Post-Polypectomy Abdominal Distension and Discomfort: Is It Normal? - Gastroenterology and Hepatology

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Postoperative abdominal distension and discomfort after colon polypectomy?


The patient started experiencing abdominal bloating and discomfort the day after surgery, but the pain is not severe.
Their mental state is relatively good, but their mobility is reduced.
Is this a normal phenomenon? How long is it expected to last? (The physician mentioned that a hemostatic clip was applied.) Thank you!

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

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: Abdominal bloating and discomfort may last for two to three days; however, it is important to note that the symptoms should gradually become milder.
If there is any worsening of the condition, it is considered abnormal, and you should seek medical attention promptly.
Changhua Hospital cares about your health.
Dr.
Tsai An-Shun.

Reply Date: 2017/04/30

More Info


After a polypectomy, experiencing abdominal distension and discomfort is not uncommon. This can be attributed to several factors related to the procedure itself and the body's healing process.
Firstly, during a polypectomy, especially if it involves the removal of polyps from the gastrointestinal tract, the manipulation of tissues can lead to temporary inflammation and irritation. This can result in a sensation of bloating or fullness in the abdomen. The use of a hemostatic clip, as mentioned in your case, can also contribute to some discomfort as the body adjusts to the presence of this foreign object.
In the immediate postoperative period, it is normal for patients to experience some degree of abdominal distension, mild pain, or discomfort. This is often due to the accumulation of gas in the intestines, which can happen after any abdominal surgery. The intestines may take some time to resume their normal motility, leading to temporary bloating. Additionally, the anesthesia used during the procedure can also slow down bowel function, contributing to feelings of fullness or discomfort.

As for the duration of these symptoms, it can vary from person to person. Generally, mild abdominal discomfort and distension may last for a few days to a week post-surgery. Most patients find that their symptoms gradually improve as they resume normal activities and their digestive system returns to its usual rhythm. However, if the discomfort persists beyond a week, worsens, or is accompanied by other concerning symptoms such as fever, severe pain, or changes in bowel habits, it is crucial to follow up with your healthcare provider.

It's also important to consider your overall recovery. While you mentioned that your energy levels are lower, this is not unusual following surgery. The body requires time and energy to heal, and it's common for patients to feel fatigued or less active during the recovery phase. Ensuring adequate hydration, nutrition, and rest can help support your recovery process.

In summary, mild abdominal distension and discomfort following a polypectomy can be considered normal, especially in the early days after the procedure. However, monitoring your symptoms and maintaining open communication with your healthcare provider is essential. If you have any concerns or if your symptoms change, do not hesitate to reach out for further evaluation and guidance.

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