Twenty years of laxatives ended with six biofeedback sessions
A retired teacher dependent on daily stimulant laxatives and enemas, with straining and incomplete evacuation since her 40s.
Presentation
Two decades of constipation, multiple 'normal' colonoscopies, escalating laxative doses, and a sense of blockage despite soft stool.
Approach
Anorectal high-resolution manometry showed paradoxical sphincter contraction on pushing and a failed balloon expulsion — dyssynergic defecation. Six biofeedback sessions over eight weeks with home exercises; laxatives tapered as coordination improved.
Outcome
Spontaneous, complete bowel movements most days without laxatives at three months; sustained at one year.
Where it was managed
PSRI Hospital, Sheikh Sarai (procedures, admission) and the Gut Liver Obesity Clinic, Chittaranjan Park (consultations and follow-up).
The lesson
Forty percent of chronic constipation is a muscle-coordination problem no laxative can fix. Delhi's first motility lab exists for exactly these patients.
Representative case based on real outcomes; personal details changed to protect privacy. Individual results vary.
Related conditions & procedures
Constipation
Motility lab and biofeedback, not more laxatives
Symptoms, tests & treatmentIncomplete Evacuation
Straining and the sense of blockage
Symptoms, tests & treatmentHigh-Resolution Manometry
Oesophageal and anorectal pressure studies — the definitive test for motility disorders
How it worksBiofeedback Therapy
Retrains pelvic-floor muscles — cures most cases of dyssynergic constipation
How it works
Why patients choose Dr Paliwal for complex cases
- Trained at India's best: MD from Lady Hardinge, DM Gastroenterology & Hepatology from SGPGI Lucknow, SCE Gastroenterology (UK), advanced endoscopy training in Japan.
- 22+ years at Medanta, Artemis and PSRI — the complex cases other doctors refer.
- Delhi's first luminal GI & motility lab — breath tests, manometry, pH studies and biofeedback done in-house, not outsourced.
- No unnecessary tests. The phrase patients use most in 265+ Google reviews.
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