What Is Chronic Idiopathic Constipation?
Chronic idiopathic constipation is difficulty passing stool or infrequent bowel movements lasting three months or longer, with no identifiable cause. Patients often feel bloated, strain excessively, and go to the bathroom fewer than three times per week.
Common Causes and Risk Factors
- Age -digestion slows down in older adults
- Gender -women report constipation more frequently than men
- Diet -low fiber intake and inadequate fluid consumption
- Lifestyle -physical inactivity and high stress levels
- Medications -opioids, certain antidepressants, and other drugs that slow gut motility
Signs and Symptoms
- Fewer than three bowel movements per week
- Hard, dry, or lumpy stools
- Straining, discomfort, or pain during evacuation
- Bloating, gas, or abdominal fullness
- Sensation of incomplete emptying after a bowel movement
Expert Treatment for Chronic Idiopathic Constipation by Dr. Bharat Pothuri
Dr. Pothuri uses a thorough diagnostic process:
Health Review & Physical Exam
He begins by discussing your medical history, diet, and bowel habits. A gentle physical exam follows to check for signs of underlying issues.
Diagnostic Testing
- Blood tests to evaluate thyroid function, metabolic imbalances, or signs of inflammation.
- X-rays or ultrasounds to assess your abdomen for structural problems or obstructions.
- Colon transit study to observe how stool moves through your intestines over time.
- Anorectal manometry to test the strength and coordination of your rectal muscles.
Personalized Treatment Planning
Once the root cause is identified, Dr. Pothuri creates a care plan tailored to your specific digestive health needs.
Frequently Asked Questions
What is chronic idiopathic constipation?
Chronic idiopathic constipation is a long-term bowel disorder with no identifiable cause. Symptoms-including fewer than three bowel movements per week-must persist for three months or more.
When do I need testing?
If you experience red-flag signs like blood in your stool, unexplained weight loss, or don't improve with dietary changes, Dr. Pothuri may recommend tests to rule out other conditions.
Will diet alone fix it?
Some patients find relief with increased fiber, hydration, and regular exercise. However, many need additional support through medications or therapies for complete symptom control.
How long before I feel better?
Response varies by individual. Some feel relief within days when using laxatives or osmotic agents, while others may require several weeks of combined treatments to restore normal bowel habits.
Does insurance cover treatment?
Most insurance plans cover office visits, diagnostic tests, and many prescribed therapies. Our team will help you verify your benefits and minimize out-of-pocket costs.
Can children get this condition?
Chronic idiopathic constipation is uncommon in children. If your child has persistent symptoms, Dr. Pothuri can refer you to a pediatric gastroenterologist for specialized care.
Are prescription medications safe?
Prescription laxatives and prokinetic agents are generally well tolerated. Some patients may experience mild gas or cramping. Dr. Pothuri tailors the treatment to your needs to minimize side effects.