Post-Right Hemicolectomy: Recovery and Common Concerns

Right hemicolectomy postoperative?

Hello Doctor: My father is 68 years old.
He had a colonoscopy due to polyps that could not be removed, and later underwent laparoscopic surgery to remove the right hemicolon.
About a month after the surgery, is it normal for his bowel movements to be unformed? He experiences pain in the anal area when wiping (without bleeding); is this also normal? What should we pay attention to after the surgery? Thank you.

Mei, 20~29 year old female. Ask Date: 2019/07/09

Dr. Chen Shidian reply Gastroenterology and Hepatology

It may be due to a shortened colon, leading to inadequate water absorption.
You can discuss medication adjustments with your physician.

Reply Date: 2019/07/09

More Info

Post-right hemicolectomy recovery can be a complex process, and it is important to understand what to expect during this time. Your father, at 68 years old, has undergone a significant surgical procedure that involves the removal of the right half of the colon. This type of surgery can lead to various changes in bowel function and may cause discomfort during the recovery phase.

Firstly, it is not uncommon for patients to experience changes in bowel habits after a hemicolectomy. The colon plays a crucial role in the absorption of water and the formation of stool. After the removal of a portion of the colon, it may take some time for the remaining part of the colon to adapt to the new situation. As a result, it is quite normal for bowel movements to be loose or unformed in the weeks following surgery. This condition, often referred to as "post-surgical diarrhea," can occur as the body adjusts to the changes in the digestive system. It is important to stay hydrated and maintain a balanced diet, focusing on foods that can help firm up stool, such as bananas, rice, applesauce, and toast (the BRAT diet).

Regarding the pain experienced during wiping, this can also be a common issue after surgery. The surgical site may still be healing, and any irritation or pressure in the anal area can lead to discomfort. It is essential to ensure that proper hygiene is maintained to prevent any infections, but if the pain persists or worsens, it would be advisable to consult with a healthcare provider. They may want to examine the area to rule out any complications such as anal fissures or infections.

In terms of recovery, there are several key points to keep in mind:
1. Dietary Adjustments: After surgery, a gradual return to a normal diet is recommended. Starting with clear liquids and slowly introducing solid foods can help the digestive system adjust. High-fiber foods can be beneficial, but they should be introduced gradually to avoid overwhelming the system.

2. Hydration: Staying well-hydrated is crucial, especially if experiencing loose stools. Adequate fluid intake helps prevent dehydration and supports overall recovery.

3. Physical Activity: Gentle physical activity, as tolerated, can aid in recovery. Walking is often encouraged to promote bowel function and prevent complications such as blood clots.

4. Monitoring Symptoms: It is important to monitor any symptoms that may arise post-surgery. If your father experiences severe abdominal pain, persistent vomiting, fever, or any signs of infection (such as increased redness or discharge at the surgical site), he should seek medical attention promptly.

5. Follow-Up Appointments: Regular follow-up appointments with the surgeon or gastroenterologist are essential to monitor recovery and address any concerns. These visits provide an opportunity to discuss bowel habits, pain management, and any other issues that may arise.

6. Emotional Support: Recovery from surgery can be emotionally taxing. Providing support and understanding during this time is important, as patients may experience anxiety or depression related to their health changes.

In summary, while it is normal for your father to experience unformed stools and some discomfort after a right hemicolectomy, it is essential to monitor his symptoms and maintain open communication with his healthcare team. If any concerning symptoms arise or if there are questions about his recovery, do not hesitate to reach out to his doctor for guidance. Recovery can take time, and each patient's experience is unique, so patience and support are key during this period.

Similar Q&A

Post-Surgery Concerns: Understanding Hemorrhoid Recovery and Diet

On December 31, 2020, I underwent traditional surgery for thrombosed external hemorrhoids. I did not have any issues with constipation, as my gallbladder was removed in 2012. During a follow-up appointment on January 21, the doctor performed a digital examination using a dilator ...

Dr. Yu Mingchang reply Surgery
Hello: After a laparoscopic cholecystectomy for constipation, the Ministry of Health and Welfare Changhua Hospital is concerned about your well-being post-surgery.

Post-Surgery Bleeding Concerns After Hemorrhoidectomy: A Week Later

Hello, Doctor. I had a hemorrhoidectomy at Tri-Service General Hospital a week ago. I started having bowel movements on the third day post-surgery, but on the fourth night, after passing gas, I noticed blood staining my outer pants (the stain was about five centimeters in diamete...

Dr. Ke Fangxu reply Surgery
After hemorrhoid excision surgery, it is possible to experience bleeding. Generally, medication can alleviate the bleeding. However, if the bleeding does not stop, a return to the operating room for suturing and hemostasis may be necessary. It is recommended that you return to th...

Understanding Post-Hemorrhoid Surgery Recovery: Common Concerns and Tips

It has been a month since my hemorrhoid surgery. At first, it was very difficult to have a bowel movement, and my stools were thin, accompanied by dark red blood. The doctor used an anoscope and said that the wound at the anal opening has healed, but the inside has not. He advise...

Dr. Ke Fangxu reply Surgery
The suppository contains glycerin, and if you have a bowel movement shortly after using it, you may experience certain symptoms. There is no need to worry excessively; simply increasing your intake of dietary fiber and shortening the time spent on the toilet should help alleviate...

Post-Surgery Recovery Tips for Hemorrhoid Surgery: Managing Symptoms and Exercise

Hello, doctor. I underwent a traditional hemorrhoid surgery covered by health insurance at the beginning of August (the surgeon mentioned that three areas were sutured). It has been a month and a half since the surgery, and during my follow-up appointment last week, the doctor sa...

Dr. Ke Fangxu reply Surgery
1. In general, traditional surgical wounds take about a month to fully heal. Continuous bleeding and a feeling of heaviness are not very common. Taking warm sitz baths should help, and it is also important to shorten the time spent on bowel movements. 2. If the amount of oozing...