Overcoming Post-Abortion Constipation: Tips and Remedies - Obstetrics and Gynecology

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Constipation issues after medical abortion?


Since I had a medical abortion, I have been experiencing constipation.
When I do have a bowel movement, it's only a small amount and it's dark in color.
Sometimes I also notice that my urine is slightly greenish (is this normal?).
What are some quick methods to treat my constipation? I have been drinking water regularly, but it doesn't seem to help, and I eat fruits as well, yet nothing changes.
Could it be related to my lifestyle? I work in the afternoon and have a habit of staying up late, which is really troubling me.
😭 Can I use an enema, or are there any foods that can help with digestion?

Yu, 10~19 year old female. Ask Date: 2018/02/24

Dr. Huang Jianzhong reply Obstetrics and Gynecology


Since the medication-induced abortion, I have been experiencing constipation.
When I do have a bowel movement, it's only a small amount and it's dark.
Sometimes I also notice that my urine has a slightly greenish tint (is this normal?).
What are some quick ways to treat my constipation? I have been drinking water consistently, but it doesn't seem to help, and I do eat fruits as well, yet nothing changes.
Could it be related to my lifestyle? I work in the afternoon and have a habit of staying up late, which is really troubling me.
😭 Can I use an enema, or are there any digestive aids I can take?
Answer: Exercise, drink water, increase fiber intake (fruits and vegetables), consider medications (Magnesium Oxide, Dulcolax, etc.), and use enemas occasionally.

Reply Date: 2018/02/24

More Info


Post-abortion constipation is a common issue that many individuals experience, and it can be quite uncomfortable and distressing. After a medical abortion, hormonal changes, physical stress, and lifestyle factors can contribute to digestive issues, including constipation. Here are some tips and remedies to help you overcome this condition.


Understanding Constipation Post-Abortion
Constipation is generally defined as having fewer than three bowel movements per week, and it can be accompanied by hard, dry stools that are difficult to pass. After an abortion, your body undergoes significant changes, and hormonal fluctuations can slow down your digestive system. Additionally, stress, anxiety, and changes in diet or activity level can exacerbate constipation.


Tips for Overcoming Constipation
1. Hydration: While you mentioned that you are drinking water, it’s crucial to ensure you are consuming enough fluids throughout the day. Aim for at least 8-10 glasses of water daily. Herbal teas, especially those with laxative properties like senna or peppermint, can also be beneficial.

2. Dietary Fiber: Increasing your intake of dietary fiber can help promote regular bowel movements. Foods rich in fiber include fruits (like apples, pears, and berries), vegetables (such as broccoli, carrots, and leafy greens), whole grains (like oats and brown rice), and legumes (beans and lentils). Consider adding a fiber supplement if you struggle to get enough from food.

3. Physical Activity: Regular exercise can stimulate digestion and help alleviate constipation. Even simple activities like walking or stretching can be effective. Aim for at least 30 minutes of moderate exercise most days of the week.

4. Routine: Establishing a regular bathroom routine can help train your body to have bowel movements at specific times. Try to set aside time each day, preferably after meals, to sit on the toilet, even if you don’t feel the urge.

5. Probiotics: Incorporating probiotics into your diet can help balance gut bacteria and improve digestion. Yogurt, kefir, sauerkraut, and other fermented foods are excellent sources of probiotics. You may also consider a probiotic supplement.

6. Laxatives: If dietary changes and lifestyle adjustments do not provide relief, over-the-counter laxatives may be an option. However, it’s essential to use them sparingly and consult with a healthcare provider before starting any laxative regimen.

7. Enemas: While you asked about using an enema, it’s generally advisable to use this method as a last resort. Frequent use of enemas can lead to dependency and may disrupt your natural bowel function. If you feel that you need to use an enema, consult with a healthcare professional for guidance.


Regarding Your Urine Color
The greenish tint in your urine could be due to several factors, including dietary choices (certain foods can change urine color), medications, or dehydration. If you are concerned about this change, it’s best to consult with a healthcare provider to rule out any underlying issues.


Lifestyle Considerations
Your work schedule and sleep patterns can significantly impact your digestive health. If you are working late hours and not getting enough sleep, this can lead to stress and irregular eating habits, both of which can contribute to constipation. Try to establish a more regular sleep schedule and incorporate relaxation techniques, such as deep breathing or meditation, to help manage stress.


Conclusion
In summary, overcoming post-abortion constipation involves a combination of hydration, dietary adjustments, physical activity, and possibly the use of supplements or medications. If your symptoms persist or worsen, it’s crucial to consult with a healthcare provider for further evaluation and tailored treatment options. Remember, your health and well-being are paramount, and seeking professional advice is always a wise choice.

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