Diarrhea after suture removal?
My father had surgery for a hernia, and the day after the stitches were removed, he experienced continuous diarrhea and significant abdominal discomfort, stating that it was painful.
We are unsure of the cause.
After the stitches were removed, his diet included fresh milk and steamed buns.
He had previously experienced diarrhea after drinking fresh milk, but after drinking it regularly, he no longer had diarrhea.
He was advised not to drink fresh milk on the day of the surgery, but was allowed to drink it the following day.
Xiao Lan, 30~39 year old female. Ask Date: 2000/12/26
Dr. Liu Mingyue reply Surgery
Hernia surgery typically involves manipulation of the intestines, but it does not usually cause any functional damage to them.
If the patient experiences no issues during the postoperative period until the stitches are removed (usually about one week), then I believe this episode of diarrhea is likely unrelated to the surgery.
Furthermore, the removal of stitches will not affect intestinal function.
Therefore, it is most probable that the diarrhea is caused by gastroenteritis.
However, it is advisable to visit the hospital for further examination to obtain the best diagnosis and treatment.
Reply Date: 2000/12/26
More Info
Post-surgery diarrhea can be a common issue, especially after abdominal surgeries like hernia repairs. The gastrointestinal tract is sensitive after any surgical intervention, and various factors can contribute to diarrhea in the postoperative period.
Firstly, the surgical procedure itself can disrupt normal bowel function. Anesthesia, manipulation of the intestines, and the stress of surgery can lead to temporary changes in gut motility. This can manifest as diarrhea, which may occur shortly after surgery. Additionally, the use of antibiotics during or after surgery can alter the gut flora, leading to diarrhea as well. Antibiotics can kill off beneficial bacteria in the intestines, allowing harmful bacteria to proliferate, which can cause gastrointestinal upset.
In your father's case, it is also important to consider his dietary choices post-surgery. After surgery, the body requires a gradual return to a normal diet. Foods that are high in fat, dairy, or fiber can be difficult to digest and may exacerbate diarrhea. Fresh milk, for example, can be problematic for some individuals, especially if they have a history of lactose intolerance or if their digestive system is still recovering. While he may have consumed milk without issues in the past, the postoperative state can change how the body reacts to certain foods.
Given that your father experienced diarrhea after drinking fresh milk, it would be prudent to avoid dairy products for a while until his digestive system stabilizes. Instead, he could try lactose-free alternatives or other easily digestible foods. It is also advisable to focus on a bland diet that includes items like bananas, rice, applesauce, and toast (often referred to as the BRAT diet) to help firm up stools.
Moreover, hydration is crucial, especially if diarrhea persists. It is essential to replace lost fluids and electrolytes. Clear broths, oral rehydration solutions, and electrolyte-rich drinks can be beneficial.
If your father's diarrhea continues or worsens, or if he experiences severe abdominal pain, fever, or signs of dehydration (such as dry mouth, decreased urination, or dizziness), it is essential to seek medical attention. These could be signs of complications such as an infection or an issue with the surgical site.
In summary, postoperative diarrhea can be attributed to several factors, including the surgical procedure itself, dietary choices, and potential antibiotic use. Monitoring his diet, staying hydrated, and avoiding problematic foods like dairy can help manage his symptoms. If the situation does not improve, consulting with his healthcare provider is crucial for further evaluation and management.
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