Constipation Treatment in South Delhi
Constipation is one of the most misunderstood problems in gastroenterology. Laxatives treat the symptom; they do nothing for the two commonest causes — slow colonic transit and dyssynergic defecation, where the pelvic floor muscles push the wrong way. Dr Paliwal contributed to the Indian national consensus on chronic constipation and runs Delhi's first anorectal motility lab.
Symptoms
- Fewer than three bowel movements a week
- Hard, lumpy stools; straining
- Feeling of incomplete evacuation or blockage
- Needing to press the abdomen or use fingers to pass stool
- Bloating, abdominal pain, laxative dependence
See a doctor urgently if
- Severe or worsening abdominal pain
- Vomiting blood, black stool or fresh bleeding with dizziness
- Jaundice with fever
- Unexplained weight loss, difficulty swallowing, persistent vomiting
PSRI Hospital emergency is open 24×7 — call +91 98104 55542.
Causes Dr Paliwal looks for
- Dyssynergic defecation (pelvic floor muscles fail to relax) — about 40% of chronic cases
- Slow-transit constipation
- IBS with constipation
- Low fibre and fluid intake, inactivity
- Medicines: painkillers, iron, antidepressants, calcium
- Hypothyroidism, diabetes, neurological disease
Tests that settle it
Chosen for your case — never a fixed panel.
High-Resolution Manometry
Oesophageal and anorectal pressure studies — the definitive test for motility disorders
How it worksBiofeedback Therapy
Retrains pelvic-floor muscles — cures most cases of dyssynergic constipation
How it worksColonoscopy
Full examination of the large intestine with polyp removal in the same sitting
How it works
How it is treated
- Anorectal high-resolution manometry and balloon expulsion test to find dyssynergia
- Biofeedback training — retrains the pelvic floor, cures the majority of dyssynergic patients without lifelong laxatives
- Colonic transit study for slow-transit constipation
- Modern agents (prucalopride, linaclotide) instead of habit-forming stimulant laxatives
- Colonoscopy when there are alarm features or new constipation after 45
Why Dr Paliwal for constipation
- Co-author of the Indian consensus on chronic constipation (Indian Journal of Gastroenterology, 2018)
- 3,500+ anorectal and oesophageal manometry studies; biofeedback available in-house
- Treats the cause — most patients come off daily laxatives
What to expect
Send your reports
WhatsApp scans, prescriptions and previous endoscopy pictures. The team books PSRI or the CR Park clinic.
Consultation
A proper history, examination and reports on screen. You leave knowing the likely cause and the plan.
Only the tests that matter
Breath test, FibroScan, endoscopy, manometry — chosen for your case, most done in-house.
Treatment & follow-up
Cause-directed treatment, diet plan from our dietitian, and review at the clinic or hospital.
Searching for "constipation specialist Delhi" or "chronic constipation treatment South Delhi"? Dr Paliwal consults at PSRI Hospital, Sheikh Sarai (near Saket, Malviya Nagar) and at the Gut Liver Obesity Clinic, Chittaranjan Park (near Greater Kailash, Kalkaji, Nehru Place, Alaknanda) — with evening appointments for working patients from across South Delhi, Faridabad and Noida.
Questions patients ask about constipation
Which doctor treats chronic constipation?
A gastroenterologist with a motility lab. Dr Paliwal set up Delhi's first such lab in a private hospital in 2010.
What is biofeedback for constipation?
A painless training programme using anorectal sensors that shows you, in real time, how to relax and coordinate the pelvic floor. It cures most cases of dyssynergic defecation.
Is daily laxative use harmful?
Stimulant laxatives used daily for years reduce bowel responsiveness. Osmotic laxatives are safer, but no laxative fixes a muscle-coordination problem.
When is constipation serious?
New constipation after 45, blood in stool, weight loss, anaemia or a family history of colon cancer needs colonoscopy.
Related conditions
Incomplete Evacuation
Straining and the sense of blockage
Symptoms, tests & treatmentIBS (Irritable Bowel Syndrome)
Pain, bloating and altered bowels — treated by subtype
Symptoms, tests & treatmentBloating
Distension with a mechanism, not just gas
Symptoms, tests & treatmentBlood in Stool
Never assume piles — find the source
Symptoms, tests & treatmentColon Cancer Screening & Polyps
Screening colonoscopy, polyp removal
Symptoms, tests & treatmentWhat patients say on Google
Not sure which doctor to see? Start here.
Bring your reports. Dr Paliwal finds the cause, explains it, and orders only the tests that matter.