Postpartum Symptoms: Gas, Discomfort, and Recovery Concerns

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Hello Dr.
Lu, I asked you a question a few days ago, and I really appreciate your response.
However, I have another issue that is troubling me.
Since I gave birth on January 31 and completed my 30-day postpartum confinement, I have noticed that whenever I exert myself, I experience gas expulsion from my lower body (to put it bluntly, it feels like passing gas).
Sometimes, it happens multiple times in a row.
Recently, I have also noticed that during these episodes, my lower body feels damp and warm, almost like there is a discharge similar to leukorrhea, but I usually don’t have any discharge except during these times.
What could be the cause of this? Is there something wrong with my uterus? Should I get checked? Could this situation be related to the fact that I started standing for long periods to take care of my husband right after my 30-day confinement? Or is it because I didn’t rest enough during my confinement?
Additionally, when I was about 8 to 9 days postpartum, I experienced significant pain in the pubic area, making it difficult to urinate due to the intense discomfort.
I would often stop urinating because of the pain.
Now, over three months postpartum, I still feel some discomfort if I stand for too long.
I read that during the confinement period, one should rinse the wound with warm water and iodine after using the restroom, but I didn’t finish the diluted solution in one go, so I saved it for the next time (usually it was cold by then, not warm).
Could using cold water for rinsing be the reason for my bone pain? My mother-in-law said she used cold water during her confinement and still experiences bone pain when the weather changes.
Many older generations say that one should not come into contact with cold water during confinement; is this true? Or could it be that my bones were injured during childbirth because the baby's head was too large? My baby had a cephalohematoma, and my mother had four children without experiencing bone pain or having a baby with a cephalohematoma, so I am questioning whether this is the case.

I kindly ask for your guidance amidst your busy schedule.
Thank you.
Wishing you good health and safety.

Ya Zi, 20~29 year old female. Ask Date: 2005/05/17

Dr. Lü Lizheng reply Obstetrics and Gynecology

If there is a discharge from the lower body resembling leukorrhea, it is important to consider the possibility of inflammation and seek medical attention for diagnosis and treatment.
The severe pain in the pubic area is likely unrelated to the use of cold water for washing.
It is advisable to consider the possibility of inflammation and to avoid prolonged standing.
Many older generations believe in the traditional Chinese practice that women should not come into contact with cold water during the postpartum period.
Is this true? Nowadays, tap water is cleaner than in ancient times, and using boiled cold water is safer.
During delivery, could the baby's head have caused a tear due to being too large? My baby has a caput succedaneum, and it is possible that the pubic symphysis was stretched during delivery; a medical evaluation can confirm this.
Sincerely, Lu Lizheng.

Reply Date: 2005/05/17

More Info

Postpartum symptoms can be quite complex and vary significantly from one individual to another. In your case, the sensations of gas, discomfort, and unusual discharge you're experiencing after childbirth are not uncommon, but they do warrant attention and understanding.

Firstly, the sensation of gas and the involuntary release of air from the lower body when you exert pressure can be attributed to several factors related to the postpartum recovery process. After childbirth, especially following a vaginal delivery, the pelvic floor muscles and surrounding tissues can be weakened or stretched. This can lead to a condition known as pelvic floor dysfunction, which may manifest as involuntary gas release or even urinary incontinence. The pelvic floor supports the bladder, uterus, and rectum, and any trauma or strain during delivery can affect its function.

The feeling of wetness or a discharge resembling leukorrhea (normal vaginal discharge) could be due to several reasons. It might be related to hormonal changes that occur postpartum, as estrogen levels fluctuate significantly after delivery. Additionally, if you are experiencing any infection or inflammation in the vaginal area, this could also lead to increased discharge. It is essential to monitor the characteristics of this discharge—if it has an unusual odor, color, or is accompanied by itching or burning, it would be advisable to consult a healthcare provider for further evaluation.

Regarding your concerns about the physical activities you engaged in after your confinement period, it is indeed possible that standing for prolonged periods or not allowing adequate rest could contribute to discomfort. The postpartum body is still healing, and overexertion can exacerbate symptoms related to pelvic floor dysfunction or other musculoskeletal issues.

The pain you described in the pubic area and the discomfort during urination could be linked to several factors. After childbirth, especially with significant trauma such as a fourth-degree tear, the pelvic region can be quite sensitive. If you are experiencing persistent pain, it may indicate that the tissues are still healing or that there is some residual inflammation. Additionally, the use of cold water for cleansing, as mentioned in your query, is generally not recommended in traditional postpartum care practices in many cultures, as it is believed to contribute to discomfort or prolonged recovery. However, the scientific basis for this belief is not strongly supported; rather, it is essential to maintain proper hygiene and comfort during recovery.

If your symptoms persist or worsen, it is crucial to seek a thorough evaluation from a healthcare provider. They may recommend pelvic floor therapy, which can help strengthen the pelvic muscles and improve function. Additionally, a gynecological examination may be necessary to rule out any complications related to your delivery or postpartum recovery.

In summary, while some discomfort and unusual sensations can be part of the postpartum experience, persistent or severe symptoms should not be ignored. It is essential to communicate openly with your healthcare provider about your concerns, as they can provide tailored advice and treatment options to support your recovery. Remember, postpartum recovery is a gradual process, and seeking help is a vital step towards regaining your health and well-being.

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