I doubt it is constipation. I would guess maybe internal bacterial infection of some sort. I would treat with a broad spectrum antibiotic and see if that helps. It could be a tumor, but the changing appearance doesn't seem conducive to that.
Just a heads up, dwarf gourami tend to have a lot of issues. You can find healthy ones, but experiences such as yours are very, very common where they seem to come down with various issues pretty readily in the weeks to months after purchase. Since your water is tested, I doubt that is the issue. I don't tell you this to be pessimistic, only so you don't beat yourself up thinking it is your fault.
^^ This + 1 ^^
Look into Dwarf Gourami Iridovirus ;
Dwarf Gourami Iridovirus (DGIV)
The quality of the
dwarf gouramis in the trade has steadily declined for years, with batches of fish showing significantly higher levels of mortality than 10 years ago. Historically, retailers and aquarists have blamed bacterial infections, such as fish tuberculosis (
Mycobacterium marinum). In recent years, though, attention has focused on a virus known as dwarf gourami iridovirus or DGIV.
Dwarf gourami iridovirus is apparently specific to the dwarf gourami (
Colisa lalia), including the various fancy varieties of the species, such as neon gouramis and sunset gouramis. Infected fish develop a variety of symptoms, including loss of color, decrease in activity and appetite, the appearance of sores and lesions on the body, abdominal swelling and finally death. This fish disease is highly contagious, completely untreatable and invariably fatal.
Dwarf gourami iridovirus is apparently very common. One recent study of fish exported from Singapore found that 22 percent of all dwarf gouramis carried the virus. Aquarists should never purchase dwarf gouramis from fish aquariums containing fish exhibiting symptoms consistent with the dwarf gourami iridovirus, and all new fish should be quarantined for at least six weeks prior to being placed in the main fish aquarium.
For most aquarists, my best advice is to keep the hardier alternatives to dwarf gouramis. The thick-lipped gourami (
Colisa labiosa) and the banded gourami (
Colisa fasciatus) are both similar in size, temperament and coloration and make excellent alternatives.
taken from
https://www.petcha.com/fish-viral-disease/