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Chronic Idiopathic Constipation

Dr. Scott at GastroDoxs in Houston focuses on chronic idiopathic constipation (CIC), offering comprehensive diagnosis and tailored treatment. Through advanced testing, fiber and hydration guidance, therapies including biofeedback and nerve stimulation, he empowers patients to achieve lasting relief and wellness.

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Scott Liu

About the Expert

Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.

Common Causes and Risk Factors

  • Slow movement of stool through the colon (colonic inertia)
  • Nerve or muscle dysfunction in the digestive tract
  • Diet low in fiber (insufficient fruits, vegetables, whole grains)
  • Inadequate fluid intake or dehydration
  • Certain medications (opioid pain relievers, some antacids, antidepressants)
  • Stress, anxiety, or changes in routine
  • Physical inactivity or prolonged bed rest
  • Age-related slowing of gastrointestinal motility

Signs and Symptoms

  • Fewer than three bowel movements per week
  • Hard, dry, or lumpy stools
  • Straining or pain when passing stool
  • Sensation of incomplete evacuation
  • Feeling of blockage in the rectum
  • Bloating, abdominal discomfort, or cramping
  • Need for manual maneuvers (e.g., digital evacuation)
  • Persistent symptoms lasting several months

How Dr. Scott Diagnoses CIC

Dr. Scott uses a step-by-step process to find the cause of your symptoms:

Reviewing Your Health History

He will ask about your eating habits, lifestyle, and any medications you take that might affect bowel function.

Performing a Physical Exam

Dr. Scott may gently examine your abdomen and perform a rectal exam to check for tenderness or abnormalities.

Ordering Lab and Imaging Tests

You may need blood tests, stool studies, or an abdominal X-ray to rule out other causes of constipation.

Measuring Colon Function

Special tests like anorectal manometry or a Sitz marker study help assess how well your colon and rectum move waste.

Dr. Scott
Treatment

Our Team offers a full range of care for chronic idiopathic constipation.

1. Lifestyle and Diet Modifications

  • Eat more fiber-rich foods like fruits, vegetables, and whole grains
  • Drink 6 to 8 glasses of water each day
  • Establish a regular bathroom routine
  • Stay active with walking, stretching, or light workouts

2. Medications

  • Fiber supplements such as psyllium or methylcellulose
  • Stool softeners like docusate sodium
  • Prescription laxatives including lubiprostone or linaclotide
  • Prokinetic medications to help move stool through the colon faster

3. Minimally Invasive or Advanced Procedures

  • Biofeedback therapy to train and strengthen pelvic muscles
  • Sacral nerve stimulation to improve bowel movement control
  • Colonoscopy to rule out blockages or inflammation
Scott Liu

About the Expert

Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.

Frequently Asked Questions

What is chronic idiopathic constipation?

Chronic idiopathic constipation (CIC) is ongoing constipation without a known cause, often lasting more than three months despite lifestyle changes.

What are the signs I might have CIC?

Common symptoms include fewer than three bowel movements per week, hard or lumpy stools, straining, bloating, and a feeling of incomplete evacuation.

When should I see a doctor?

If your symptoms persist longer than three months, worsen over time, or are accompanied by alarming signs (such as bleeding or severe pain), you should schedule an evaluation.

What is the ICD-10 code for this condition?

The ICD-10 code for chronic idiopathic constipation is K59.0.

Can changes in diet fix the problem?

Increasing fiber intake and staying well-hydrated can help some patients, but others may also require medications or therapies for lasting relief.

Are laxatives safe to use long-term?

Certain laxatives and stool softeners can be used safely under medical supervision, but overuse may lead to dependency or side effects. Always follow your doctor's guidance.

Will my insurance cover treatment at GastroDoxs?

GastroDoxs works with most major insurance plans. Our team can verify your benefits and coverage before your visit.

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