Severe Abdominal Pain During Bowel Movements 12 Days Postpartum: Is It Normal?

Severe stabbing abdominal pain during bowel movements 12 days postpartum?

I had a natural delivery on July 8th, and I was able to have a bowel movement the day after.
However, I experienced sharp abdominal pain during the bowel movement, which was quite uncomfortable.
Is this normal, or should I consider undergoing any examinations?

Miss Zhong from Kaohsiung, 30~39 year old female. Ask Date: 2022/07/20

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, based on your description, it is recommended that if the symptoms persist or worsen after a few days of observation, you should seek evaluation from a physician.
Thank you! Wishing you safety and health.
Dr.
Chang

Reply Date: 2022/07/20

More Info

Experiencing severe abdominal pain during bowel movements 12 days postpartum can be concerning, and it's important to understand the potential causes and what steps to take next. After childbirth, your body undergoes significant changes, and various factors can contribute to discomfort during bowel movements.

Firstly, it is not uncommon for women to experience some degree of abdominal pain or discomfort after giving birth. This can be due to several reasons:
1. Hormonal Changes: After delivery, your hormone levels fluctuate significantly, which can affect your gastrointestinal system. This may lead to constipation or changes in bowel habits, which can cause discomfort during bowel movements.

2. Perineal Trauma: If you had a vaginal delivery, you may have experienced tearing or an episiotomy, which can lead to pain during bowel movements. The pressure exerted during defecation can aggravate any existing soreness in the perineal area.

3. Constipation: Postpartum women often experience constipation due to hormonal changes, dehydration, or reduced physical activity. Straining during bowel movements can lead to abdominal pain and discomfort.

4. Uterine Contractions: After delivery, the uterus continues to contract as it returns to its pre-pregnancy size. These contractions can sometimes cause cramping or pain, especially when combined with the pressure of bowel movements.

5. Infection or Complications: Although less common, infections (such as a urinary tract infection or endometritis) or complications from the delivery can cause abdominal pain. If the pain is severe and persistent, it may warrant further investigation.

Given your situation, here are some recommendations:
- Hydration and Diet: Ensure you are drinking plenty of fluids and consuming a diet rich in fiber to help prevent constipation. Foods like fruits, vegetables, and whole grains can aid in regular bowel movements.

- Gentle Exercise: If you are cleared by your healthcare provider, gentle walking can help stimulate bowel function and reduce discomfort.

- Pain Management: Over-the-counter pain relief, such as acetaminophen or ibuprofen, can help manage pain. However, consult your healthcare provider before taking any medication.

- Monitor Symptoms: Keep track of your symptoms. If the pain worsens, is accompanied by fever, chills, or any unusual discharge, or if you notice blood in your stool, seek medical attention promptly.

- Consult Your Healthcare Provider: If the pain persists or is severe, it is advisable to consult your healthcare provider. They may recommend an examination or tests to rule out any complications, such as an infection or other underlying issues.

In conclusion, while some discomfort during bowel movements postpartum can be normal, severe pain should not be ignored. It is essential to listen to your body and seek medical advice if you have concerns about your recovery. Your healthcare provider can provide personalized guidance based on your specific situation and help ensure a smooth postpartum recovery.

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