Biofeedback Therapy for Constipation in Delhi
Around 40% of people with chronic constipation push with the wrong muscles — the anal sphincter tightens instead of relaxing. No laxative fixes that. Biofeedback uses manometry sensors and a screen to show you what your muscles are doing, and trains the correct pattern in a handful of sessions.

Who benefits
Dyssynergic defecation proven on anorectal manometry; incomplete evacuation and straining; faecal incontinence with weak sphincters; some children with chronic constipation.
What a session involves
A small sensor catheter is placed; you watch the pressure trace and practise coordinated relaxation and pushing with the therapist's guidance. 45–60 minutes, typically 4–6 sessions a week or two apart, plus home exercises.

Results
International studies and Dr Paliwal's own experience show lasting improvement in 70–80% of dyssynergia patients, most of whom stop laxatives.
Delhi's first
Biofeedback has been offered in PSRI's luminal GI lab since 2010, the first such programme in a private hospital in Delhi.

Why patients choose Dr Paliwal for biofeedback therapy
- Trained at India's best: MD from Lady Hardinge, DM Gastroenterology & Hepatology from SGPGI Lucknow, SCE Gastroenterology (UK), advanced endoscopy training in Japan.
- 22+ years at Medanta, Artemis and PSRI — the complex cases other doctors refer.
- Delhi's first luminal GI & motility lab — breath tests, manometry, pH studies and biofeedback done in-house, not outsourced.
- No unnecessary tests. The phrase patients use most in 265+ Google reviews.
Questions about biofeedback therapy
Is biofeedback painful?
No. It is a training exercise, not a procedure.
How soon does it work?
Most patients notice easier evacuation after 2–3 sessions; the full course consolidates the change.
Other procedures
Upper GI Endoscopy
Camera examination of food-pipe, stomach and duodenum — with biopsy and treatment in the same session
How it worksColonoscopy
Full examination of the large intestine with polyp removal in the same sitting
How it worksERCP
Endoscopic treatment of bile-duct stones, jaundice and blockages — no open surgery
How it worksCapsule Endoscopy
Swallow a pill camera to photograph the whole small intestine — no sedation, no tube
How it worksAsk about biofeedback therapy at PSRI or the CR Park clinic.
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