Persistent Bloating and Nausea After Constipation Treatment: What Could It Be? - Surgery

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I have seen a doctor for my constipation, but I still feel bloated and nauseous after having a bowel movement?


I haven't had a bowel movement for three days.
I went to see a doctor and took medication, but the next day I felt bloated, nauseous, had no appetite, and didn't want to drink water.
What could be the problem? Thank you, doctor.

Xiao Yu, 10~19 year old female. Ask Date: 2016/11/20

Dr. Ke Fangxu reply Surgery


At the age of 13, the likelihood of developing colorectal cancer should be zero.
Based on your description, it seems more like simple constipation.
I recommend starting with a light diet and maintaining a good lifestyle.
Spicy, irritating, and greasy foods should be avoided.
If symptoms persist without improvement, you may consult a physician for medication.

Reply Date: 2016/11/20

More Info


Persistent bloating and nausea after constipation treatment can be concerning and may indicate several underlying issues. It’s important to understand that constipation can lead to a variety of gastrointestinal symptoms, and the treatment for constipation itself can sometimes cause additional discomfort.

First, let’s consider the potential causes of your symptoms:
1. Medication Side Effects: If you have taken medications to relieve constipation, such as laxatives, they can sometimes lead to bloating and nausea. Stimulant laxatives can irritate the bowel, leading to cramping and discomfort. Osmotic laxatives, while generally gentler, can also cause bloating if they draw too much water into the intestines.

2. Bowel Obstruction: If you have been constipated for an extended period, there is a possibility of a partial bowel obstruction. This can occur when stool becomes impacted in the intestines, preventing normal passage and leading to symptoms like bloating, nausea, and loss of appetite.

3. Irritable Bowel Syndrome (IBS): IBS is a common condition that can cause bloating, abdominal pain, and changes in bowel habits. If you have a history of gastrointestinal issues, this could be a possibility, especially if your symptoms are chronic.

4. Gastroenteritis: Sometimes, a viral or bacterial infection can cause nausea and bloating. If you have other symptoms like diarrhea, fever, or abdominal pain, this could be the cause.

5. Dietary Factors: After a period of constipation, your diet may have changed, or you may have reintroduced foods that your body is sensitive to. Foods high in fiber, while beneficial for relieving constipation, can also cause bloating if introduced too quickly.

6. Dehydration: If you have not been drinking enough fluids, especially after taking laxatives, this can lead to dehydration, which can exacerbate feelings of nausea and bloating.

Given your symptoms of persistent bloating, nausea, lack of appetite, and reluctance to drink water, it is crucial to seek further medical evaluation. Here are some steps you can take:
- Follow-Up with Your Doctor: Since your symptoms have persisted despite treatment, it is essential to return to your healthcare provider. They may want to perform additional tests, such as imaging studies (like an abdominal X-ray or ultrasound) to rule out any obstructions or other issues.

- Hydration: Try to stay hydrated, as dehydration can worsen nausea and bloating. If you find it difficult to drink plain water, consider electrolyte solutions or clear broths.

- Dietary Adjustments: Gradually reintroduce foods that are easy to digest, such as bananas, rice, applesauce, and toast (the BRAT diet). Avoid high-fiber foods until your symptoms improve, as they may exacerbate bloating.

- Monitor Symptoms: Keep track of any additional symptoms that may arise, such as fever, severe abdominal pain, or changes in bowel habits. This information can be helpful for your healthcare provider.

In conclusion, while bloating and nausea after constipation treatment can be common, persistent symptoms warrant further investigation. It’s important to communicate openly with your healthcare provider about your symptoms and any medications you have taken. They can help determine the underlying cause and recommend appropriate treatment to alleviate your discomfort.

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