Understanding Constipation
Constipation is one of the most common digestive complaints, affecting approximately 16% of adults in the United States. It is generally defined as having fewer than three bowel movements per week, or stools that are hard, dry, and difficult to pass. Chronic constipation persists for several weeks or longer and can significantly impact quality of life.
While occasional constipation is usually harmless and can be managed with lifestyle changes, chronic constipation may indicate an underlying condition such as slow-transit constipation, pelvic floor dysfunction, irritable bowel syndrome (IBS-C), or even an obstruction that requires proper medical evaluation.
At Dr. Jing Tong Gastroenterology in Flushing, NY, we go beyond symptom relief to identify and address the root cause of your constipation. Dr. Tong, trained at Johns Hopkins School of Medicine, provides evidence-based treatment strategies tailored to each patient's specific needs.
Common Symptoms
Fewer Than 3 BMs Per Week
Hard, Lumpy Stools
Straining During BMs
Bloating & Discomfort
Feeling of Incomplete Evacuation
Abdominal Pain & Cramping
Our Treatment Approach
Dietary & Lifestyle Modifications
Increasing dietary fiber (25-35g daily), adequate hydration (8+ glasses of water), regular physical activity, and establishing consistent bathroom habits form the foundation of constipation management. Dr. Tong provides specific dietary guidance tailored to your needs.
Medication Therapy
When lifestyle changes are insufficient, Dr. Tong may prescribe osmotic laxatives (polyethylene glycol, lactulose), stimulant laxatives, secretagogues (lubiprostone, linaclotide, plecanatide), or serotonin receptor agonists (prucalopride) based on the type and severity of constipation.
Diagnostic Evaluation
For refractory constipation, Dr. Tong conducts thorough testing including colonoscopy to rule out structural causes, colonic transit studies, anorectal manometry, and defecography to identify slow-transit constipation or pelvic floor dysfunction.
Biofeedback & Pelvic Floor Therapy
For patients with pelvic floor dyssynergia (impaired coordination of muscles during defecation), biofeedback therapy can retrain the muscles and significantly improve bowel function, with success rates of 70-80%.
Why Choose Dr. Jing Tong?
Johns Hopkins Trained
Expert training in comprehensive constipation evaluation and advanced treatment strategies.
Therapeutic Endoscopy
Colonoscopy expertise to rule out structural causes like strictures, masses, or polyps.
Multilingual Care
Discuss sensitive topics comfortably in Mandarin, Shanghainese, or English.
Frequently Asked Questions
Is it normal to not have a daily bowel movement?
Yes, "normal" bowel frequency ranges from three times a day to three times a week. Constipation is defined as fewer than three bowel movements per week or stools that are consistently hard and difficult to pass. The key is what is normal for you.
Can chronic constipation be a sign of colon cancer?
While constipation alone rarely indicates colon cancer, a sudden change in bowel habits, especially when accompanied by blood in stool, unexplained weight loss, or narrowing stools, should be evaluated promptly. A colonoscopy can rule out serious conditions.
Are laxatives safe for long-term use?
Certain types of laxatives, particularly osmotic laxatives like polyethylene glycol, are safe for long-term use under medical supervision. However, chronic use of stimulant laxatives should be avoided. Dr. Tong will recommend the safest long-term approach for your situation.
How much fiber should I eat daily?
The recommended daily fiber intake is 25-35 grams. Most Americans consume only about 15 grams. Increase fiber gradually to avoid bloating and gas. Good sources include fruits, vegetables, whole grains, beans, and psyllium husk supplements.
When should I see a gastroenterologist for constipation?
Seek specialist evaluation if constipation persists despite lifestyle changes and over-the-counter treatments, if it is accompanied by blood in stool, severe pain, weight loss, or if you are over 45 and have not had a screening colonoscopy.
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Get Relief from Chronic Constipation
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