Chronic Constipation – Diagnosis & Treatment
Chronic constipation is a common yet often underestimated condition that can significantly affect quality of life.
Many patients suffer for months or even years without proper medical evaluation.
👉 In our practice, we offer a structured, medically guided approach to diagnosis and individualized treatment.
Chronic constipation typically includes:
- fewer than 3 bowel movements per week
- hard stools
- excessive straining
- sensation of incomplete evacuation
👉 In most cases, the cause is functional.
👉 However, it is essential to rule out serious underlying conditions.
Indication
Evaluation is recommended if you experience:
persistent constipation
excessive straining
incomplete bowel emptying
bloating or abdominal discomfort
alternating constipation and diarrhea
associated anorectal symptoms
Procedure
detailed medical history
physical examination
digital rectal exam (key step)
laboratory testing if needed
colonoscopy when indicated
specialized functional diagnostics if required
👉 The goal is a precise diagnosis and targeted treatment.
Prices
Initial consultation: €100
(fully credited if a procedure is performed)
Included in the price:
✔ Procedure
✔ Local anesthesia
✔ First follow-up
✔ Dressing material
Additional follow-ups: from €50 depending on effort
Costs vary depending on size, location, and complexity.
👉 In many cases, a significant portion of the costs – in some cases up to approximately 80% – may be reimbursed by health insurance.
📌 The exact reimbursement depends on your diagnosis, the type of procedure, and your individual insurance plan.
Duration
consultation: 30–45 minutes
follow-up: 15–20 minutes
Advantages
✔ structured approach
✔ individualized treatment
✔ modern medical care
✔ long-term improvement
🔹 Causes
Functional
- slow bowel transit
- pelvic floor dysfunction
- irritable bowel syndrome
Secondary
- medications
- metabolic disorders
- neurological conditions
- structural causes
🔹 Treatment (Stepwise Approach)
- lifestyle optimization
- medication
- advanced therapies
- pelvic floor therapy
- minimally invasive options
- surgery (rare, specialized centers)
⚠️ Important
👉 Not all constipation is the same.
👉 Proper diagnosis is essential for effective treatment.
