Cannot wait?
Dear Dr.
Hou,
Hello, and thank you in advance! I am 58 years old and underwent traditional cholecystectomy in July 2005.
For over a year now, I have been troubled by the following issue: when I feel the urge to have a bowel movement (which occurs infrequently post-surgery), I cannot wait even for a moment; I must go immediately.
It feels as though I cannot control the anal sphincter.
Could you please explain what might be causing this? Is it possible that a nerve was damaged? Do I need to undergo any further treatment?
lin, 50~59 year old female. Ask Date: 2006/11/28
Dr. Hou Yongji reply Surgery
In general, gallbladder removal surgery does not damage any nerves related to bowel movements.
Therefore, please seek treatment from a colorectal specialist as soon as possible.
Dr.
Hou Yong-ji.
Reply Date: 2006/11/28
More Info
After gallbladder surgery, many patients experience a variety of gastrointestinal symptoms, including changes in bowel habits. Your experience of feeling an urgent need to have a bowel movement, especially when you do not have diarrhea, can be concerning and may stem from several underlying causes.
Possible Causes of Urgent Bowel Movements Post-Surgery
1. Changes in Bile Flow: The gallbladder stores bile produced by the liver, releasing it into the intestines to aid in the digestion of fats. After gallbladder removal, bile flows continuously into the intestines, which can lead to changes in digestion and absorption. This can sometimes result in a more urgent need to defecate, particularly after meals.
2. Altered Gut Motility: Surgery can affect the motility of the intestines. The nerves that control bowel movements may be influenced by the surgical procedure, leading to changes in how quickly food moves through your digestive tract. This can manifest as an urgent need to have a bowel movement.
3. Irritable Bowel Syndrome (IBS): Some patients develop symptoms of IBS after gallbladder surgery. This condition can cause a range of symptoms, including urgency, cramping, and changes in bowel habits. Stress and dietary changes can exacerbate these symptoms.
4. Dietary Factors: After gallbladder surgery, some individuals may find that certain foods trigger gastrointestinal symptoms. High-fat meals, in particular, can lead to increased bile secretion and may cause urgency in bowel movements.
5. Neurological Factors: While it is less common, surgery can sometimes affect the nerves in the abdominal area. If the nerves that control bowel function are impacted, this could lead to changes in sensation and urgency.
Recommendations for Management
1. Dietary Adjustments: Keeping a food diary can help identify any specific foods that may trigger your symptoms. A diet low in fat and high in fiber may help regulate bowel movements. Gradually reintroducing foods and monitoring your body's response can be beneficial.
2. Hydration: Ensure you are drinking enough fluids, as hydration can help maintain regular bowel function.
3. Regular Exercise: Engaging in regular physical activity can help improve gut motility and reduce symptoms of urgency.
4. Consult a Gastroenterologist: If your symptoms persist or worsen, it may be beneficial to consult a gastroenterologist. They can perform further evaluations, such as imaging studies or endoscopy, to rule out any complications or underlying conditions.
5. Medications: In some cases, medications that regulate bowel function or address IBS symptoms may be prescribed. Discussing this option with your healthcare provider can provide additional relief.
6. Pelvic Floor Therapy: If there is a concern about nerve damage or pelvic floor dysfunction, working with a physical therapist who specializes in pelvic health may help improve bowel control.
Conclusion
While it is not uncommon to experience changes in bowel habits after gallbladder surgery, the urgency you describe warrants further investigation. It is essential to communicate openly with your healthcare provider about your symptoms, as they can help determine the best course of action tailored to your specific situation. With appropriate management, many patients find relief from their symptoms and can return to a more normal bowel function.
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