Constipation Treatment in Nashik

By Dr. Jaideep Somvanshi  |  Panacea Clinic, Nashik  |  +91 9112220247

Understanding Chronic Constipation and ODS

Chronic constipation is a common gastrointestinal problem affecting 15–20% of the Indian population. When constipation is caused by an obstruction at the outlet of the rectum rather than slow colonic transit, it is called Obstructed Defecation Syndrome (ODS). ODS is characterised by difficulty in evacuating stools despite the urge to defecate, a sensation of incomplete evacuation, need for straining or digital manoeuvres, and excessive time spent in the bathroom.

Anatomical abnormalities contributing to ODS include rectocele (bulging of the rectal wall into the vagina), intussusception (internal rectal prolapse), and rectal prolapse. These conditions require surgical correction for lasting relief.

STARR Surgery for ODS

Stapled Transanal Rectal Resection (STARR) is a minimally invasive surgical procedure specifically designed to treat ODS caused by rectocele and rectal intussusception. At Panacea Clinic Nashik, Dr. Jaideep Somvanshi is one of the few surgeons in Nashik trained and experienced in performing STARR surgery.

In STARR, a special circular stapler device is used through the anus to remove excess rectal tissue (the prolapsed tissue causing the obstruction) and restore normal anatomy. The procedure corrects the underlying anatomical defect — providing significant improvement in straining, incomplete evacuation, and bowel frequency. Most patients experience dramatic relief from ODS symptoms after STARR surgery.

Other Treatments for Constipation at Panacea Clinic

Not all constipation requires surgery. At Panacea Clinic, a stepwise approach is followed:

• Dietary and lifestyle modifications — high-fibre diet, adequate hydration, regular exercise
• Medical management — stool softeners, laxatives, prokinetics under supervision
• Biofeedback therapy — for dyssynergic defecation (pelvic floor dysfunction)
• Anorectal manometry — to assess sphincter pressures and identify the cause
• STARR surgery — for ODS with rectocele/intussusception not responding to conservative treatment

Biofeedback Therapy for Pelvic Floor Dysfunction

A significant subset of constipation patients have dyssynergic defecation — where the pelvic floor muscles fail to relax during straining, leading to outlet obstruction without anatomical defect. For these patients, biofeedback therapy is the first-line treatment and has a success rate of over 70%. At Panacea Clinic, patients undergo anorectal manometry to confirm the diagnosis before biofeedback is initiated.

When to See a Proctologist for Constipation?

You should consult a proctologist if you experience constipation lasting more than 3 months, significant straining during defecation, blood in the stool, unexplained weight loss, sensation of incomplete evacuation, or need to use fingers to facilitate evacuation. Early evaluation can identify treatable causes and prevent complications.