Post-Colonoscopy Digestive Issues: Symptoms and Recovery Time

Abnormalities in the intestines after a colonoscopy?

Hello, doctor.
I would like to ask for your advice.
After undergoing my first colonoscopy at the end of May, the doctor informed me that I have a small adenoma, and there are signs of inflammation in the sigmoid colon and rectum.
As a result, I was prescribed Famotidine and Loperamide.
Since my first bowel movement after the colonoscopy, I have noticed changes; I experience fecal leakage during flatulence or pass small amounts of stool with gas (which I had almost never experienced before).
Additionally, there has been an increase in mucus in my stool, and I find myself going to the bathroom more frequently, which is quite distressing.
During my follow-up appointment, the doctor prescribed medication to relieve bloating concerning the fecal leakage.
I thought that the symptoms would resolve shortly after the colonoscopy, but it has been 20 days since the procedure, and this morning I still noticed a small amount of stool mixed with gas and an increased amount of mucus.
This time, there was a small streak of blood on the mucus, which I had never experienced before the colonoscopy (I have never had blood in my stool).
I would like to ask the doctor: 1.
If this is a result of the colonoscopy, how long does it typically take for a person to return to normal? This is truly distressing.
2.
If this is not related to the colonoscopy, what conditions could cause these ongoing issues after the procedure, and how can I improve my situation? 3.
I just had a consultation; do I need to schedule another appointment immediately? Thank you.

V123, 50~59 year old female. Ask Date: 2023/06/18

Dr. Chen Shidian reply Gastroenterology and Hepatology

It is likely not caused by the colonoscopy.
Please start with a light diet and document any changes along with related factors.
If symptoms persist, return for a follow-up to discuss further strategies.

Reply Date: 2023/06/18

More Info

After undergoing a colonoscopy, it is not uncommon for patients to experience various digestive issues, especially if there were findings such as inflammation or polyps that required removal. Your symptoms, including the presence of mucus in your stool, increased bowel movements, and the occasional passing of small amounts of stool with gas, can be distressing and may indicate a few different underlying issues.

1. Recovery Time Post-Colonoscopy: Generally, most patients can expect to return to their baseline bowel habits within a few days to a week after a colonoscopy. However, if there were interventions such as polyp removal or treatment for inflammation, it might take longer for your bowel function to normalize. In your case, since you are experiencing symptoms 20 days post-procedure, it suggests that your body may still be adjusting. Factors such as diet, hydration, and individual healing responses can influence recovery time. If your symptoms persist beyond a month, it would be advisable to consult your physician for further evaluation.

2. Potential Causes of Ongoing Symptoms: If your symptoms are not directly related to the colonoscopy, they could be due to several factors. The inflammation noted in your colon could be a result of underlying conditions such as irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), or even dietary changes post-procedure. The presence of blood in your stool, although minor, is concerning and should not be overlooked. It could indicate irritation or a minor injury to the intestinal lining, possibly exacerbated by the colonoscopy or the medications you were prescribed. Keeping a food diary to track your diet and any correlations with your symptoms may help identify triggers. Additionally, consider discussing with your doctor the possibility of a follow-up examination or imaging studies if symptoms persist.

3. Follow-Up Consultation: Given the new onset of blood in your stool and the persistence of your symptoms, it is prudent to schedule a follow-up appointment with your healthcare provider. They can perform a thorough evaluation, which may include a physical examination and possibly additional tests to rule out any complications or new issues that may have arisen since your colonoscopy. It is essential to address these symptoms promptly to ensure that any potential problems are managed effectively.

In summary, while some digestive changes after a colonoscopy can be expected, the persistence of your symptoms, especially with the addition of blood, warrants further investigation. Maintaining a clear line of communication with your healthcare provider and advocating for your health is crucial. They can provide tailored advice and treatment options based on your specific situation, ensuring that you receive the appropriate care to alleviate your discomfort and restore your digestive health.

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