Post-Mole Removal: Concerns About Bowel Movements and Recovery - Surgery

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Postoperative condition after mole removal?


Doctor, I haven't had a bowel movement for 5 days after my mole removal surgery.
Can I perform an enema on my own? Will it harm the surgical site? Is it okay to engage in normal activities like walking to help stimulate my bowel movement? Could excessive walking be detrimental to the wound? Thank you!

Jin, 40~49 year old female. Ask Date: 2016/06/27

Dr. Ke Fangxu reply Surgery


After hemorrhoid surgery, it is best to avoid using enemas temporarily, as the surgical wound has not yet healed.
There is a concern that improper positioning or medication irritation could affect the wound.
During this time, it is important to increase the intake of dietary fiber and fluids.
If this does not yield results, oral stool softeners can be considered.
Normal activities such as walking are encouraged, but it is advisable to avoid prolonged running or engaging in vigorous exercise.

Reply Date: 2016/06/27

More Info


After a mole removal procedure, it's common to have concerns about recovery and bowel movements. First and foremost, it's important to understand that the healing process can vary from person to person, and several factors can influence your recovery, including the size and depth of the mole that was removed, your overall health, and your body's natural healing response.

In your case, experiencing no bowel movements five days post-surgery can be concerning, but it is not uncommon. Surgical procedures, especially those involving anesthesia, can sometimes lead to temporary changes in bowel habits. The medications you may have been prescribed, particularly pain relievers, can also contribute to constipation.
Regarding your question about self-administering a laxative or enema, it is generally advisable to consult your healthcare provider before taking any action. While some over-the-counter laxatives can be effective, they may not be suitable for everyone, especially shortly after surgery. Using an enema could potentially irritate the surgical site, depending on its location, and may not be the best option without medical guidance.

As for physical activity, gentle movement such as walking can indeed help stimulate bowel function. Light walking is often encouraged after surgery, as it promotes circulation and can aid in the recovery process. However, you should listen to your body and avoid any activities that cause discomfort or strain on the surgical site. If you feel pain or discomfort while walking, it may be best to limit your activity until you have consulted with your doctor.

In terms of wound care, it is crucial to keep the surgical area clean and dry. Avoid soaking the area in water (like in baths or swimming) until your doctor gives you the go-ahead. If you notice any signs of infection, such as increased redness, swelling, warmth, or discharge from the wound, you should contact your healthcare provider immediately.

If you continue to experience issues with bowel movements or have concerns about your recovery, it is essential to reach out to your healthcare provider. They can provide personalized advice based on your specific situation and may recommend dietary changes, hydration, or other interventions to help facilitate bowel movements.

In summary, while it is generally safe to engage in light activity post-surgery, be cautious and attentive to your body’s signals. Consult your healthcare provider before taking any laxatives or performing any procedures that could affect your surgical site. Your recovery is paramount, and professional guidance will ensure that you are on the right track.

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