Post-Surgery Constipation: Lack of Bowel Urge and Solutions - Gastroenterology and Hepatology

More Info

---

Post-surgery constipation, especially after a significant procedure like a radical hysterectomy, can be a challenging and uncomfortable experience. It is not uncommon for patients to encounter changes in bowel habits following surgery due to various factors, including anesthesia, pain medications, changes in diet, and the physical stress of the surgery itself.
In your case, it seems that after a period of relative normalcy regarding bowel movements, you experienced a sudden change, leading to a lack of bowel urge and difficulty in passing stool. This can be attributed to several factors:
1. Anesthesia and Pain Medications: Anesthesia can slow down the gastrointestinal tract, leading to constipation. Opioid pain medications, if used, can exacerbate this effect. If you were prescribed any pain medications, consider discussing alternatives with your physician.

2. Physical Activity: Post-operative activity levels can significantly impact bowel function. It’s essential to gradually increase physical activity as tolerated, as movement helps stimulate bowel motility. However, be cautious not to overexert yourself, especially if you are still recovering from surgery.

3. Dietary Factors: While you mentioned increasing your intake of water and fiber-rich foods, it’s crucial to ensure that your diet is balanced and includes adequate fiber. Foods such as whole grains, fruits, vegetables, and legumes can help promote bowel regularity. Additionally, consider incorporating probiotics, which can help restore gut flora and improve digestion.

4. Hydration: You mentioned drinking 2000cc of water daily, which is generally adequate. However, ensure that you are also consuming fluids that can help with digestion, such as herbal teas or warm water, which may stimulate bowel movements.

5. Bowel Training: Establishing a routine for bowel movements can be beneficial. Try to set aside a specific time each day to sit on the toilet, even if you don’t feel the urge. This can help condition your body to recognize the need to have a bowel movement.

6. Medications: You mentioned using magnesium oxide to assist with bowel movements. While this can be effective, it’s essential to use it under the guidance of a healthcare provider. If you find that it is not providing sufficient relief, discuss other options with your doctor, such as stool softeners or other laxatives.

7. Physical Examination: If your symptoms persist, it may be necessary to have a thorough evaluation by your healthcare provider. They may want to rule out any complications from surgery, such as adhesions or other obstructions that could be contributing to your symptoms.

8. Pelvic Floor Therapy: Sometimes, post-surgical changes can affect pelvic floor function, leading to difficulties in bowel movements. A referral to a pelvic floor therapist may be beneficial to help you regain control and improve bowel function.

In summary, while post-surgical constipation can be frustrating, there are several strategies you can employ to help improve your situation. It is crucial to maintain open communication with your healthcare provider, who can offer personalized advice and interventions based on your specific circumstances. If your symptoms do not improve or worsen, seeking medical attention is essential to rule out any underlying issues. Remember, recovery takes time, and it’s important to be patient with your body as it heals.