Post-Surgery Bowel Movements After Fistula Surgery - Surgery

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Fistula surgery


Hello Dr.
Ke: I would like to ask, after a week post-fistula surgery, I have a bowel movement every day, but I still feel the urge to defecate, and when I go to the bathroom, I can't pass anything.
Is this normal?

Yu, 30~39 year old female. Ask Date: 2016/08/28

Dr. Ke Fangxu reply Surgery


After anal surgery, the anus may become more sensitive due to wound irritation, which is common within the first week post-surgery.
It is recommended to take warm sitz baths to alleviate discomfort at the surgical site.
If this sensitivity persists after one week, it is advisable to consult a physician for further evaluation.

Reply Date: 2016/08/28

More Info


After undergoing fistula surgery, it's not uncommon for patients to experience changes in bowel habits and sensations. The feeling of needing to have a bowel movement, even after having one, can be attributed to several factors related to the surgery and the healing process.

Firstly, it's important to understand that the surgical procedure itself can cause temporary alterations in bowel function. The manipulation of tissues, as well as the healing process, can lead to inflammation and changes in how the intestines function. This can result in sensations of urgency or the feeling of incomplete evacuation, even if a bowel movement has occurred.
In the case of your situation, where you are experiencing daily bowel movements but still feel the urge to go, this could be due to a few reasons:
1. Post-Surgical Inflammation: After surgery, the surrounding tissues may be inflamed, which can affect bowel motility and sensation. This inflammation can create a feeling of pressure or fullness in the rectal area, leading to the sensation of needing to defecate.

2. Changes in Bowel Habits: Surgery can alter the normal rhythm of bowel movements. It's possible that your body is still adjusting to the changes, and this can manifest as a feeling of needing to go even when the bowels are empty.

3. Psychological Factors: The experience of surgery can also lead to anxiety or stress, which can affect bowel habits. Sometimes, the fear of not being able to have a bowel movement can create a heightened awareness of bowel sensations.

4. Fistula Healing: If the surgery was to repair a fistula, the healing process can also contribute to unusual sensations. The body is working to heal the surgical site, and this can lead to temporary changes in how the rectum and surrounding areas feel.

To address these concerns, it is advisable to:
- Monitor Your Symptoms: Keep track of your bowel movements, any discomfort, and the sensations you are experiencing. This information can be helpful for your healthcare provider.

- Consult Your Surgeon: If the sensation persists or worsens, it is important to discuss this with your surgeon or healthcare provider. They can assess whether this is a normal part of the healing process or if further evaluation is needed.

- Consider Dietary Adjustments: Sometimes, dietary changes can help regulate bowel movements. Increasing fiber intake can help form more solid stools, which may alleviate some of the sensations you are experiencing.

- Stay Hydrated: Adequate hydration is essential for healthy bowel function. Make sure you are drinking enough fluids, as this can help prevent constipation and promote regular bowel movements.

- Follow-Up Care: Ensure you are attending all follow-up appointments. Your healthcare provider will want to monitor your recovery and can provide guidance tailored to your specific situation.

In summary, while it is not unusual to feel the urge to have a bowel movement after fistula surgery, especially during the healing phase, it is important to communicate any persistent or concerning symptoms with your healthcare provider. They can help determine if what you are experiencing is part of the normal recovery process or if further intervention is necessary.

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