Dr. Rishi Chadha, MD is a board‑certified gastroenterologist who specializes in preventive gastroenterology, colorectal cancer screening, and minimally invasive endoscopic procedures. He completed his fellowship at Sunrise Health GME in Las Vegas and previously trained in internal medicine at St. Vincent’s Medical Center in Connecticut.
Chronic idiopathic constipation (CIC) means you are often constipated, but there's no clear cause. Idiopathic means we don't find any nerve or muscle problems in your digestive system.
People with CIC often have trouble for months or years. They may have hard stools or feel like they haven't fully emptied after using the bathroom.
ICD-10 Code: K59.00
He asks about your symptoms and medications to understand your bowel habits and any possible contributing factors.
This includes examining your abdomen and performing a rectal exam to check for abnormalities.
May include blood work, colon imaging, or tests that track how fast your bowel movements move through the colon.
He ensures no underlying disease or physical blockage is causing your constipation symptoms.
Dr. Rishi Chadha, MD is a board‑certified gastroenterologist who specializes in preventive gastroenterology, colorectal cancer screening, and minimally invasive endoscopic procedures. He completed his fellowship at Sunrise Health GME in Las Vegas and previously trained in internal medicine at St. Vincent’s Medical Center in Connecticut.
Chronic idiopathic constipation is a long-term bowel disorder with no identifiable nerve or muscle cause, leading to hard stools, infrequent movements, or a feeling of incomplete evacuation.
The ICD-10 code for chronic idiopathic constipation is K59.00.
Signs include fewer than three bowel movements per week, hard or lumpy stools, straining, bloating, and a sensation of blockage or incomplete emptying.
Many patients notice improvement within 2-4 weeks after starting dietary changes and basic medications, though individual response times can vary.
Yes. Bulk-forming fiber is generally safe when introduced gradually and taken with plenty of fluids to minimize gas or bloating.
If over-the-counter treatments fail after two weeks, or if your symptoms worsen or you develop alarm signs (e.g., bleeding, weight loss), consult a gastroenterologist.
Yes. Biofeedback can be highly effective if pelvic floor dysfunction contributes to constipation, retraining muscles for proper coordination during evacuation.
Occasional use of stimulant laxatives (e.g., senna) is safe. Long-term or excessive use should be under medical supervision to avoid dependency or electrolyte imbalances.
Yes. Stress can slow gut motility, alter digestion, and exacerbate constipation symptoms.
Not always. Dr. Chadha recommends a colonoscopy if you have alarm features such as rectal bleeding, unexplained weight loss, or a family history of colon cancer.
