Post-Polypectomy Diet and Abdominal Pain: What to Expect After Colonoscopy

Colonoscopy polypectomy

I had a colonoscopy last Wednesday, April 19, and the doctor or nurse informed my wife that I had polyps, which were removed during the procedure.
I researched dietary recommendations after polyp removal and have been eating porridge (with gluten, black melon, and dried melon) and dry noodles for the past few days.
After meals, I've occasionally experienced abdominal discomfort, similar to mild diarrhea pain.
However, yesterday morning (Sunday), after lifting some items, I felt a persistent dull pain on the right side of my abdomen that lasted for about 20 minutes and continued throughout the day.
It was intermittent, and later I found out online that I shouldn't exert myself after polyp removal.
This pain has continued to occur intermittently until this morning.
I would like to know if this pain is what is described online as post-polypectomy abdominal pain.
It’s not severe, like cramping pain, but it is uncomfortable.
Should I see a doctor immediately for evaluation and medication? Additionally, this morning I suddenly experienced cramping abdominal pain and diarrhea, having gone to the bathroom twice (the stool wasn't very bright red, so I'm unsure if it counts as bloody stool, but there were some scattered spots).
After that, the cramping sensation subsided, but I still feel the urge to go, and the intermittent dull pain persists.
Thank you, doctor.

vic, 30~39 year old female. Ask Date: 2017/04/24

Dr. Yang Zhichao reply Gastroenterology and Hepatology

Dear Mr.
VIC,
Since you have undergone invasive examinations and treatments, we hope you will discuss your current condition with your physician as soon as possible.
Changhua Hospital cares about your health.

Reply Date: 2017/04/24

More Info

After undergoing a colonoscopy with polypectomy, it is not uncommon to experience some abdominal discomfort or pain. The procedure involves the removal of polyps, which can lead to temporary changes in bowel habits and abdominal sensations. Your symptoms, including intermittent dull pain and diarrhea, may be related to the procedure itself, especially if you have recently engaged in activities that put strain on your abdomen, such as lifting heavy objects.

Understanding Post-Polypectomy Symptoms
1. Abdominal Pain: After a polypectomy, some patients report abdominal pain or cramping. This can be due to several factors:
- Inflammation: The removal of polyps can cause localized inflammation in the colon, leading to discomfort.

- Gas and Bloating: The procedure often involves insufflation (introducing air) into the colon, which can result in gas buildup and bloating, causing pain.

- Bowel Changes: Changes in bowel habits, such as diarrhea or constipation, can also contribute to abdominal discomfort.

2. Dietary Considerations: Post-procedure, it is generally recommended to follow a bland diet that is easy on the digestive system. Foods like rice porridge, plain noodles, and other low-fiber options are advisable initially. Gradually reintroducing a balanced diet is important, but you should avoid high-fiber foods, spicy dishes, and heavy meals until your symptoms improve.

3. Signs of Complications: While mild discomfort can be expected, certain symptoms warrant immediate medical attention:
- Severe Pain: If you experience severe, persistent abdominal pain that feels like cramping or is localized, it could indicate a complication.

- Fever: A fever following the procedure may suggest an infection.

- Blood in Stool: While small amounts of blood may occur, especially if you have diarrhea, significant or bright red blood should be evaluated by a physician.

Recommendations
Given your description of intermittent dull pain and recent episodes of diarrhea, it is advisable to monitor your symptoms closely. Here are some steps you can take:
- Rest: Avoid heavy lifting and strenuous activities for at least a week post-procedure to allow your body to heal.

- Hydration: Ensure you stay well-hydrated, especially if you are experiencing diarrhea.

- Diet: Continue with a bland diet and gradually reintroduce other foods as tolerated.

- Follow-Up: If your symptoms persist or worsen, or if you develop new symptoms such as fever or significant changes in bowel habits, it is important to contact your healthcare provider for further evaluation.

Conclusion
In summary, while some abdominal discomfort is normal after a polypectomy, it is essential to be vigilant about your symptoms. If you have any concerns or if your pain escalates, do not hesitate to reach out to your healthcare provider. They can provide guidance tailored to your specific situation and ensure that you are recovering appropriately. Your health and well-being are paramount, and staying in communication with your medical team is key to a smooth recovery.

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