Symptoms after rectal malignant tumor resection?
Hello, my father-in-law underwent a rectal tumor resection surgery two to three weeks ago.
He is now going to the bathroom several times a day, experiencing constant bloating, and has swelling in both legs.
Is this a normal post-operative phenomenon? Given that it has been several days since the surgery, are there any dietary restrictions he should follow? He also has diabetes.
How long will it take for the wound to heal, and when can he expect to return to his previous lifestyle?
Jiaojia, 20~29 year old female. Ask Date: 2017/08/27
Dr. Ke Fangxu reply Surgery
Answer: Rectal cancer resection surgery can lead to an increased frequency of bowel movements due to the removal of the rectum.
If this increase in frequency affects daily life, patients can consult their physician for medication.
Post-surgery, if nutritional status is poor, it may result in low electrolyte levels and albumin, leading to symptoms such as abdominal bloating and edema.
There are no specific dietary restrictions after surgery; it is generally recommended to increase protein intake.
Since the surgery has already been two weeks ago, the wound should be fully healed, and once physical strength is restored, patients can return to their normal daily routines.
Reply Date: 2017/08/27
More Info
Post-rectal cancer surgery recovery can be a complex process, and it is essential to understand what symptoms are typical and what might require further medical attention. Your concerns regarding your father-in-law's condition after his recent surgery are valid, and I will address each of your questions in detail.
Firstly, experiencing frequent bowel movements after rectal surgery is not uncommon. The surgical procedure can alter bowel habits due to changes in the anatomy and function of the rectum and surrounding structures. It is also possible that the bowel is still adjusting post-surgery, which can lead to increased gas and bloating. These symptoms may gradually improve as the body heals and adapts to the changes. However, if the frequency of bowel movements is excessive (more than 10 times a day) or accompanied by severe pain, blood in the stool, or other concerning symptoms, it is crucial to consult the healthcare provider.
Regarding the swelling in the legs, this can be a result of several factors, including fluid retention, changes in activity levels post-surgery, or even medication side effects. It is essential to monitor this symptom closely. If the swelling persists or worsens, it would be advisable to seek medical advice, as it could indicate complications such as lymphedema or heart issues.
As for dietary restrictions, after rectal surgery, it is often recommended to follow a low-fiber diet initially to allow the digestive system to recover. Foods that are easy to digest, such as white rice, bananas, applesauce, and toast (often referred to as the BRAT diet), can be beneficial. However, since your father-in-law has diabetes, it is crucial to balance his carbohydrate intake to manage his blood sugar levels effectively. Consulting a dietitian who specializes in post-surgical care and diabetes management can provide tailored dietary advice.
Wound healing time can vary significantly from person to person, depending on factors such as age, overall health, and the extent of the surgery. Generally, surgical wounds may take about 2 to 6 weeks to heal, but complete recovery, including regaining strength and returning to pre-surgery activities, can take several months. It is essential to keep the surgical site clean and dry and to follow any specific care instructions provided by the healthcare team.
In terms of returning to normal activities, it is advisable to gradually increase activity levels as tolerated. Light walking can be beneficial to promote circulation and prevent complications such as blood clots. However, high-impact activities or heavy lifting should be avoided until cleared by the surgeon, typically at a follow-up appointment.
Lastly, it is crucial for your father-in-law to attend all follow-up appointments with his healthcare provider. These visits are essential for monitoring recovery, managing any complications, and ensuring that he is on the right track for rehabilitation.
In summary, while some of the symptoms your father-in-law is experiencing may be normal post-surgery, it is essential to remain vigilant and communicate any concerning changes to his healthcare provider. A tailored approach to diet, gradual increase in activity, and regular follow-ups will support his recovery and help him return to a more normal lifestyle.
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