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Constipation | Specialized diagnosis and treatment in Madrid

If fiber, water, and exercise haven’t worked for you… you’re not alone.

Constipation is not just a bowel problem.

Sometimes it’s your pelvic floor. Or your nervous system. Or your habits.

Sometimes it’s all at once.

And what it certainly isn’t: something that can be fixed for everyone just by eating more kiwis.

If you’ve been struggling with constipation for a while, you’ve probably heard the same old advice: more water, more fiber, more exercise.

And if you’re here, it’s probably because you’ve tried everything… and nothing has worked.

Constipation is one of the most common digestive problems, but also one of the most misunderstood. It’s not just about how many days you go without going to the bathroom, but about how your body functions when you have a bowel movement.

That’s why at ProctoPelvis, we don’t give generic prescriptions: we study each case thoroughly to understand the real cause and how to solve it.

Common symptoms of constipation

  • Going to the bathroom less frequently than usual (some say less than 3 times a week)
  • Hard, dry, or chunky stools.
  • Sensation of not completely emptying the rectum.
  • Abdominal pain, gas, or bloating.
  • Not being satisfied with the way you defecate.

The important thing is not only the frequency, but how it affects you in your daily life: if constipation affects your life, it deserves a specialized evaluation.

Not all constipation is the same

Most people think that being constipated means “not going to the bathroom every day.”

But you can go every day and still be constipated.

You can have diarrhea… and be constipated.

You can have normalized straining, feeling bloated, bleeding, or spotting… and still not receive a proper diagnosis.

There are several types of constipation, and each requires a different approach:

  • Slow transit constipation: The colon works slowly and slows the passage of stool.
  • Obstructive defecation: the problem is at the level of the pelvic floor: due to an anatomical blockage or a lack of coordination of the muscles when defecating.
  • Secondary constipation: caused by other diseases, medications, or surgeries.
  • Gut-brain axis disorders: the best known is irritable bowel syndrome with constipation, where abdominal pain predominates.

Our approach is different

Here we don’t believe in generic advice or miracle solutions.

Nor do we believe in labels like you have “lazy bowel” or “it’s just your lot.”

Our approach is based on a simple idea:

To resolve constipation, you first have to understand what causes it.

And to do that, you need to look beyond the gut.

I have written a book about constipation: Guts in Action

Yes, I literally wrote the book on constipation.

“Guts in Action” (Vergara, 2023) is a practical, evidence-based guide to understanding how your body works… and what to do when it doesn’t.

If you’re tired of advice that doesn’t work for you, this book is a great place to start.

And if you want to go further, here we’ll help you apply what I explain there, tailored to your situation.

Diagnosis and treatment of constipation in Madrid

Not everyone needs the same thing.

That’s why we work with:

  • Physiotherapists specializing in the pelvic floor, to re-educate the body and improve coordination when defecating.
  • Dietitians and nutritionists trained in functional constipation, who understand that not everything can be solved with oat bran.
  • Specialized medical evaluation, where we analyze your history and symptoms thoroughly, without rushing or taking shortcuts.
  • FILAC (laser)

And we do it honestly: without promising miracles, but with the support you need.

We also offer the ability to perform advanced functional testing:

  • Dynamic ultrasound of the pelvic floor
  • High-resolution anorectal manometry
  • Ball ejection test

With these tools, we understand whether the problem is related to transit, muscle coordination, or another cause, and we can design a plan tailored to you.

How do we design your treatment plan?

  • We evaluate your case without rushing, to understand not only the symptom, but the entire context.
  • We use advanced testing when necessary, so we don't rely on assumptions.
  • Diseñamos un plan adaptado, que puede incluir fisioterapia, nutrición, medicación o una combinación de ellos.

Why is this important?

Because treating fiber and water alone is insufficient in most cases.

Our goal is to stop you from having to think about your gut and make going to the bathroom a part of your daily routine, like brushing your teeth.

Is this treatment for you?

You should consider a consultation if:

  • You've been suffering from constipation for a while and no one has been able to give you an explanation.
  • You've already tried "everything" recommended on the internet... without success.
  • You want to stop improvising and start understanding your body.
  • You're ready to do something different, without smoke and mirrors or magic solutions.

Why is this important?

Because treating fiber and water alone is insufficient in most cases.

Our goal is to stop you from having to think about your gut and make going to the bathroom a part of your daily routine, like brushing your teeth.

Book your proctology and pelvic floor consultation in Madrid

Proctology



You can find us here

Address: Vía de las Dos Castillas 9A, Pozuelo de Alarcón, Madrid 28224

Email: info@proctopelvis.com

WhatsApp: +34623781848

Hours:

Monday – Friday 10am to 2pm

Tuesday – 10am to 7pm

Saturday and Sunday – Closed