
Understanding Root Causes of Constipation
Constipation isn’t just about dietary fiber – it’s often a signal of underlying imbalances in your body. It is common that during the time of perimenopause and menopause women experience increased bloating, new symptoms of IBS such as constipation, acid reflux and digestive discomfort but do not release it maybe due to the hormonal changes occuring at this time. Sayana Medical, we investigate multiple factors that can contribute to constipation:
- Microbiome imbalances and dysbiosis
- Thyroid dysfunction
- Autonomic nervous system disruption
- Hormone imbalances
- Structural issues in the digestive tract
- Medication side effects
- Hormonal changes during perimenopause/menopause
Beyond Basic Solutions
While fiber and water are important, chronic constipation often requires a deeper investigation. Our functional medicine approach looks at the complex interplay between your digestive system, hormones, nervous system, and lifestyle factors.
Our Comprehensive Approach
Our multi-faceted treatment approach includes:
- Advanced microbiome testing and optimization
- Comprehensive hormone evaluation
- Personalized nutrition protocols
- Targeted supplementation
- Lifestyle modifications
- Stress management techniques

Common Symptoms We See
- Infrequent Bowel Movements: Less than three bowel movements per week
- Bloating and Discomfort: Persistent abdominal fullness and discomfort
- Straining: Difficulty passing stools despite urge
- Incomplete Evacuation: Feeling that bowel movements are incomplete
- Energy Issues: Fatigue and low energy levels
- Mental Fog: Difficulty concentrating and mood changes
Associated Health Concerns
Physical Health Impact
- Gut microbiome disruption
- Nutrient absorption issues
- Hemorrhoids and fissures
- Hormonal imbalances
Quality of Life Impact
- Reduced daily comfort
- Social anxiety
- Sleep disruption
- Mood fluctuations
Our Approach to Constipation
At Sayana Medical and Wellness Center, we implement a multi-faceted treatment strategy:
Comprehensive Testing
Advanced diagnostics to identify underlying imbalances, including microbiome analysis, hormone testing, and thyroid function assessment.
Root Cause Resolution
Targeted interventions that address the underlying causes of constipation, not just symptom management.
Long-Term Solutions
Sustainable strategies for maintaining healthy digestive function without reliance on laxatives.

“Constipation isn’t just about adding fiber to your diet. It’s often a sign that multiple systems in your body need support. By identifying and addressing these root causes, we can help restore not just proper bowel function, but overall wellness and vitality.”
– Dr. Sayana
Dr. Sayana MD, Serena Teddy PA-C, and Annie Shaltz, NP-C, are highly rated and trained medical practitioners that use the best in both conventional and functional medicine to partner with patients, helping them resolve or manage their constipation symptoms. These treatments are offered to residents of Los Angeles, Sherman Oaks, Studio City, Encino, Beverly Hills, Santa Monica, North Hollywood, Tarzana, Toluca Lake, Valley Village, Valley Glen, Burbank, Van Nuys, and surrounding areas in CA.
*If you live outside of CA you need to have your 1st appointment in person and the rest can be virtual.
Take Control of Your Digestive Health
Don’t let constipation impact your quality of life. Discover how our functional medicine approach can help you achieve lasting relief.
