drink 6-8 cups of water daily to keep stools moist and prevent hard, dry stools.
  • Physical activity: Engage in regular walking or exercise to stimulate healthy bowel movements.
  • Over-the-counter supplements: Use fiber supplements (e.g., psyllium) and stool softeners to ease stool passage.
  • Prescription medications: Linaclotide, lubiprostone or prucalopride may be prescribed for chronic cases unresponsive to OTC options.
  • Advanced therapies: Pelvic floor therapy and biofeedback can retrain muscles and improve coordination during bowel movements.
  • Diagnostic tests: Colon transit studies and colonoscopy help rule out other causes and guide personalized treatment.

Why Choose GastroDoxs?

At GastroDoxs, our Houston-based team specializes in diagnosing and treating chronic idiopathic constipation with a personalized, patient-centered approach. From nutrition and lifestyle coaching to advanced therapies and ongoing support, we're committed to helping you achieve lasting relief. Ready to take control of your digestive health? Book your appointment today and start your journey toward better bowel function and improved quality of life.

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We've successfully treated more than 3.1K patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.

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Years of Experience

With over 20 years of experience, GastroDoxs has been a trusted provider of gastroenterology care, focusing on delivering the best outcomes for patients

Bharat Pothuri

About the Author

Dr. Bharat Pothuri is a Board-Certified Gastroenterologist and Hepatologist. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.

Frequently Asked Questions

What is chronic idiopathic constipation (CIC)?

Chronic idiopathic constipation (CIC) is a form of long-term constipation without an identifiable medical cause. It's also called functional constipation and is coded in the ICD-10 system as K59.01.

How is CIC diagnosed?

CIC is diagnosed through patient history, symptom evaluation, and exclusion of other causes. Your gastroenterologist may order tests such as a colon transit study, anorectal manometry, or a colonoscopy to rule out structural or neurological disorders.

What's the ICD-10 code for CIC?

The ICD-10 code for chronic idiopathic constipation is K59.01. This code is used in medical records and insurance documentation to classify your condition.

What are the main symptoms of CIC?

Common symptoms include fewer than three bowel movements per week, hard or lumpy stools, straining during bowel movements, a sensation of incomplete evacuation, bloating, gas, and abdominal discomfort.

What causes chronic idiopathic constipation?

The exact cause is often unknown. Contributing factors may include a low-fiber diet, inadequate fluid intake, sedentary lifestyle, habitual stool withholding, and certain medications (e.g., opioids or some antidepressants).

What treatments help CIC?

Treatment typically begins with lifestyle changes: increasing dietary fiber, drinking 6-8 cups of water daily, and regular physical activity. Over-the-counter remedies like psyllium or stool softeners can help, and prescription drugs (linaclotide, lubiprostone, prucalopride) may be recommended if needed.

What advanced therapies are available?

For patients who don't respond to basic measures, pelvic floor therapy and biofeedback can improve muscle coordination. Specialized tests (colon transit studies, anorectal function tests) guide further treatment plans.

Can natural treatments be effective?

Yes. Many patients benefit from natural approaches such as fiber-rich foods (fruits, vegetables, whole grains), adequate hydration, and daily walking. These form the foundation of long-term management.

How quickly will I see improvement?

Some individuals notice relief within a week of starting changes, while others may require several weeks or months of combined lifestyle and medical therapies. Your gastroenterologist will monitor progress and adjust your plan as needed.

When should I see a specialist?

If you've tried dietary modifications and over-the-counter remedies for four weeks without relief, or if you experience alarming symptoms such as rectal bleeding, unexplained weight loss, severe abdominal pain, or a sudden change in bowel habits, you should consult a gastroenterologist promptly.

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