What have you tried so far to help the constipation?
I think to focus on the problems at hand would be first priority and not colonoscopy again ..
If not tried yet you may benefit from Miralax --- over the counter -- one capful powder dissolved in 8 ounces fluid each evening for several days until relief ...
Drink plenty of fluids in general as helpful to prevent constipation ..
Have doctor check thyroid function ( hypothyroidism could be new cause of constipation )
Daily stool softener may help in future to prevent constipation
>> Surfak 260mg once a day
>> COLACE or docusate 100mg capsules 1 or 2 per day may help
>> mineral oil 1 tablespoon a day as an option..
One of the above three may help prevent constipation in long run
Measured as described might be helpful for you but you may need further diagnostic studies ...I can't guarantee that further studies may not be needed in your case ..
If you have more of transition to IBS-C then treatment with Rx for Amitiza or Linzess may help....
An abdominal CT scan may be helpful
A colonoscopy might be needed ..I agree with you that it would not seem automatically needed at this point but may be useful depending on your symptoms / degree of relief you have / results of other studies
I hope that this information is helpful for you
Let me know if you have further questions or concerns
I will be happy to get back with you
If my answer has been helpful and to your satisfaction then please remember to leave positive feedback
Thank you and Best Regards,
Anthony Bray MD