Post-Colon Cancer Surgery: Is Abdominal Pain Normal? - Surgery

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Postoperative care after colorectal cancer resection?


Hello Dr.
Ke, my father was diagnosed with colon cancer last month and underwent a colectomy.
Recently, he has been experiencing abdominal pain during bowel movements, and he also feels pain in his abdomen while walking.
Is this kind of aftereffect normal?

Xiao Mi, 20~29 year old female. Ask Date: 2017/04/05

Dr. Ke Fangxu reply Surgery


After undergoing major abdominal surgery, occasional abdominal pain is considered a normal phenomenon as long as it is not severe.
Using an abdominal binder may help alleviate abdominal pain during movement.
It is recommended to eat small, frequent meals and maintain a light diet.
Adequate protein intake is essential to accelerate recovery and wound healing.
If there are symptoms of abdominal distension, vomiting, or inability to have a bowel movement, it may indicate intestinal obstruction, and prompt medical attention should be sought.

Reply Date: 2017/04/05

More Info


Post-colon cancer surgery, particularly after a colectomy, can indeed lead to various symptoms, including abdominal pain. It is not uncommon for patients to experience discomfort in the abdominal area following such significant surgical procedures. This pain can arise from several factors related to the surgery and the body's healing process.

Firstly, it is important to understand that any major abdominal surgery, such as a colectomy, involves manipulation of the intestines and surrounding tissues. This manipulation can lead to inflammation, which may cause pain as the body begins to heal. The pain you describe, particularly during bowel movements and while walking, can be attributed to this healing process. It is generally considered normal for patients to experience some level of abdominal discomfort in the weeks following surgery.

Moreover, the presence of abdominal pain can also be linked to the formation of adhesions. Adhesions are bands of scar tissue that can form between abdominal tissues and organs after surgery. They can cause the intestines to stick together or to the abdominal wall, which may lead to pain, particularly when moving or during bowel movements. While some patients may experience minimal issues with adhesions, others may find that they cause significant discomfort.

In addition to adhesions, changes in bowel habits post-surgery can also contribute to abdominal pain. After a colectomy, patients may experience alterations in their bowel patterns, including increased frequency of bowel movements, urgency, or even diarrhea. These changes can lead to discomfort and pain during defecation, as the body adjusts to the new configuration of the intestines.

It is also crucial to consider dietary factors. After surgery, patients are often advised to follow a specific diet to aid in recovery. A diet that is too rich in fiber or difficult to digest can lead to increased gas, bloating, and abdominal pain. It is generally recommended to eat smaller, more frequent meals and to focus on a balanced diet that includes adequate protein to support healing.

However, while some level of pain can be expected, certain symptoms should prompt immediate medical attention. If your father experiences severe pain, persistent nausea or vomiting, abdominal swelling, or changes in bowel movements such as constipation or inability to pass gas, these could be signs of complications such as bowel obstruction or infection. In such cases, it is essential to consult with the healthcare provider promptly.

In summary, while abdominal pain after colon cancer surgery can be a normal part of the recovery process, it is important to monitor the severity and nature of the pain. Encouraging your father to maintain open communication with his healthcare team will ensure that any concerning symptoms are addressed promptly. Regular follow-up appointments and discussions about his recovery will help manage any ongoing issues and provide reassurance during this challenging time.

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