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.
Constipation means you have fewer than three bowel movements per week. Stools are often hard, dry, or painful to pass, and you may feel bloated or like you still need to go. In Houston's warm weather, dehydration can make symptoms worse.
He reviews your diet, fluid intake, exercise habits, medications, and overall health history to identify potential triggers.
We check thyroid function, electrolytes, and other lab values to rule out metabolic or hormonal causes of slow transit.
For patients over 50 or those with bleeding, a colonoscopy examines the colon lining for polyps, strictures, or other pathology.
If constipation is persistent, specialized tests (anorectal manometry, balloon expulsion, or whole-gut transit studies) assess nerve and muscle function.
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.
Anywhere from three times a day to three times a week is considered normal.
Limit cheese, white bread, and large amounts of red meat, which can slow digestion.
Yes. Straining during bowel movements can lead to lower back discomfort or soreness.
Ripe bananas are high in fiber and usually help digestion. Unripe (green) bananas may slow bowel movements.
The typical adult dose is 17 grams (about one heaping tablespoon) once daily. Always follow your doctor's instructions.
Yes. Severe or prolonged constipation can lead to nausea, bloating, or even vomiting in extreme cases.
See a provider if constipation lasts more than three weeks, or if you experience severe pain, unexplained weight loss, bleeding, or vomiting.
Bulk-forming laxatives (e.g., psyllium) are safe for regular use. Avoid daily stimulant laxatives unless specifically directed by your physician.
Yes. Stress and anxiety can alter gut motility and contribute to constipation.
Insufficient fluids cause the colon to absorb more water from stool, making it hard, dry, and difficult to pass.
