What Is Irritable Bowel Syndrome with Constipation?
Irritable Bowel Syndrome with Constipation (IBS-C) is a chronic digestive disorder marked by infrequent, hard stools and persistent abdominal discomfort. Unlike occasional constipation, IBS-C lasts for months or years and often comes with bloating, gas, and fluctuating bowel habits.
Common Causes and Risk Factors
- Visceral hypersensitivity: overly sensitive nerves in the gut
- Slow intestinal transit that delays stool passage
- High stress or anxiety levels disrupting normal gut function
- Low dietary fiber intake from fruits, vegetables, and whole grains
- Family history of IBS or other functional bowel disorders
Signs and Symptoms
- Hard, dry stools that are difficult to pass
- Frequent straining or a sense of incomplete evacuation
- Bloating, gas, and abdominal fullness after meals
- Crampy belly pain, often relieved by a bowel movement
- Occasional shifts between constipation and loose stools
Expert Treatment for Irritable Bowel Syndrome Constipation by Dr. Bharat Pothuri
Dr. Pothuri uses a step-by-step approach:
Medical History and Symptom Review
He discusses the onset and pattern of your constipation, epigastric discomfort, bloating, stressors, diet, and any family history of GI disorders.
Diet & Symptom Diary
You track meals, bowel habits, pain episodes, and possible triggers over 1-2 weeks to identify correlations.
Physical Examination
A gentle abdominal exam assesses tenderness in the upper (epigastric) area, distension, and signs of obstruction.
Laboratory Testing
- Comprehensive blood work to exclude anemia, thyroid dysfunction, celiac disease, and inflammatory markers.
- Stool analysis for infections, fat malabsorption, and occult blood.
Endoscopic Evaluation
- Upper endoscopy (EGD) to inspect the esophagus, stomach, and duodenum for ulcers, gastritis, or other lesions.
- Colonoscopy or flexible sigmoidoscopy to rule out polyps, colitis, or structural causes when red-flag symptoms exist.
Advanced Functional Testing (as needed)
- Breath tests for small intestinal bacterial overgrowth (SIBO) or carbohydrate malabsorption.
- Anorectal manometry or balloon expulsion studies to evaluate pelvic floor function in refractory constipation.
Frequently Asked Questions
What foods help with IBS-C?
Try apples, pears, broccoli, oats, and other high-fiber foods. Add fiber gradually to avoid bloating and gas.
Can IBS-C turn into diarrhea?
Yes. Some people alternate between constipation and loose stools. This is known as mixed-type IBS.
How soon will I feel better?
Many patients notice improvement within 2 to 4 weeks after making diet and lifestyle changes.
Are laxatives safe to use?
Certain laxatives are safe for short-term use. Long-term use should be supervised by your doctor to avoid dependency or gut irritation.
Does stress make IBS-C worse?
Yes. Stress can aggravate symptoms. Techniques like deep breathing, meditation, or counseling can help improve gut function.
Should I exercise?
Absolutely. Regular activity-walking, swimming, or light workouts-stimulates intestinal movement and can relieve constipation.
Can kids get IBS-C too?
Yes. Children and teens can develop IBS-C. Treatment plans are tailored to their age, growth needs, and lifestyle.