Functional Constipation Treatment
Infrequent, difficult, incomplete — and unimpressed by every fibre supplement and laxative you've tried. Chronic constipation is rarely just about what you eat.
Understanding functional constipation
Functional constipation is a disorder of brain-gut interaction in which colonic motility, rectal sensation and the coordination of evacuation become dysregulated — without any structural blockage or metabolic cause. Many patients also have dyssynergic defecation: the pelvic floor muscles paradoxically tighten instead of relaxing during a bowel movement, making evacuation mechanically inefficient no matter how soft the stool.
Why laxatives alone often disappoint
Laxatives address stool consistency and transit — useful, but they don't restore rectal sensation, correct dyssynergic patterns, or calm the gut–brain signalling that suppresses normal motility under stress. That's why so many patients escalate doses over years and still strain.
How brain-gut treatment helps
Psychological therapies and behavioural retraining address the upstream drivers: normalizing the gut's stress response, restoring attention to (rather than suppression of) the urge to defecate, and unwinding the toilet-related tension that perpetuates dyssynergia. Combined with appropriate medical management, this treats the mechanism rather than only the symptom.
Your pathway
We assess against Rome IV criteria, screen for dyssynergic patterns and overlapping IBS-C, coordinate with your physician on any indicated testing, and deliver structured virtual treatment with measured outcomes.
Start your assessment
Virtual care across Manitoba · Self-referrals welcome · Response within 2 business days
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