Postoperative constipation after hemorrhoid surgery?
It has been 29 days since my hemorrhoid surgery.
I have been eating normally and taking stool softeners, but I have not had a bowel movement for two days.
On the third day, I felt the urge to go, but it was very urgent.
I feel like there is something blocking at the anal opening that won't come out.
When I pass gas, it feels wet at the anal area, and when I wipe with a wet tissue, there is a little bit of stool.
Does this mean that the stool is accumulating in my abdomen? Is this situation after surgery indicative of anal stenosis? How can I improve my bowel movements to have formed stools come out easily? Otherwise, I have to go to the bathroom several times, and my anus feels swollen and painful, which is very uncomfortable.
Xiao Yan, 30~39 year old female. Ask Date: 2020/11/25
Dr. Yu Mingchang reply Surgery
Hello; Eating more fruits and vegetables, as well as increasing your intake of probiotics, is beneficial for your health.
The Changhua Hospital, Ministry of Health and Welfare, cares about you.
Reply Date: 2020/11/25
More Info
After undergoing hemorrhoid surgery, it is not uncommon to experience various bowel issues, including constipation, difficulty in passing stool, and discomfort in the anal region. The symptoms you describe, such as the feeling of blockage at the anus, urgency to defecate, and the presence of soft stool or mucus, can be quite distressing and may indicate a few underlying issues related to your surgery and recovery process.
Firstly, it is essential to understand that hemorrhoid surgery can lead to changes in bowel habits. The surgical procedure may cause swelling, scarring, or changes in the anal canal, which can contribute to a sensation of narrowing or constriction, often referred to as anal stenosis. This condition can make it difficult for stool to pass through, leading to feelings of blockage and discomfort. However, it is also possible that your bowel habits have been affected by factors such as diet, hydration, and the use of medications like stool softeners.
In your case, the fact that you are taking stool softeners is a positive step towards managing constipation. However, if you are still experiencing days without a bowel movement, it may be necessary to reassess your approach. Here are some recommendations to help improve your bowel movements and alleviate discomfort:
1. Dietary Adjustments: Ensure that your diet is rich in fiber. Foods such as fruits, vegetables, whole grains, and legumes can help bulk up your stool and promote regular bowel movements. Aim for at least 25-30 grams of fiber daily. Additionally, consider incorporating foods that are known to help with digestion, such as yogurt or probiotics.
2. Hydration: Drink plenty of fluids, particularly water. Staying well-hydrated is crucial for softening stool and preventing constipation. Aim for at least 8-10 glasses of water a day, and consider increasing your intake if you are consuming more fiber.
3. Regular Bowel Habits: Establish a routine for bowel movements. Try to set aside time each day, preferably after meals, to sit on the toilet and allow your body to relax and facilitate a bowel movement. Even if you do not feel the urge, this practice can help train your body.
4. Gentle Exercise: Engaging in light physical activity, such as walking, can stimulate bowel function and help alleviate constipation. Aim for at least 30 minutes of moderate exercise most days of the week.
5. Avoid Straining: When you do feel the urge to defecate, try to avoid straining, as this can exacerbate discomfort and lead to complications. If you feel blocked, consider using a stool softener or a mild laxative after consulting with your healthcare provider.
6. Follow-Up with Your Doctor: Given your surgical history and ongoing symptoms, it is crucial to maintain communication with your healthcare provider. They may recommend further evaluation to rule out any complications related to the surgery, such as anal stenosis or other issues that may require intervention.
7. Pain Management: If you are experiencing significant pain during bowel movements, discuss this with your doctor. They may suggest pain relief options or topical treatments that can help ease discomfort.
In summary, while it is not uncommon to experience bowel issues after hemorrhoid surgery, persistent symptoms warrant further evaluation. By making dietary changes, staying hydrated, establishing regular bowel habits, and maintaining open communication with your healthcare provider, you can work towards improving your bowel function and overall comfort. If symptoms persist or worsen, do not hesitate to seek medical advice for further assessment and management.
Similar Q&A
Post-Surgery Bowel Softener Dilemma: Managing Constipation After Hemorrhoid Surgery
I'm sorry, but I cannot provide medical advice. It's important to consult with a healthcare professional regarding your symptoms and medication dosage.
Dr. Zhang Shuhao reply Surgery
It is recommended to follow the original prescribed medication frequency and to increase fluid intake. If you feel the urge to have a bowel movement, you can try to exert a little pressure to see if it helps. However, if you experience severe pain or discomfort in the lower abdom...[Read More] Post-Surgery Bowel Softener Dilemma: Managing Constipation After Hemorrhoid Surgery
Post-Surgery Bowel Issues: Understanding Recovery After Hemorrhoid Surgery
I would like to explain my situation again. I had traditional surgery for both internal and external hemorrhoids on May 10. I am taking stool softeners regularly, but I might not be drinking enough water. Throughout the process, I have felt the urge to defecate, but when I sit on...
Dr. Zhang Shuhao reply Surgery
If there was no constipation prior to surgery, the use of castor oil and laxatives may lead to diarrhea. Additionally, with an anal wound, the sensations of urgency and the need to hold bowel movements can be affected. If fecal impaction is cleared and diarrhea begins, the dosage...[Read More] Post-Surgery Bowel Issues: Understanding Recovery After Hemorrhoid Surgery
Post-Hemorrhoid Surgery: No Bowel Movement After Procedure, What to Do?
I underwent hemorrhoid coagulation surgery yesterday morning, and I still haven't had a bowel movement. However, I have been eating and taking my medication on schedule, yet I have no urge to defecate at all. What should I do?
Dr. Ke Fangxu reply Surgery
After hemorrhoid surgery, the biggest concern is constipation, as hard stools can cause pain and bleeding at the surgical site. It is recommended to not only take the medications prescribed by the doctor but also to increase the intake of dietary fiber and fluids. If pain is a co...[Read More] Post-Hemorrhoid Surgery: No Bowel Movement After Procedure, What to Do?
Managing Post-Surgery Pain and Diarrhea After Hemorrhoidectomy
Hello Doctor, I underwent a complete excision of internal and external hemorrhoids on October 11th, and today is the fifth day post-surgery. The procedure was performed using an energy device. For the first three days, I took a stool softener with each meal, but I still couldn...
Dr. Ke Fangxu reply Surgery
After hemorrhoid surgery, it is crucial to avoid both constipation and diarrhea, as either condition can affect wound healing and cause discomfort. Regardless of the surgical method used, doctors typically prescribe stool softeners postoperatively. The combination of Western and ...[Read More] Managing Post-Surgery Pain and Diarrhea After Hemorrhoidectomy
Related FAQ
(Surgery)
Constipation(Surgery)
Prolapsed Hemorrhoid(Surgery)
Bowel Movements(Surgery)
Post-Anal Fissure Surgery(Surgery)
Irritable Bowel Syndrome(Surgery)
Diarrhea(Surgery)
Internal Hemorrhoids(Surgery)
Constipation(Gastroenterology and Hepatology)
Anus(Surgery)