Constipation

Constipation and pelvic pain often go together, as the strain on the abdominal muscles during constipation can lead to uncomfortable cramping and pain in the lower abdomen. In addition, the muscles surrounding the colon are, in fact, the levator ani complex or pelvic floor. When we are constipated, we often push or strain to defecate, which in turn is a contraction of the pelvic floor musculature and can be related to pain.

What is the treatment for constipation?

Treatment for constipation associated with pelvic floor dysfunction may include:

Physical therapy exercises that focus on lengthening and strengthening the abdominal and pelvic muscles
Lifestyle changes such as increasing fiber intake and drinking more water
Medications
Injections like trigger point injections or BOTOX

It is essential to consult a doctor if you experience any new patterns of pelvic pain or other red-flag symptoms, such as chronic constipation.

How does pelvic floor dysfunction relate to constipation?

Constipation can cause pelvic pain due to repeated strain on the abdominal muscles. This can lead to the weakening of the pelvic muscles and losing support for the organs in that area, resulting in an inability to evacuate stool or control urine leakage.
Pelvic floor dysfunction is often seen in patients with constipation. These symptoms include:

Infrequent bowel movements
Decreased amount of stool
Straining to have a bowel movement
The feeling of incomplete evacuation

What are the causes and symptoms of constipation?

There are many potential causes for constipation, including:

Diet, such as deficient fiber intake
Dehydration from not drinking enough water
Certain medications, such as opioids
Lack of physical activity and exercise
Hormonal imbalances, such as during pregnancy
Neurological disorders, such as Parkinson’s disease
Some mental health conditions, such as depression

Some medical conditions, such as irritable bowel syndrome, can cause constipation. Treatment for constipation will vary depending on the underlying cause. It is vital to consult with a specialist who can determine the best course of action for your condition. The most common symptoms of constipation include:

Difficulty passing stools
Having fewer than three bowel movements per week
Feeling bloated or full after eating only a small amount of food
Nausea
Vomiting
Abdominal pain or cramps
Loss of appetite
Fatigue

Why see a pelvic pain specialist for constipation?

Seeing a pelvic pain specialist can be beneficial for people who are suffering from constipation. Based on this information, a specialist can assess the symptoms to identify the underlying cause of constipation while suggesting effective treatment options. Treatments may include physical therapy exercises to strengthen the abdomen and pelvic muscles or lifestyle changes such as increasing fiber intake. Additionally, a specialist can provide advice on diet and exercise that may help alleviate constipation-related symptoms.

Why choose Pelvic Pain Doc for your constipation treatment?

At our boutique concierge urology and gynecology practice, we provide a holistic approach to lifestyle changes and treatment for constipation.

Our fellowship-trained doctor has expertise in sexual and pelvic health and is both a urologist and a gynecologist. The practice founder, Dr. Bahlani, is passionate about empowering patients with the knowledge, skills, and support they need to manage pain, control symptoms, and live without discomfort. Our mission is to help patients achieve the quality of life they deserve. Dr. Bahlani forges a positive patient-doctor relationship that is genuinely collaborative. With 5-star care and expertise from a thought leader in pelvic floor disorders in NYC, you no longer have to live with constipation - there is hope. Contact us today to learn more.