Still constipated after fiber, water and laxatives?
Constipation means having fewer than three bowel movements a week, hard or dry stools, straining, or a feeling that you haven't fully emptied. When it lasts for weeks or keeps coming back, it's worth finding out why.
Constipation rarely stays a single symptom. Stool that sits in the colon can contribute to bloating, gas and discomfort, and slow motility can encourage bacterial overgrowth higher up in the gut. Methane produced by certain microbes can slow things down further. Looking at these connections is a core part of Dr. Kellman's approach.
Dr. Kellman reviews your bowel pattern, diet, medications and past treatments. Testing may include thyroid testing, a blood count, calcium and other labs, breath testing for methane and hydrogen, and stool analysis. A colonoscopy referral is recommended when your age or symptoms call for it.
Patients are seen in person in Midtown Manhattan and by telehealth.
Seek prompt medical care for blood in the stool, black stools, unexplained weight loss, new constipation after age 45, severe abdominal pain, vomiting, or being unable to pass stool or gas. A family history of colon cancer is also a reason for earlier evaluation.
Fewer than three bowel movements a week, or regular straining, is worth discussing with a doctor. Going several days without a bowel movement along with pain, vomiting or being unable to pass gas needs urgent care.
Yes. Low thyroid function slows digestion, and constipation is a common symptom of hypothyroidism.
Yes. Overgrowth of methane-producing microbes, known as intestinal methanogen overgrowth (IMO), is linked with slower transit and constipation. A breath test can measure methane.
Some laxatives are used long term under medical supervision, but they treat the symptom rather than the cause. It's best to discuss ongoing use with your doctor.
This page is for general information and is not medical advice. Individual results vary. Please consult a qualified clinician about your own care.