1.9K Reviews    |    4.7 Star Rating    |    20+ years of experience    |    72k+ Patients Treated

Constipation

Struggling with constipation? At GastroDoxs in Houston, Dr. Bharat Pothuri provides comprehensive care-from lifestyle guidance and dietary adjustments to advanced diagnostics and minimally invasive treatments. Our personalized approach ensures relief, improved bowel health, and enhanced quality of life for patients.

Call Us 832-632-4070 Schedule Now Click Here Text Us 832-632-4070 Learn More Click Here
Texas Medical Board
Harris County Medical Society
American College of Gastroenterology
American Society for Gastrointestinal Endoscopy
Memorial hermann
Houston Methodist leading Medicine
HCA Houston Healthcare
Bharat Pothuri

About the Expert

Dr. Bharat Pothuri is a board-certified gastroenterologist and the founder of GastroDoxs. 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.

What Is Constipation?

Constipation occurs when you have fewer than three bowel movements per week. Stools are often hard, dry, or painful to pass, and you may feel bloated or as if you haven't completely emptied your bowels.

Common Causes and Risk Factors

  • Low-fiber diet (insufficient fruits, vegetables, whole grains)
  • Inadequate fluid intake (not drinking enough water)
  • Physical inactivity or a sedentary lifestyle
  • Certain medications (e.g., opioid pain relievers, some antidepressants)
  • Ignoring or delaying the urge to have a bowel movement
  • Age-related changes in gut motility (more common in older adults)
  • Hormonal changes (such as during pregnancy)
  • Underlying medical conditions (hypothyroidism, diabetes, neurological disorders)

Signs and Symptoms

  • Straining during bowel movements
  • Hard, dry, or lumpy stools
  • Sensation of incomplete evacuation
  • Abdominal bloating or discomfort
  • Cramps or pain in the lower abdomen
  • Lower-back pressure or ache

Expert Treatment for Constipation by Dr. Bharat Pothuri

Dr. Pothuri uses a step-by-step approach:

Medical History and Symptom Review

He asks about your bowel-movement frequency, stool consistency, diet, fluid intake, medications and any abdominal or rectal discomfort.

Physical Examination

He performs a gentle abdominal exam to check for distention or tenderness and a digital rectal exam to assess tone and detect any obstruction.

Stool Diary and Charting

You may be asked to keep a 7-day record of your bowel habits, stool form (Bristol Stool Scale) and associated symptoms.

Imaging and Functional Tests

  • Abdominal X-ray or Sitz-marker transit study to evaluate stool burden and colonic motility.
  • Anorectal manometry to measure rectal pressures, sphincter function and muscle coordination.
  • Colonoscopy (when indicated) to rule out structural lesions, strictures or colonic disease.

Advanced Testing (if needed)

Balloon-expulsion test or defecography to visualize and quantify defecatory mechanics in cases of suspected obstructive defecation.

Dr. Bharat Pothuri
Treatment

Our Team offers a full range of care for constipation.

1. Lifestyle and Diet Changes

  • Personalized high-fiber diet plans including fruits, vegetables, beans, whole grains, and seeds
  • Guidance to achieve 25 to 30 grams of fiber daily
  • Recommendations to drink approximately 64 ounces of water per day
  • Exercise suggestions such as a daily 20-minute walk to promote bowel movements

2. Medications

  • Fiber supplements like psyllium or methylcellulose
  • Osmotic laxatives (e.g., Miralax at a typical adult dose of 17 grams once daily)
  • Magnesium citrate for rapid relief-use as needed to avoid dehydration
  • Stool softeners such as docusate sodium to ease stool passage

3. Minimally Invasive or Advanced Procedures

  • Biofeedback therapy to retrain pelvic floor and anorectal muscles
  • Nerve stimulation techniques for refractory cases
  • Surgical options in select patients, including partial colon removal
6K

Patients Treated

Dr. Pothuri has treated more than 6K patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.

20Y

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

Can constipation cause back pain?

Yes. Pressure in the belly can affect the lower back.

What is a normal number of bowel movements?

Anywhere from three times a week to three times a day is considered normal.

What foods should I eat for more fiber?

Good choices include oatmeal, apples with the skin, lentils, broccoli, whole-grain bread, and chia seeds.

How much Miralax should I take?

Most adults take 17 grams once daily. Do not take more unless your doctor tells you to.

Is magnesium citrate safe?

Yes, if used the right way. It works fast, so use only when needed and stay hydrated.

When should I see a doctor?

If symptoms last more than two weeks, or if you have pain, blood in your stool, or unexplained weight loss, see a doctor right away.

Related Blogs
Abdominal Pain

The Worst Ways to Manage Constipation (and What to Do Instead)

Read More
Abdominal Pain

3 Reasons You May Have Chronic Constipation

Read More
Abdominal Pain

Why You Shouldn't Ignore Constipation

Read More