What Tests Are Needed for Severe Constipation

If you're experiencing severe constipation, it's important to undergo specific medical evaluations to identify any underlying causes. These tests can help determine whether the issue is functional or due to a more serious condition.

The following diagnostic procedures are commonly recommended:

1. Routine Abdominal Examination: A physical examination of the abdomen can reveal signs such as bloating, tenderness, or the presence of masses that may be contributing to constipation. This simple yet effective check helps doctors assess the overall condition of your digestive tract.

2. Laboratory Tests: These include stool tests and occult blood testing. They are crucial in identifying hidden gastrointestinal bleeding or inflammation, which could point to conditions like inflammatory bowel disease or infections that might be linked to chronic constipation.

3. Abdominal X-ray: This imaging test provides a clear view of the intestines and helps detect blockages, obstructions, or abnormal accumulations of stool. It serves as a preliminary screening tool to rule out structural or mechanical problems in the bowel.

4. Colonoscopy: During this procedure, a flexible tube with a camera is used to examine the inside of the colon and rectum. It allows doctors to spot tumors, polyps, ulcers, or signs of conditions like ulcerative colitis and intestinal tuberculosis, offering a more targeted diagnosis.

5. Specialized Functional Tests: For cases where the cause isn't immediately clear, advanced assessments such as slow transit studies, anorectal manometry, balloon expulsion tests, and defecography may be performed. These tests evaluate how well the bowels are functioning and can pinpoint issues related to pelvic floor dysfunction or nerve-related problems.

By undergoing these evaluations, patients can gain valuable insight into the root cause of their constipation and receive appropriate treatment tailored to their specific condition.