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Irritable Bowel Syndrome Constipation

Experience personalized care for IBS-C with Dr. Rishi Chadha at GastroDoxs in Houston. We combine expert diagnosis, tailored diet and lifestyle strategies, medication management, and advanced therapies to relieve constipation, pain, and bloating-helping you regain comfort and confidence every day.

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Harris County Medical Society
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American Society for Gastrointestinal Endoscopy
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Houston Methodist leading Medicine
HCA Houston Healthcare
Rishi Chadha

About the Expert

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.

What Is Irritable Bowel Syndrome Constipation?

IBS-C is a long-term digestive problem. It causes belly pain, gas, and trouble passing stool. People with IBS-C often feel bloated and have hard or infrequent bowel movements. While it's not dangerous, it can affect your daily life. With the right care, it can be managed.

Common Causes and Risk Factors

  • Low fiber in the diet
  • Slow movement of the gut
  • Stress or anxiety
  • Family history of IBS
  • Hormonal changes (often in women)
  • Past gut infections

Signs and Symptoms

  • Fewer than 3 bowel movements each week
  • Hard, dry, or lumpy stools
  • Pain or straining when using the bathroom
  • Gas, bloating, or belly cramps
  • Sometimes switching between constipation and diarrhea

How Dr. Rishi Chadha Diagnoses Irritable Bowel Syndrome Constipation?

Comprehensive Medical History

Dr. Chadha begins by reviewing your symptoms, diet, stress levels, and family history to understand your digestive health.

Physical Examination

An abdominal exam checks for tenderness, bloating, and other physical signs of IBS-C.

Laboratory Testing

Blood and stool tests help rule out infections, inflammation, celiac disease, and thyroid issues.

Rome IV Criteria

He applies the Rome IV criteria-focusing on pain, stool frequency, and stool form-to confirm an IBS-C diagnosis.

Colonoscopy & Imaging (if indicated)

For patients over 50 or those with 'red flag- signs like weight loss or bleeding, Dr. Chadha may recommend a colonoscopy or abdominal imaging to exclude other conditions.

Rishi Chadha
Treatment

Treatment Options for IBS-C at GastroDoxs in Houston

1. Diet and Lifestyle Tips

  • Add more soluble fiber (like oats or psyllium husk)
  • Drink 8+ cups of water daily
  • Eat smaller, more frequent meals
  • Avoid trigger foods such as:
    • Dairy (if you're lactose intolerant)
    • Fried or high-fat foods
    • Caffeine
    • Beans, broccoli, and fizzy drinks
  • Try gentle exercise like walking or yoga
  • Practice stress relief with breathing exercises or meditation

2. Medications

  • Fiber supplements (e.g., methylcellulose, polycarbophil)
  • Osmotic laxatives (e.g., polyethylene glycol) for short-term relief
  • Prescription options if needed:
    • Lubiprostone (Amitiza)
    • Linaclotide (Linzess)
    • Plecanatide (Trulance)

3. Advanced Options (If Needed)

  • Biofeedback therapy to improve pelvic floor muscle control
  • Nerve stimulation in select cases to promote regular bowel movements
Rishi Chadha

About the Author

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.

Frequently Asked Questions

What causes IBS-C?

A mix of diet low in fiber, slow gut movement, stress, hormonal changes, past infections, and family history of IBS.

Can diet alone fix IBS-C?

For many people, yes. A fiber-rich, balanced diet along with adequate fluids often provides significant relief.

What foods should I avoid?

Limit or skip trigger foods such as high-fat or fried items, caffeine, dairy if lactose intolerant, beans, broccoli, and fizzy drinks.

What's the difference between IBS-C and IBS-D?

IBS-C causes infrequent, hard stools and constipation, whereas IBS-D leads to frequent loose or watery stools.

How fast does IBS-C improve?

Many patients see improvement within 2 to 4 weeks when following a tailored plan of diet, lifestyle, and medications.

Are laxatives safe to use?

Short-term use of osmotic laxatives like polyethylene glycol is generally safe; long-term use should be supervised by a doctor.

Does stress make IBS-C worse?

Yes. Stress can slow digestion, increase pain, bloating, and worsen constipation symptoms.

Is IBS-C dangerous?

No. IBS-C is not life-threatening, but it can significantly impact daily comfort and quality of life.

Is exercise good for IBS-C?

Yes. Gentle activities like walking or yoga help stimulate bowel function and reduce stress.

When should I see a specialist?

If symptoms last more than 3 months, occur fewer than three times per week, or significantly affect your daily life, it's time to seek expert care.

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