Some people experience constipation after surgery and you may be given a gentle laxative. You can help by walking regularly and drinking plenty of liquid. Depending on the type of bowel surgery you have had, it can take several weeks or months for your bowel function to settle.
Delayed bowel movement or passage of flatus is the hallmark of postoperative ileus. Common symptoms include abdominal distension, bloating, diffuse, persistent pain, nausea, vomiting, inability to pass flatus, and intolerance to an oral diet.
Unfortunately, constipation is a common side effect of surgery. It can happen for a few different reasons: the anesthesia used during the procedure, pain medications you're taking or how much and what you're eating and drinking.
After surgery, your caregivers will frequently ask whether you have passed gas. This is because passing gas is a sign that your bowels are returning to normal. You may not have a bowel movement for four to five days following surgery.
Most people with constipation following surgery will experience relief after a few days, especially if they receive treatment quickly. Stool softeners and fiber laxatives tend to act within a few days, while stimulant laxatives and suppositories typically work within 24 hours.
stimulant laxatives – such as bisacodyl, senna and sodium picosulfate, which speed up the movement of your bowels by stimulating the nerves that control the muscles lining your digestive tract.
Stimulant laxatives also increase a stool's hydration. Some popular brands include bisacodyl (Correctol, Dulcolax, Feen-a-Mint), and sennosides (Ex-Lax, Senokot). Prunes (dried plums) are also an effective colonic stimulant and taste good, too.
Eating When you Have Constipation. Try these things to relieve your constipation: Do not skip meals. Avoid processed or fast foods, such as white breads, pastries, doughnuts, sausage, fast-food burgers, potato chips, and French fries.
Dairy Products
“On the opposite end of the spectrum, fermented dairy products such as yogurt or kefir can improve gut health and may decrease the likelihood of constipation,” she notes.
There is no set time limit on how long post-surgical fatigue lasts. This is because different procedures have varying effects on your body. The more intensive the surgical procedure is, the longer your recovery time will be, including the exhaustion you're feeling.
Tenesmus is a frequent urge to go to the bathroom without being able to go. It usually affects your bowels, but sometimes your bladder. Severe inflammation that irritates the nerves involved in pooping or peeing is often the cause. Your nerves overreact, telling your muscles that you constantly have to go.
Stimulant laxatives such as Senokot (made from senna pods) and Dulcolax (active ingredient: bisacodyl) are the fastest-working oral laxatives, with overnight results.
In general, bulk-forming laxatives, also referred to as fiber supplements, are the gentlest on your body and safest to use long term. Metamucil and Citrucel fall into this category.
Metamucil is a bulk-forming laxative that's readily available OTC. It's mainly used to help relieve constipation. Metamucil side effects, such as gas and bloating, are typically mild for most people. It's very important to follow the directions on the packaging to help prevent serious side effects.
Bisacodyl (Dulcolax, Bisac Evac, Bisco-Lax)
Bisacodyl is a colonic laxative stimulant that acts by directly stimulating colonic mucosa to produce peristalsis. It is used for relief of constipation and irregularity.
When you have a fecal impaction, you'll need to have the hard mass of stool removed from your colon or rectum to get better. It won't go away on its own, and it can lead to death if it's allowed to worsen.
Anesthesia, though, also paralyzes the muscles: your intestine is paralyzed during surgery along with your arms and legs. This stops the muscle contractions to push food along the intestinal tract. Until your intestines “wake up” there is not movement of feces.
There are a few complications that could happen if you don't have soft, regular bowel movements. Some complications include: Swollen, inflamed veins in your rectum (a condition called hemorrhoids). Tears in the lining of your anus from hardened stool trying to pass through (called anal fissures).
“It would be an emergency if you hadn't had a bowel movement for a prolonged time, and you're also experiencing major bloating or severe abdominal pain,” notes Dr. Zutshi. Slight symptoms will not take you to the emergency room. You should go to the emergency room if your symptoms are severe.