- Teamwork. Doctors in gastroenterology, along with specialists in colon and rectal surgery, gynecology, and physical medicine and rehabilitation, work together to make an accurate diagnosis and to develop a treatment plan for your needs.
- Advanced diagnostic resources. Specialists at Mayo Clinic can use a wide variety of tests to identify the cause of constipation, including tests to assess movement of material through your gastrointestinal tract (scintigraphy), muscle contractions in your colon (motility tests), and function of your rectal and pelvic floor muscles.
- A full range of treatment options to consider. Mayo Clinic doctors will work with you to review all of your treatment options and choose the treatment that best suits your needs and goals. The range of treatments offered to people with chronic constipation includes counseling in nutrition and lifestyle changes, medications, surgery, and biofeedback training.
- Experimental treatments. Mayo Clinic is actively involved in research on new therapies for chronic constipation, and you may have access to experimental treatments not available elsewhere.
Advanced diagnosis and treatment
Specialists in the Department of Physical Medicine and Rehabilitation at Mayo Clinic in Rochester, Minn., provide a treatment program for chronic constipation caused by tension or poor coordination of the pelvic floor muscles (pelvic floor dysfunction). This type of chronic constipation is is common and nothing to be embarrassed about.
The two-week Bowel Evacuation Disorders Program focuses on retraining the pelvic floor muscles. These muscles control the outlets of the bowel and bladder. If your pelvic floor muscles don't work together properly, you may have difficulty passing a bowel movement.
During the program, participants use biofeedback to learn to relax specific muscles and practice training with a water-filled balloon. The program includes home follow-up. Most people who participate in the retraining program experience improvement in the control and coordination of their pelvic floor muscles.
To participate in the Bowel Evacuation Disorders Program, you must be referred by a physician at Mayo Clinic's campus in Minnesota. You may require additional tests to confirm the diagnosis of pelvic floor dysfunction. For more information about Mayo Clinic's Bowel Evacuation Disorders Program, call 507-538-3836.
Oct. 19, 2016
- Constipation. National Digestive Diseases Information Clearinghouse. http://digestive.niddk.nih.gov/ddiseases/pubs/constipation/index.aspx. Accessed July 17, 2016.
- U.S. News best hospitals 2015-2016. U.S. News & World Report. http://health.usnews.com/best-hospitals/rankings/gastroenterology-and-gi-surgery. Accessed April 6, 2016.
- Bharucha AE, et al. American Gastroenterological Association Medical Position Statement on Constipation. Gastroenterology. 2013;144:211.
- Rakel D. Constipation. In: Integrative Medicine. 3rd ed. Philadelphia, Pa.: Saunders Elsevier; 2012. http://www.clinicalkey.com. Accessed July 17, 2016.
- Feldman M, et al. Constipation. In: Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management. 10th ed. Philadelphia, Pa.: Saunders Elsevier; 2016. http://www.clinicalkey.com. Accessed July 17, 2016.
- 2015-2020 Dietary Guidelines for Americans. U.S. Department of Health and Human Services and U.S. Department of Agriculture. http://health.gov/dietaryguidelines/2015/guidelines. Accessed July 17, 2016.
- Wald A. Etiology and evaluation of chronic constipation in adults. http://www.uptodate.com/home. Accessed July 17, 2016.
- Wald A. Management of chronic constipation in adults. http://www.uptodate.com/home. Accessed July 17, 2016.
- Brown AY. Allscripts EPSi. Mayo Clinic, Rochester, Minn. May 4, 2016.
- Picco MF (expert opinion). Mayo Clinic, Jacksonville, Fla. August 7, 2016.