Is Mild Abdominal Pain Normal After Polyp Removal During Colonoscopy? - Gastroenterology and Hepatology

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Mild abdominal discomfort after polypectomy during colonoscopy?


Hello Doctor, I had a colonoscopy yesterday morning in the gastroenterology clinic, during which three polyps were removed.
The doctor informed me that I could resume my normal diet immediately.
Although I read online that dietary precautions are recommended for a few days after polyp removal, I thought perhaps the doctor felt my polyps were small and did not require special attention.
Therefore, I ate some solid foods (dumplings, rice, meatballs, chicken soup, coffee, etc.) for lunch and dinner yesterday.
However, last night before bed and until noon today, I have been feeling a slight stabbing pain in my lower left abdomen, somewhat like the sensation of a wound being touched.
I'm not sure where the polyps were removed from.
Is this stabbing sensation normal? Thank you for taking the time to respond amidst your busy schedule.

A Zhe, 30~39 year old female. Ask Date: 2017/10/19

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: Mild pain is a common phenomenon.
Try not to eat too much, avoid spicy foods, and refrain from lifting heavy objects.
If the pain worsens, you should seek medical evaluation as soon as possible.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2017/10/19

More Info


After undergoing a colonoscopy with polyp removal, experiencing mild abdominal pain can be a common occurrence. It is important to understand that during the procedure, the colon is manipulated, and the removal of polyps can lead to some localized irritation or discomfort. This discomfort is often temporary and should gradually subside as the body heals.

The pain you are describing, particularly the "mild stabbing" sensation in the left lower abdomen, may be attributed to several factors. First, the colon is a sensitive organ, and any intervention, such as polyp removal, can lead to transient inflammation or irritation in the area. This can manifest as mild pain or discomfort, which is typically not a cause for concern.

Moreover, the colonoscopy procedure itself involves insufflation, where air is introduced into the colon to allow for better visualization. This can lead to post-procedural bloating or gas pain, which may also contribute to the sensations you are experiencing. It is not uncommon for patients to feel some discomfort in the days following the procedure, especially if they have consumed solid foods shortly after.

While your physician has indicated that you can resume normal eating and drinking, it is generally advisable to start with a bland diet for the first 24 to 48 hours post-procedure. Foods that are easy to digest, such as broth, toast, and bananas, can help minimize any potential irritation. Gradually reintroducing solid foods can help your digestive system adjust after the procedure.

If the pain persists or worsens, or if you experience additional symptoms such as fever, severe abdominal pain, or changes in bowel habits (such as blood in the stool), it is crucial to seek medical attention. These could be signs of complications such as infection or perforation, although these are rare.

In summary, mild abdominal pain after polyp removal during a colonoscopy can be considered normal, especially if it is not severe and does not accompany other concerning symptoms. However, it is always best to monitor your symptoms and consult your healthcare provider if you have any doubts or if your condition changes. Your health and comfort are paramount, and your physician can provide tailored advice based on your specific situation.

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