Chronic Constipation in Brooklyn? Pelvic Floor Dysfunction May Be the Cause

Pelvic floor dysfunction is an often overlooked cause of chronic constipation, bloating, and difficulty with bowel movements, particularly in adults who do not respond to standard treatments. Many patients in Brooklyn and throughout New York City assume constipation is related only to diet or stool consistency, but in many cases the underlying issue is improper coordination of the pelvic floor muscles, which play a key role in normal defecation.

When pelvic floor dysfunction is present, the muscles that should relax during a bowel movement instead contract or fail to coordinate properly. This condition, also referred to as dyssynergic defecation, can cause symptoms such as excessive straining, a sensation of incomplete evacuation, abdominal bloating, gas, and prolonged time spent on the toilet. Patients may report regular bowel movements yet continue to feel constipated or uncomfortable.

Because the problem involves muscle coordination rather than stool formation alone, common treatments such as fiber supplements, stool softeners, or laxatives often provide limited relief. Many patients with pelvic floor dysfunction experience persistent bloating or worsening discomfort despite medication use. This condition is also a frequent reason for inadequate bowel preparation before colonoscopy.

Accurate diagnosis is essential for effective treatment. Dr. Husney provides in-office testing in Brooklyn to assess pelvic floor dysfunction, including Rectal Exam for Dyssynergia (RED) and rectal sensation testing. These evaluations help determine whether pelvic floor muscle dysfunction, outlet obstruction, or abnormal rectal sensation is contributing to chronic constipation. Identifying the exact cause allows for targeted treatment rather than unnecessary escalation of medications.

Once diagnosed, pelvic floor dysfunction is highly treatable. Management may include pelvic floor biofeedback therapy, customized bowel regimens, and coordination with pelvic floor physical therapy. Treating the underlying dysfunction often leads to significant improvement in bowel habits, reduced bloating, and better quality of life.

Early evaluation is especially important for Brooklyn patients with chronic constipation, bloating, or repeated difficulty completing colonoscopy preparation, as well as those with a history of colon polyps or a family history of colon cancer. Proper diagnosis supports effective colorectal cancer screening and long-term digestive health.

Dr. Jack Husney is a board-certified gastroenterologist in Brooklyn with expertise in evaluating complex constipation and pelvic floor disorders. He takes a comprehensive, patient-centered approach, offering advanced diagnostic testing and individualized treatment plans for patients throughout Brooklyn and the surrounding NYC area.

If you are experiencing ongoing constipation, bloating, or difficulty with bowel movements despite treatment, scheduling a consultation with a Brooklyn gastroenterologist may help identify the cause and provide lasting relief.