Managing Frequent Bowel Urges and Mood Swings Before Surgery - Surgery

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Frequent urge to defecate and feelings of depression?


Dr.
Ke: Hello, I have surgery scheduled for mid-May for stage IV hemorrhoids, but recently I've been experiencing frequent anal moisture and a constant urge to have a bowel movement (multiple times a day), which is quite bothersome and has made me feel very distressed.
Are there any methods to temporarily relieve these symptoms before the surgery? Are anti-inflammatory suppositories effective? Thank you!

Miss Hou, 60~69 year old female. Ask Date: 2019/04/09

Dr. Ke Fangxu reply Surgery


Answer: Taking warm sitz baths along with topical ointments should be helpful.
Since a colonoscopy has already been performed, the possibility of malignant tumors can be ruled out.
For frequent bowel movements, increasing dietary fiber intake or taking fiber supplements may be beneficial.
If these measures are ineffective, you may consider consulting a gastroenterologist for medication for irritable bowel syndrome.

Reply Date: 2019/04/09

More Info


Managing frequent bowel urges and mood swings before surgery can be quite challenging, especially when dealing with a condition like advanced hemorrhoids. It's understandable that the physical discomfort and the psychological stress associated with frequent bowel urges can significantly impact your quality of life. Here are some strategies that may help alleviate your symptoms before your scheduled surgery.


1. Dietary Adjustments
One of the most effective ways to manage bowel habits is through dietary changes. Increasing your fiber intake can help regulate bowel movements. Foods rich in fiber include fruits, vegetables, whole grains, and legumes. Additionally, staying well-hydrated is crucial; aim for at least 8-10 glasses of water a day. This can help soften stools and reduce the urge to go frequently.


2. Over-the-Counter Medications
You mentioned the use of anti-inflammatory or topical treatments like hemorrhoid creams or suppositories. These can help reduce inflammation and provide temporary relief from discomfort. However, it's essential to consult with your healthcare provider before using any new medication, especially if you are already on a treatment plan for your hemorrhoids.


3. Scheduled Bathroom Breaks
If you are experiencing frequent urges, try to establish a routine by scheduling specific times to use the bathroom. This can help train your body to have more predictable bowel movements and may reduce the urgency you feel throughout the day.


4. Stress Management Techniques
Mood swings and anxiety can exacerbate physical symptoms. Engaging in stress-reducing activities such as yoga, meditation, or deep-breathing exercises can be beneficial. These practices can help calm your mind and may also have a positive effect on your gastrointestinal symptoms.


5. Physical Activity
Gentle physical activity can stimulate bowel function and help manage stress. Consider incorporating light exercises such as walking or stretching into your daily routine. However, avoid any strenuous activities that could aggravate your condition.


6. Consult Your Doctor
Since you are scheduled for surgery, it’s crucial to keep your healthcare provider informed about your symptoms. They may recommend specific treatments or adjustments to your pre-operative care plan. If your symptoms become unbearable, they might also consider prescribing medications to help manage your bowel urges more effectively.


7. Psychological Support
If mood swings are significantly affecting your daily life, consider seeking support from a mental health professional. They can provide coping strategies and therapeutic techniques to help you manage anxiety and depression related to your condition and upcoming surgery.


Conclusion
While waiting for surgery, it’s essential to take proactive steps to manage your symptoms. Dietary changes, over-the-counter treatments, scheduled bathroom breaks, stress management techniques, and open communication with your healthcare provider can all contribute to alleviating your discomfort. Remember, your mental and emotional well-being is just as important as your physical health, so don’t hesitate to seek help if you need it. Your healthcare team is there to support you through this challenging time.

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