Post-Tonsillectomy: What to Do If You Haven't Pooped in a Week? - Otolaryngology

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What should I do if I haven't had a bowel movement one week after a tonsillectomy (uvulopalatopharyngoplasty)?


Hello, I have undergone a tonsillectomy, and today is the eighth day.
I have been passing gas normally, such as burping and flatulence, and urinating normally, but I have not had a bowel movement.
Could this be related to my liquid diet this week? Additionally, swallowing is painful, so I haven't been able to drink my usual 2000cc of water daily; my fluid intake has decreased significantly.
This week, my diet has included: aloe vera jelly, pudding, cheese, tofu pudding, honey water, and coconut water.
I started consuming some bone broth with porridge in the last two days, but I still haven't had a bowel movement.
Dr.
Zheng, what should I do?

Cheng Xiaojie, 20~29 year old female. Ask Date: 2023/07/29

Dr. Zheng Jueyi reply Otolaryngology


Hello, it is normal for the amount of stool to decrease due to a liquid diet.
If there is no discomfort such as bloating or abdominal pain, you can try to drink more water and observe.
However, if you experience any discomfort, it is advisable to visit a clinic or a gastroenterologist for examination and confirmation.

Reply Date: 2023/07/29

More Info


After a tonsillectomy, it is not uncommon for patients to experience changes in bowel habits, including constipation. Given that you have not had a bowel movement in a week, there are several factors to consider that could be contributing to this situation.

Firstly, your current liquid diet may be a significant factor. Foods such as jelly, pudding, and other soft, liquid-based items typically lack sufficient fiber, which is essential for promoting regular bowel movements. A diet low in fiber can lead to constipation, as fiber helps to bulk up stool and facilitate its passage through the intestines. While you have started consuming bone broth and porridge, it is important to incorporate more fiber-rich foods into your diet as you recover. Foods such as fruits (like bananas, apples, or berries), vegetables (like spinach, carrots, or broccoli), and whole grains (like oatmeal or whole grain bread) can help improve your bowel movements.

Secondly, hydration is crucial. You mentioned that your water intake has decreased due to pain while swallowing. Dehydration can also contribute to constipation, as adequate fluid intake is necessary for softening stool. It is important to find ways to increase your fluid intake, even if it means consuming smaller amounts more frequently. Consider sipping on water, herbal teas, or electrolyte drinks that may be easier to swallow. If you find it painful to drink large quantities at once, try to drink small amounts throughout the day.

Additionally, the pain you are experiencing while swallowing can lead to a decrease in appetite and food intake, which can further exacerbate constipation. If swallowing is too painful, consult your healthcare provider about pain management options that may allow you to eat and drink more comfortably.

If you continue to experience constipation, there are several strategies you can try:
1. Gentle Physical Activity: If you are feeling up to it, light physical activity, such as walking, can help stimulate bowel movements. However, be sure to listen to your body and avoid any strenuous activities that could hinder your recovery.

2. Over-the-Counter Remedies: If dietary changes and hydration do not help, consider discussing the use of over-the-counter laxatives or stool softeners with your healthcare provider. These can provide temporary relief and help you establish regular bowel habits.

3. Consult Your Doctor: Since it has been a week without a bowel movement, it is advisable to reach out to your healthcare provider for further evaluation. They can provide personalized recommendations based on your specific situation and may suggest additional interventions if necessary.

In summary, your lack of bowel movements post-tonsillectomy may be related to your liquid diet, decreased hydration, and pain while swallowing. Focus on gradually reintroducing fiber-rich foods, increasing your fluid intake, and engaging in light physical activity. If these measures do not lead to improvement, do not hesitate to consult your healthcare provider for further assistance. Your health and comfort are paramount during your recovery.

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