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

Irritable Bowel Syndrome Constipation

Struggling with constipation, bloating, or abdominal pain? At GastroDoxs in Houston, Dr. Bharat Pothuri specializes in diagnosing and treating IBS-C with personalized plans. Combining diet, lifestyle adjustments, medications, and advanced therapies, he helps patients restore comfort, regularity, and gut health.

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 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.

Bharat Pothuri
Treatment

Our Team offers a full range of care for IBS-C.

1. Diet and Lifestyle Support

  • Increase fiber intake with fruits, vegetables, seeds and oats
  • Stay well-hydrated-especially around meals
  • Eat smaller, regular meals and practice stress-relief (deep breathing, light exercise, counseling)

2. Medications

  • Fiber supplements (e.g., psyllium) to soften stools
  • Osmotic laxatives (e.g., polyethylene glycol) to draw water into the bowel
  • Prescription agents (linaclotide, plecanatide) to speed transit
  • Antispasmodics to relieve cramps and bloating

3. Advanced Options

  • Neuromodulation therapy to calm over-sensitive gut nerves
  • Biofeedback training for optimized pelvic floor coordination
  • Access to clinical trials of emerging IBS-C therapies
2.9K

Patients Treated

Dr. Pothuri has treated more than 2.9K 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

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.

Related Blogs
Abdominal Pain

Gas Pain vs Gallstones: How to Tell the Difference

Read More
Abdominal Pain

The Difference Between a Bellyache and Abdominal Pain

Read More
Abdominal Pain

When Abdominal Pain Is Cause for Concern

Read More