Constipation

From a medical standpoint, constipation is defined as having fewer than three bowel movements in a week. Most people have constipation on occasion, but some people live with chronic constipation, which occurs when they experience infrequent bowel movements or trouble passing stools for periods of several weeks or more.

There are numerous possible causes of constipation, and in some cases, a person cannot determine the cause. Usually, it is a result of waste moving particularly slowly though the digestive tract, causing it to harden.

In many cases, constipation is the result of avoidable habits, such as lack of exercise, insufficient water intake, and not consuming enough fiber. In rare situations, more serious causes like nerve damage, Parkinson’s disease, colon cancer, or a bowel obstruction are responsible for constipation.

Applicable Procedures

Colonoscopy

Does constipation mean I have a serious medical condition?

Constipation can usually be resolved through lifestyle changes, such as getting plenty of exercise, drinking enough water, adding more fiber to your diet, and avoiding holding in bowel movements. If these strategies do not relieve constipation, or you find that your constipation lasts more than three months, you may have an underlying medical condition. A doctor can help you to determine the cause of chronic constipation and an appropriate course of treatment.

How will a doctor treat constipation?

If there is no underlying medical issue causing constipation, a doctor will likely recommend lifestyle changes or over-the-counter medications. If constipation still does not improve, you may take prescription medications. Surgery may be necessary in extreme cases, and if there is an underlying medical problem, treating this condition may relieve constipation.

Is constipation dangerous?

Occasional constipation is normal and typically does not lead to serious problems. Most cases of constipation can be relieved through lifestyle changes, but in rare cases, you may experience complications from constipation, such as hemorrhoids, tears in the anus, or stool impaction in the intestines. If constipation is ongoing and does not improve through dietary and lifestyle changes, a doctor can provide guidance to reduce your risk of these complications.

Common Symptoms

  • “Sometimes I feel like I am straining to try to have a bowel movement.”
  • “I feel like I am not able to have a complete bowel movement, and I sometimes have to press on my stomach to be able to go to the bathroom.”
  • “I only have a bowel movement once or twice per week, and when I do, the stool is hard.”

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What They Are Saying

Keith V.
Dr Tocco and his nurses treated me with respect, were very knowledgeable, and let me knoewhat to expect during and after the procedure.
Rick M.
I only waited in the waiting room about five minutes they took me right in And the young lady explained everything thoroughly while she was giving me the IV and next thing I know I was in recovery waiting to go home
Dianne K.
Punctual, very Professional & the staff was very Friendly & helpful I would highly recommend
Kimmy K.
Very kind staff and knowledgeable doctor and anestisiologist. Waited about 30 minutes after my appointment time to be seen, but they were very busy. Other than that, everything we t well and I left with information related to the outcome of the test.
Michele P.
All of the staff I dealt with were professional, friendly, and did their jobs well. I was very pleased. I do want to give a wonderful, over the top review, for my CRNA, such a kind and caring woman. I was very satisfied with my procedure experience. By
Jill D.
Spoke with Victoria and she was very kind, listened and was knowledgeable.
Laurie G.
I appreciated that they had telehealth appointments available so I could consult with the doctor within a month of my first contact, which is great for a specialist these days. Dr. Bakken is very amiable and I feel very comfortable in her care. Her office staff also seems very friendly and efficient.
Dave A.
Great staff and location
rick W.
Very good experience. Pre-procedure communication through post procedure could not have been better.
Amy K.
Dr Weber was wonderful. He was kind and thorough. I like how he asked questions to really understand my symptoms. He offered me a medication and retesting in a hopeful way. I felt so comfortable with his explanations. I am glad to have him as my doctor now.
Ollie B.
The overall atmosphere of the office was very pleasant. The staff and Dr. Desai were friendly and professional. Highly recommended!
Lori M.
The entire staff is very friendly. Dr. Bakken is very caring and listens to all my concerns. Highly recommend!
Sudin K.
Very efficient service, minimal waiting time, super nice staff !!!
Christine F.
Great staff. Professional and prompt. Dr. Quallich took time to answer all my very specific questions.
Peter F.
Professional, timely and very concerning. Thank you Doctor Nandy and Staff.
T A.
Dr Tocco and his staff are wonderful. My husband and I are both patients. We highly recommend Center for Digestive Health
Jen K.
From the scheduling to the nurses to the doctor, everything went smooth. The nurses explained everything with me in detail, and were very nice. Dr. Nandi came in before the procedure and made sure I didnt have any questions and explained what he was going to do. When you're not feeling good, having a nice and helpful staff there is an excellent feeling.
Anne G.
Pleasant efficient staff and courteous informative visit with Dr. Bologna ! Informative and clear directions, personal connection is so important with my diagnosis. I’m comfortable talking with Dr Bologna and always feel he has a personal connection with my diagnosis
Scott M.
The staff and doctors were very kind, put me at ease and made a scary experience for me very comfortable and easy. I was very impressed with the entire staff and highly recommend them for your next procedure.
James W.
Office was packed with patients at 7:30 am. I was 10 minutes early. Patients were called and moving. My appointment was smooth the whole time from start to finish. Extremely efficient office. I saw 6 different people and all 6 were friendly, smiling, competent, and kept me comfortable and at ease. Pre-office procedures and calls were 100% the best. I love this office!
Ed T.
Dr Desai was great
margaret M.
Staff is top of the line, I love Dr. Bologna!!
Alicia J.
The staff was very nice and friendly 🙂
Liza P.
I love Dr. Willie. He is caring and kind and makes discussing embarrassing topics very normal and comfortable. I am incredibly grateful to have found him.
Madeline
Physician’s Assistant was very helpful and knowledgeable! Office staff made you feel welcome too!
Bobbi F.
Great experience from start to finish. Super staff!
Doug K.
Communication prior to and during procedure was clear and professional. Everyone was friendly and supportive from start to finish.
Rick B.
7/8/25 I've had 10 colonoscopies in the last 25 years. This was my first visit with Dr Bologna. I read in some of his reviews about him returning a call late, not being compassionate enough, to some complaining about him wearing an Armani suit. Based on those complaints I still choose him based on his credentials.First,be glad your doctor has established his career enough to have earned the right to purchase what ever he wants. Would it make you fell better if your doctor wore shorts and a tank top?then there was a complaint about him being late on a phone call. Why should that be surprising? Ever been to a doctors vist when there on time? When I go too the doctors I educate myself in detail about my condition. When I ask questions and doctors see I actually know what I'm talking about they have always responded well. DR.Bologna and I spoke about my condition right before my procedure, we went over my past reports as well as photos, No small talk just strait business. His facility and staff were all very professional. They called in the afternoon to check on how I was doing. I would recommend him and his facility to any family members.
LiAnne E.
I've been in desperate search for a new GI for quite some time now after not experiencing much with my last one. I got in to see Dr. Khan a week after calling due to a cancellation, while other places were booked out months ahead. The Macomb office was clean and her medical assistant Margaret is so sweet, empathetic, and easy to talk to. Dr. Khan was very honest, efficient, and clear in explaining every option. So far, since my first appointment, I've already done three different tests and am super impressed with the very active follow-up and helping me hopefully (finally) resolve my ongoing stomach issues!! I have already recommended them to all my other friends who also experience similar GI related issues.

Our Doctors

We’re proud of our team here at Digestive Health Institute. Our health care providers include some of the very best colorectal surgeons, gastroenterologists and physician assistants. To learn more about our qualified team of specialists, please visit our providers page.

Anezi E. Bakken MD, MS

Sante D. Bologna MD, FACP

M. Emin Donat MD, FRCPC

Partha S. Nandi

Jack Tocco DO

John R. Weber MD

Richard T. Wille MD

Tusar Desai MD

Aalia Saeed, MD

Christina N. Brown, MD

FAQs

What happens during my first visit?
If you are a new patient, you can expect to have a complete physical exam. You will also be asked detailed questions about your current problems and your past medical history, your current medications, allergies, your family history and other pertinent medical information. If you are taking medications, please bring a completed medical history form with you to your appointment. Once the physician has reviewed your medical information and completed the physical examination, a plan of care will be developed. You may need to be seen again in the office, be referred back to your family physician for follow-up care, or require additional testing. If additional tests are needed, we will assist you in scheduling these tests.
What if I need to schedule an endoscopic procedure?

An endoscopic procedure allows the physician to visualize a part of your gastrointestinal tract with a special instrument called an endoscope. If your family physician has ordered testing, you will be contacted by telephone by one of our staff members. If a physician orders testing and you are in the office, the procedure can generally be scheduled during the course of your visit. You will be given a date, time, and location for the test, as well as written instructions telling you how to prepare for the test. If you have any questions about the procedure, please feel free to ask one of our staff members or the physician.

How do I get test results?

We ask that you wait 10 to 14 days before contacting us for results. Often results come from several different sources. This information needs to be compiled and reviewed by your physician before you can be appropriately advised. 

What insurances do you accept?

We accept payment from most insurance companies including Medicare, Blue Cross/Blue Shield, Blue Care Network, Physicians Health Plan, Cofinity, Sparrow Professional Health Network, Medicaid, McLaren, Health Plus, and several others. Accepted insurances are subject to change at any time without notice.

If your insurance requires an authorization from your primary care physician, you may be asked to assist us in obtaining this authorization.

All patients are responsible for all copays and deductibles at the time of service.

If you have any questions regarding your benefits or insurance coverage, please contact our Billing Department at 248-844-9710.

What if I need to contact the doctor?

To contact your doctor during business hours please call our main number 248-844-9710. If you have an urgent need to speak with the doctor after hours, you will be rerouted to our after hours answering service, and your doctor will be paged. In the case of a medical emergency please proceed directly to the nearest hospital emergency room.

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