Chronic Constipation — treatment in Lahore
Also known as: Chronic Idiopathic Constipation · Slow Transit Constipation · Functional Constipation
Chronic constipation is defined as infrequent bowel movements (fewer than 3 per week), hard or lumpy stools, straining, or a sense of incomplete evacuation lasting more than 3 months.
Overview
Chronic constipation is one of the most under-discussed problems in clinic — and one of the most fixable. We identify the cause and build a plan that works long term.
Signs & symptoms of Chronic Constipation
If you recognize one or more of these, it may be worth a consultation:
- Fewer than three bowel movements per week
- Hard, dry, or painful stools
- Straining or sense of incomplete evacuation
- Bloating and discomfort
Causes & risk factors
Several factors can contribute to Chronic Constipation. Identifying yours guides the treatment plan.
- Low fibre or fluid intake
- Sedentary lifestyle
- Slow colonic transit
- Pelvic floor dyssynergia
- Medications (opioids, iron, anticholinergics, calcium-channel blockers)
- Hypothyroidism
- Diabetes
- Hypercalcemia
- IBS-C
How Chronic Constipation is diagnosed
We order tests selectively — only what changes the plan.
- Bloodwork (thyroid, calcium)
- Colonoscopy in selected patients
- Anorectal manometry in selected patients
Treatment options
Treatment for Chronic Constipation is personalized — the right plan depends on your symptoms, test results, and life situation.
- 1 Fibre and hydration optimization
- 2 Osmotic laxatives (polyethylene glycol, lactulose)
- 3 Stimulant laxatives short-term
- 4 Prokinetic agents in selected patients
- 5 Biofeedback for pelvic floor dysfunction
Can Chronic Constipation be prevented?
Simple, evidence-based steps that reduce your risk.
- 25–30 g of fibre daily
- At least 2 L of fluid daily
- Daily physical activity
- Don't ignore the urge
When should you see a doctor about Chronic Constipation?
Reach out without delay if you notice any of the following.
- Sudden change in bowel habits over age 50
- Blood in stool
- Unexplained weight loss
- Severe abdominal pain
- Failure to respond to standard laxatives
Frequently asked questions about Chronic Constipation
How many bowel movements per week are normal? +
Anywhere from 3 per week to 3 per day is considered normal. What matters is comfort, stool form, and consistency of pattern for you.
Is daily laxative use safe? +
Osmotic laxatives like polyethylene glycol are safe for long-term use. Stimulant laxatives are best for short-term or intermittent use to avoid tolerance.
Do I need a colonoscopy for constipation? +
Not always — but new-onset constipation over age 50, alarm symptoms, or failure of standard treatment warrant colonoscopy to exclude colon cancer and other structural causes.
Related services
How we treat Chronic Constipation at Javaid Poly Clinic.
Useful self-check tools
Free, evidence-based — try them before your visit.
Dr Usman Javaid
Gastroenterology & Medicine Diplomat · DIP (Gastro) UK · DIP (Hepatology) UK · DIP (Diabetes) UK · MCPS FM-TC · MPH · FRSPH (UK) · FRCP (Colombo) · Organ Transplant Advisor · CHPE (NUMS) · Preventive Medicine Specialist · Owner of Javaid Poly Clinic.
This page was medically reviewed by Dr Usman Javaid on . Content is updated when new evidence or guidelines emerge.
Medical disclaimer: This page is for educational purposes and does not replace medical consultation. If you have symptoms of Chronic Constipation or any other condition, please book a consultation. In emergencies, call 1122 or visit your nearest emergency department.