• MCDPA Treatment - (Medicines-Constac-Diet-Physiotherapy-Ayurveda).
  • Patented Non-Surgical Treatment Options
  • Quick Recovery
  • Get back to Routine in 2-3 days
  • Day care treatment
  • Cashless facility, Full insurance coverage
  • Leaves no scars
  • No external incisions required


What is Constipation?

Constipation occurs when a person's bowel movements are uncomfortable or infrequent. Constipation is characterised by bowel movements that result in the passage of small amounts of hard, dry stool less than three times per week. Normal stool elimination, on the other hand, can be as little as three times a day or as much as three times a week, depending on the individual.

You are not alone if you have constipation. According to Abbott, constipation affects 22% of the adult Indian population, with 13% having severe constipation. Constipation affects 6% of the Indian population and is associated with a variety of health problems.

What are the symptoms?

If your constipation does not improve with self-care or if you have been constipated for an extended period of time, see a doctor.

Constipation can cause the following symptoms:

  • You only have three bowel motions every week.
  • Your stools are lumpy, dry, and firm.
  • It's tough or unpleasant for you to pass stools.
  • You're experiencing stomach pains or cramps.
  • You're bloated and sick to your stomach.
  • After a bowel movement, you have the impression that you haven't entirely emptied your bowels.
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Constipation can be caused by a number of things, including nutrition, medications, medical conditions, and pregnancy.

Constipation can be brought on by a variety of factors, including :

  • Consumption of low-fibre foods.
  • Drinking too little water (dehydration).
  • Physical activity is insufficient.
  • Changes in your usual routine, such as travelling, eating, and sleeping at different times.
  • drinking an excessive amount of milk or cheese
  • Stress.
  • Trying to resist the temptation to use the toilet.
  • Antacids, pain relievers, diuretics, and certain Parkinson's disease therapies are examples of medications.

Constipation can result from a number of medical and health conditions, including :

  • Endocrine problems include hypothyroidism (underactive thyroid gland), diabetes, uremia, and hypercalcemia.
  • Colorectal cancer is a type of cancer that starts in the colon and spreads to the rest of the body.
  • Irritable bowel syndrome (IBS) is a kind of irritable bowel syndrome that affects the intestines (IBS).
  • Diverticular disease affects the gut and is a kind of malignancy.
  • Constipation as a result of a faulty outlet. (A coordination issue with the pelvic floor muscles.) These muscles support the organs in the pelvis and lower abdomen. Stool discharge necessitates their use.)
  • Neurologic illnesses include spinal cord injuries, multiple sclerosis, Parkinson's disease, and stroke.
  • Organ diseases such as amyloidosis, lupus, and scleroderma are only a few examples.
  • Pregnancy.


Although constipation is fairly straightforward to diagnose, in chronic cases, exams may be required to discover the underlying cause. Your doctor may order one or more of the following tests after a comprehensive review of your bowel habits, overall health, and lifestyle :

  • Rectal examination or Proctoscopy - This can be performed with a lubricated gloved finger or a Proctoscope equipment.
  • Colonoscopy is a technique that examines the intestine's bottom part. During the test, a long flexible tube with a light and camera at the end is inserted through the anus. On a computer screen, it allows your doctor to examine the insides of your gut.
  • Anal Manometry - This test entails inserting a small device into your rectum and attaching it to a machine that measures pressure when you squeeze, relax, and push your rectum muscles. This gives you an idea of how well the nerves and muscles in the rectum are working.
  • MRI Defecography - MRI defecography is a non-invasive method that employs magnetic resonance imaging to take images at various stages of defecation in order to measure how well the pelvic muscles are behaving and to provide insight into rectal function. It's used to determine what's causing faecal incontinence, constipation, and other issues that make passing faeces difficult, such as pelvic organ prolapse.
  • Thyroid function tests, B12, D3, and calcium levels in the blood are all things to look at.
  • Gluten intolerance testing

Risk Factor

Constipation is a condition in which bowel motions are difficult or infrequent. Some risk factors are listed below :

  • Consuming 20 to 35 grams of dietary fibre every day.
  • Insufficient hydration causes faeces to dry out.
  • Insufficient physical exercise
  • Avoid passing bowel movements when you have a need.
  • Using opiates or other narcotics as a recreational drug.
  • You're going through a major life or habit change, such as a pregnancy or vacation.
  • To mention a few illnesses or conditions, having diabetes, lupus, or multiple sclerosis.
  • Irritable bowel syndrome, blockage, or a tumour in the gut.



Dr. Ashwin Porwal, who has treated hundreds of patients with piles and chronic constipation, devised the MCDPA slogan, "SAY NO TO SURGERY." Many of these people did not require surgery, he discovered. A careful approach, as well as lifestyle adjustments, are essential in these circumstances. He designed a treatment approach named MCDPA based on these findings ( Medicines-Constac-Diet-Physiotherapy-Ayurveda ). It's a ground-breaking mix of modern science, ancient Ayurveda, and Pelvic Floor Physiotherapy that ensures a multipronged attack on the condition, significantly increasing the odds of a successful treatment. The cornerstone of MCDPA is built on the application of approved scientific remedies and comprehensive patient care.


Biofeedback is used to regain control of the rectal muscles. Reduced rectal muscle activity, as previously indicated, is a crucial causative feature in chronic constipation, particularly in Obstructed Defecation Syndrome, resulting in faeces evacuation problems. In this non-invasive treatment, a probe is inserted into the rectum, and the muscle activation is recorded on a computer screen. A physiotherapist would then guide and teach you to improve your defecation effort.


In cases of Obstructed Defecation Syndrome or Chronic Constipation that has resulted in rectal prolapse, surgical intervention in the form of STARR Surgery may be necessary. The purpose of the procedure is to replace the obstructed/prolapsed rectum segment with a healthy section of the remaining rectum. During STARR surgery, which is conducted under general anaesthesia, two circular staplers are used to create a circumferential trans-anal full thickness resection of the lower rectum. Combining the two stapled resections eliminates the structural abnormalities associated with ODS.


Healing Hands Clinic stands as a prominent medical institution and a trailblazer in the specialized field of proctology, dedicated to the treatment of anorectal diseases, Hernia, and Varicose veins. We are committed to delivering cutting-edge and innovative treatment techniques sourced from across the globe to our fellow citizens in India.

Our clinic holds the distinction of being a pioneer in numerous proctological procedures. Notably, we have achieved the highest monthly count of Stapler Haemorrhoidopexies for Piles (Mulvyadh) in Asia, and we were the first in India to introduce laser-based treatments for Piles. Today, we lead the continent in the number of laser procedures performed. With our guiding principle of "curing with care," Healing Hands Clinic has assembled a dedicated team solely focused on proctology, where every team member empathizes with the patients' pain. Thanks to our advanced and innovative techniques, we have remarkably reduced the recurrence rate for Piles to less than 1%, a significant improvement from the industry standard of 20-25%, which we diligently maintain through continuous follow-up care.

Recently, Healing Hands Clinic achieved recognition as a first-class Proctology center in India, accredited by NABH (National Accreditation Board for Hospitals & Healthcare Providers). Furthermore, we are a certified Training center for Proctology in India, accredited by MUHS, having trained over 100 surgeons worldwide. Our clinic has earned a reputation as a center of excellence for surgeon training, drawing participants from Europe, the Middle East, and Asia.

Why choose healing hands?

  • Scarless Treatment: Using laser technology and cutting-edge wound management procedures, Healing Hands provides scarless treatments. Since we began offering our services in 2013, we have assisted over 100 patients in getting the outcomes they wanted. Our staff is made up of highly qualified specialists that offer efficient treatments for a range of skin disorders using a number of technologies, including radio frequency devices, lasers, light therapy, etc.
  • 30-45 min. Modern tools and technology are used by Healing Hands to carry out its procedures. One treatment just takes 30 minutes, and it is both fully safe and painless.
  • Return to Your Regular Schedule in 3 Days: After your procedure at Healing Hands, you can return to work in three days without experiencing any pain. After a week, you can return to your regular schedule.
  • Same-day discharge: Healing Hands is the finest location to go if you want to quickly get rid of your acne scars. To ensure that you do not experience any inconveniences while travelling, we provide same-day discharge services.
  • You don't have to worry about paying for the therapy out of pocket because all payments are made using credit cards, debit cards, and net banking. The majority of the therapies provided here are also covered by insurance.
  • We have both male and female doctors available, so no matter which gender you choose, we offer them both.

Frequently Asked Questions (FAQ's)

Constipation occurs when waste becomes too hard and dry to pass through the intestines quickly. As a consequence, the following approaches can help you get rid of constipation:

  • Make sure you're getting enough water.
  • Eat a diet high in fibre.
  • Maintain a consistent physical activity routine.
  • Don't dismiss the urge to use the restroom.
  • It is best to prevent sedentary activity.

You should consult a gastroenterologist if you have been having problems passing stools for longer than a week.

You should visit a doctor if you experience any of the following symptoms:

  • Having only three bowel movements each week.
  • I began bleeding when passing stools.
  • Pains or discomfort in the stomach.
  • Nausea or vomiting

Patient Resources

Constipation : Its Causes and Cure

Testimonial of Bao Xue from China After Non - Surgical Treatment of Constipation.

Patient Suffering from Severe Constipation Successfully Treated at Healing Hands Clinic

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