Doctor insights on:
Constipation After Surgery
Depends on severity: After abdominal surgery or just general anesthesia, the intestinal tract tends to be lethargic - called post-operative ileus. It typically takes only 3-5 days to begin passing gas (farting) and having bowel movements again. Other problems like bowel obstruction may intervene. Being as active as possible, perhaps using a rectal suppository and, if permitted by your physician, a laxative, may help. ...Read more
Struggling with constipation after surgery (5-7without going)afraid of enemas(ckd-3)can glycerin suppositories been used daily instead without risks?
Constipation: Unfortunately the anesthetic agents, the surgery and the post operative pain management all contribute to constipation. Which can cause multiple abdominal complaints, including bloating. Okay to increase your oral liquids, decrease the narcotics, use laxatives to achieve two soft bowel movements daily. Make your post operative appointment and discuss with your surgeon. ...Read more
Fluids, stool soft: Surgery is constipating for many reasons: e.g. Inactivity, narcotic pain meds, decreased oral intake. To combat post-op constipation try these remedies: increase fluids (water is best), walk as tolerated ('to get bowels moving'), change to tylenol as soon as tolerated, use colace 2x/day for stool softner, add sennakot up to 2 x/day. Consider MiraLAX 17gram/day. ...Read more
Can be normal if...: This can be normal as long as the stools are not described as black and tarry in appearance (as this could indicate a slow bleed from the gastrointestinal tract). If constipation does not resolve or is accompanied by abdominal pain, lack of appetite, fever, or distention (swollen belly), then a follow up with the Gastroenterologist would be warranted. ...Read more
How soon after lar surgery will it be safe to perform anorectal manometry for diagnosis of functional constipation, and to start bio-feedback training?
Safe at one month: While it is probably safe to do anorectal manometry and start biofeedback at a month, there is still a lot of swelling and stiffness around the rectum so the results will likely not be accurate and the biofeedback probably not be effective. Three months would be a more appropriate interval. ...Read more
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