Struggling with Constipation: One Week Without Bowel Movement

Not having a bowel movement for a week?

I am someone who has a bowel movement every day (I go to the bathroom immediately after waking up).
However, I have not had a bowel movement for a week now (I feel the urge but cannot pass it; it feels like everything is stuck at the rectum, and even when I do manage to pass something, it's just a small pellet).
I recently underwent hemorrhoid surgery, and it has been three weeks since the procedure.
The doctor prescribed a stool softener (magnesium oxide), but I found it ineffective and sought help from a pediatrician.
The physician mentioned that my gastrointestinal motility is slow.
I would like to inquire whether the inability to pass stool despite having the urge is related to the surgery and what solutions might be available.
Thank you.

H, 20~29 year old female. Ask Date: 2017/08/22

Dr. Chen Qifeng reply Gastroenterology and Hepatology

Some individuals may experience temporary constipation after hemorrhoid surgery.
If the condition does not improve, it is important to consult the original physician for further management.

Reply Date: 2017/08/22

More Info

Constipation can be a frustrating and uncomfortable experience, especially when it has persisted for a week, particularly after undergoing surgery for hemorrhoids. It’s important to understand that changes in bowel habits can occur after surgical procedures, and several factors can contribute to constipation, including medication, dietary changes, and the surgical procedure itself.

Firstly, after hemorrhoid surgery, it is common for patients to experience changes in bowel movements due to pain, anxiety about bowel movements, or the effects of anesthesia and pain medications. Opioids, if prescribed for pain management, can significantly slow down gastrointestinal motility, leading to constipation. Even if you were not prescribed opioids, the stress of surgery and the body’s healing process can affect bowel function.

The magnesium oxide that your doctor prescribed is typically used to help soften stools and promote bowel movements. However, if you find it ineffective, it may be worth discussing alternative options with your healthcare provider. Other over-the-counter options include polyethylene glycol (MiraLAX), which works by drawing water into the stool, making it easier to pass. Additionally, stimulant laxatives like bisacodyl (Dulcolax) or senna can be considered, but they should be used cautiously and not as a long-term solution.

Dietary changes can also play a crucial role in managing constipation. Increasing your intake of fiber-rich foods such as fruits, vegetables, whole grains, and legumes can help promote regular bowel movements. Aim for at least 25-30 grams of fiber daily. Additionally, staying well-hydrated is essential; aim for at least 8-10 glasses of water a day, as adequate hydration helps soften the stool.

Physical activity can also stimulate bowel movements. If you are able, gentle exercises like walking can promote gastrointestinal motility. However, be cautious and listen to your body, especially as you recover from surgery.

Regarding your concern about the relationship between your surgery and your current constipation, it is possible that the surgical procedure has temporarily affected your bowel function. The trauma of surgery, along with any postoperative pain or discomfort, can lead to a reluctance to have a bowel movement, which can create a cycle of constipation. If you are experiencing significant discomfort or if the constipation persists, it is crucial to follow up with your healthcare provider. They may want to evaluate your situation further to rule out any complications or underlying issues.

In summary, while it is not uncommon to experience constipation after hemorrhoid surgery, it is essential to address it proactively. Consider discussing alternative laxatives with your doctor, increasing your fiber and fluid intake, and incorporating gentle physical activity into your routine. If you continue to struggle with bowel movements or if you experience severe pain, it is important to seek medical advice promptly. Your healthcare provider can offer tailored recommendations based on your specific situation and ensure that your recovery progresses smoothly.

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