Comprehensive evaluation and management of chronic constipation and Obstructed Defecation Syndrome. Most patients improve with non-operative care; STARR procedure for structural causes.
Chronic constipation is one of the most common reasons patients visit the OPD. While many cases are functional — related to diet, hydration, and lifestyle — some patients have an underlying structural cause known as Obstructed Defecation Syndrome (ODS).
ODS occurs due to conditions like rectocele, rectal intussusception, or pelvic floor dysfunction, where the anatomy or muscle coordination prevents normal evacuation. Dr. Krishnani provides thorough evaluation to distinguish functional from structural constipation, ensuring each patient gets the right treatment — most are managed non-operatively, while the STARR procedure is offered for confirmed structural ODS.
High-fibre diet, adequate hydration, regular exercise, and bowel habit training — the first line of treatment for most patients.
Osmotic laxatives, stool softeners, and prokinetic agents prescribed based on the type and severity of constipation.
Pelvic floor retraining for patients with dyssynergic defecation — helps coordinate muscles for effective evacuation.
Stapled Trans-Anal Rectal Resection for structural ODS (rectocele, intussusception). No external incisions, faster recovery.
| Aspect | Non-Operative | STARR Procedure |
|---|---|---|
| Best For | Functional constipation | Structural ODS (rectocele, intussusception) |
| Approach | Diet, medication, biofeedback | Stapled trans-anal resection |
| Recovery | Gradual improvement over weeks | 5-7 days to normal activities |
| Setting | OPD-based care | Day-care / short hospital stay |
| Incisions | None | No external incisions |
ODS is a condition where patients have difficulty evacuating stool despite feeling the urge. It is often caused by structural issues like rectocele, rectal intussusception, or pelvic floor dysfunction — not just dietary habits. Proper evaluation is essential to identify the underlying cause.
Yes, the majority of chronic constipation cases respond well to non-operative management — dietary modifications, adequate hydration, fibre supplementation, medical therapy, and biofeedback. Surgery is reserved for structural causes (like ODS) that fail conservative treatment.
STARR (Stapled Trans-Anal Rectal Resection) is a minimally invasive surgical procedure for Obstructed Defecation Syndrome. It corrects structural problems like rectocele and rectal intussusception by removing excess rectal tissue using a circular stapler — no external incisions, less pain, and faster recovery.
Consult a specialist if you experience persistent constipation lasting more than 3 months, excessive straining, feeling of incomplete evacuation, dependence on laxatives, bleeding during bowel movements, or if dietary changes and over-the-counter remedies have not helped.
Most patients resume normal activities within 5-7 days. Complete recovery typically takes 2-4 weeks. Post-operative care includes dietary guidance and follow-up visits to ensure smooth healing and improved bowel function.
Get expert evaluation and a personalised treatment plan. Most patients find relief without surgery.
The easiest way is via WhatsApp at 7016888309. You can also visit any of our 6 OPD locations during consultation hours. Walk-ins are welcome, but prior appointment is recommended for minimal waiting time.
Dr. Krishnani consults at 6 locations across Surat:
Aditya Hospital (Parvat Patiya): 09:30 AM to 11:30 AM
Gurunanak Hospital (Bhatar): 12:00 PM to 2:00 PM
United Green Hospital (Adajan): 5:00 PM to 6:00 PM
Arham Hospital (Adajan): 6:00 PM to 8:00 PM
Unique Hospital (Visiting Hospital): By Appointment
Mahavideh Dham (Visiting Hospital): By Appointment
Yes, we work with most major health insurance providers. Please bring your insurance card during consultation, and our team will help you understand your coverage and process the necessary paperwork.
Please bring any previous medical reports, prescriptions, test results, and your insurance card. Arriving 10 minutes early is recommended to complete any paperwork. You are welcome to bring a family member for support.
Yes, same-day appointments are often available depending on the schedule. WhatsApp us at 7016888309 to check availability. Walk-ins are also welcome during OPD hours.
Yes, post-operative follow-up consultations are included. Dr. Krishnani is also available via WhatsApp for any concerns during your recovery. Direct doctor access ensures you get timely guidance when you need it.
Laser surgery is significantly less painful than traditional methods. The procedure is done under anesthesia, and patients typically experience minimal discomfort. Most patients go home the same day and return to normal activities within 2-3 days.
Recovery varies by procedure. Laser piles surgery: 2-3 days. Fissure surgery: 4-6 weeks for complete healing. Fistula surgery: depends on complexity. Laparoscopic hernia repair: 1-2 weeks. Dr. Krishnani provides specific recovery guidelines for each patient.