1.9K Reviews    |    4.7 Star Rating    |    20+ years of experience    |    72k+ Patients Treated

Top Constipation Gastroenterologist

Have constipating issues? Dr. Bharat Pothuri is a specialist in GastroDoxs in Houston who offers professional care, starting with lifestyle modification and dietary changes and ending with advanced diagnostics and minimally invasive therapy. Our individualized treatment will provide relief, better bowel functioning, and better quality of life of the patients.

Call Us 832-632-4070 Schedule Now Click Here Text Us 832-632-4070 Learn More Click Here
Texas Medical Board
Harris County Medical Society
American College of Gastroenterology
American Society for Gastrointestinal Endoscopy
Memorial hermann
Houston Methodist leading Medicine
HCA Houston Healthcare
Bharat Pothuri

About the Expert

Dr. Bharat Pothuri is a board-certified gastroenterologist and the founder of GastroDoxs. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.

What Is Constipation?

Constipation is a condition whereby the number of bowel movements per week is below three. Stool may be hard, dry or painful to pass and one may be bloated or feel that they have not emptied their bowels.

Usual Cause and Risk Factors

  • Poor nutrition (diet low in fiber i.e., fruits, vegetables, whole grains, etc.)
  • Poor intake of fluids such as failure to drink enough water.
  • Lack of physical exercise or a sedentary lifestyle.
  • Some drugs (e.g., pain medications, Levodopa, some antidepressants)
  • The urge to pass a bowel is ignored or deferred.
  • Changes caused by age of gut motility (more frequent in older people)
  • Changes in hormones (i.e., change in pregnancy)
  • Hypothyroidism, diabetes, neurological disorders are underlying conditions.

Signs and Symptoms

  • Difficulty in bowel movement.
  • Hard, dry, or lumpy stools
  • Feeling of an incomplete evacuation.
  • Abdominal gastric distension or pain.
  • Pain or cramps in the lower abdomen.
  • Lower-back pressure or ache

Expert Treatment for Constipation by Dr. Bharat Pothuri

Dr. Pothuri uses a step-by-step approach:

Medical History and Symptom Review

He inquires of the frequency of bowel-movement, of the nature of bowel-stool, of dietary practices, of intake of liquids, of medications used and any abdominal or rectal discomfort.

Physical Examination

He does a tender abdominal assessment to test distention or pain and a digital rectal assessment to determine tonality and obstruction.

Stool Diary and Charting

You can be requested to maintain a 7-day diary of your bowel movements, the consistency of stool (Bristol Stool Scale) and accompanying symptoms.

Imaging and Functional Tests

  • Abdominal X-ray or Sitz-marker transit study to evaluate stool burden and colonic motility.
  • Anorectal manometry to measure rectal pressures, sphincter function and muscle coordination.
  • Colonoscopy (when indicated) to rule out structural lesions, strictures or colonic disease.

Advanced Testing (if needed)

Defecatory mechanics In suspected obstructive defecation, a balloon-expulsion test or defecography is performed to determine and describe the visualization and measurement of defecatory mechanics.

Dr. Bharat Pothuri
Treatment

Our Team offers a full range of care for constipation.

Lifestyle and Diet Changes

  • Individualized diets of high levels of fiber based on fruits, vegetables, beans, whole grains and seeds.
  • Recommendations to reach 25-30 grams of fiber per day.
  • Prescription when to drink 64 ounces of water a day.
  • Physical activity ideas like a 20-minute walk that should be done daily in order to stimulate bowel movements.

Medications

  • Psyllium or methylcellulose fiber supplements.
  • Osmotic laxatives (e.g. Miralax in an adult dosage of 17 grams daily)
  • Magnesium citrate to relieve immediately as required to prevent dehydration
  • Sulfate softeners are used like docusate sodium to loosen stool.

Minimal or Intensive Interventions

  • Biofeedback treatment of the anorectal and pelvic floor muscles.
  • Refractory cases: Nerve stimulation.
  • Surgical interventions in some patients such as partial colon excision.
6K

Patients Treated

Dr. Pothuri has treated more than 6K patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.

20Y

Years of Experience

With over 20 years of experience, GastroDoxs has been a trusted provider of gastroenterology care, focusing on delivering the best outcomes for patients

Bharat Pothuri

About the Author

Dr. Bharat Pothuri is a Board-Certified Gastroenterologist and Hepatologist. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.

Frequently Asked Questions

Does constipation result in back pain?

Yes. Lower back may be influenced by pressure in the belly.

How many normal bowel movements do you have?

Three times a week or three times a day will be considered normal.

Which food should I consume as more fibre?

The good ones are oatmeal, apples with skin on them, lentils, broccoli, whole grain bread and chia seeds.

What should be the level of intake of Miralax?

The amount for most adults is 17 grams a day. Do not overdose unless prescribed to do so by your physician.

Is magnesium citrate safe?

Yes, if used the right way. It shifts quickly, thus it should be used only when necessary and you should stay hydrated.

When should I see a doctor?

The symptoms should not last over two weeks, and the patient should report pains, appearance of blood in the stool, and unexplained weight loss, which are reasons to see a doctor immediately.

Related Blogs
Abdominal Pain

The Worst Ways to Manage Constipation (and What to Do Instead)

Read More
Abdominal Pain

3 Reasons You May Have Chronic Constipation

Read More
Abdominal Pain

Why You Shouldn't Ignore Constipation

Read More