Haven't had a bowel movement for three days?
Hello Doctor, last Sunday afternoon I had a stomachache and went to the bathroom, but I couldn't have a bowel movement.
After that, I felt fine, but today I still haven't been able to go.
I have a slight urge to go, but when I try, nothing comes out.
This has never happened to me before.
Now, I only have a mild sensation of needing to go, unlike before when I had a strong urge.
Other than this, I don't have any other issues.
H, 30~39 year old female. Ask Date: 2022/01/11
Dr. Ke Fangxu reply Surgery
First, drink plenty of water and increase your intake of dietary fiber.
If you still cannot have a bowel movement, you may take a stool softener.
If you continue to experience abdominal bloating and are unable to pass stool, you should seek medical attention to investigate the cause.
Reply Date: 2022/01/11
More Info
Experiencing three days without a bowel movement can be concerning, especially if it is accompanied by discomfort or changes in bowel habits. It's important to understand that several factors can contribute to constipation, particularly following surgery or during recovery periods.
Firstly, after any surgical procedure, especially those involving the abdomen, it is common for bowel function to be temporarily disrupted. This can be due to several reasons:
1. Anesthesia Effects: General anesthesia can slow down the digestive system. It may take some time for your intestines to resume normal function after the effects of anesthesia wear off.
2. Pain Medications: Opioids and other pain medications often prescribed post-surgery can lead to constipation as they slow down bowel motility. If you have been taking such medications, this could be a significant factor in your current situation.
3. Reduced Mobility: After surgery, patients often have reduced physical activity, which can contribute to slower bowel movements. Movement helps stimulate the intestines, and a lack of it can lead to constipation.
4. Dietary Changes: Post-operative diets may be different from your usual eating habits. If you have been consuming less fiber or not drinking enough fluids, this can also lead to constipation.
5. Stress and Anxiety: The stress of undergoing surgery and the anxiety about recovery can also affect bowel habits. Stress can lead to changes in gut motility, contributing to constipation.
Given your situation, here are some steps you can take to alleviate constipation:
- Hydration: Ensure you are drinking plenty of fluids. Water is essential for softening stool and promoting bowel movements.
- Dietary Fiber: Incorporate high-fiber foods into your diet, such as fruits, vegetables, whole grains, and legumes. Fiber helps bulk up stool and can stimulate bowel movements.
- Physical Activity: If your doctor permits, try to engage in light physical activity. Even short walks can help stimulate your digestive system.
- Over-the-Counter Remedies: If dietary changes and hydration do not help, consider using over-the-counter laxatives or stool softeners. However, consult your healthcare provider before starting any new medication.
- Monitor Symptoms: Keep track of any additional symptoms you may experience, such as severe abdominal pain, bloating, or vomiting. If you experience these, it is crucial to seek medical attention promptly.
If you do not have a bowel movement soon or if your symptoms worsen, it is advisable to contact your healthcare provider. They may want to evaluate you further to rule out any complications, especially if you have had recent surgery. In some cases, a physical examination or imaging studies may be necessary to assess your condition.
In summary, while three days without a bowel movement can be concerning, it is not uncommon after surgery. By taking proactive steps to manage your diet, hydration, and activity levels, you can often alleviate constipation. However, do not hesitate to reach out to your healthcare provider if you have any concerns or if your symptoms persist.
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