Post-Surgery Care: Probiotics, Massage, and Recovery - Surgery

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Inquiry


1.
If you supplement with probiotics but use laxatives for bowel movements, will the probiotics be completely flushed out as well?
2.
Given that your constitution is relatively weak and it has been over a year since your fibroid surgery, is it okay to perform abdominal massage movements, even if they put pressure on the incision? (Because currently, the incision still experiences some discomfort.)
3.
There are certain effects from exercises or foods consumed before surgery, but after the surgery, doing the same activities does not yield the same sensations.
What could be the reason for this? Is it related to the severing of the nerve and vascular connections within the abdominal cavity?

Yu, 40~49 year old female. Ask Date: 2007/12/10

Dr. Ke Fangxu reply Surgery


Hello: In response to your questions: 1.
The use of laxatives only increases the water content of the colon or enhances intestinal motility; it does not flush out probiotics.
2.
It is not recommended to perform massages within six months post-surgery, as the wound has not stabilized yet.
After more than a year, it should be fine.
3.
Due to the lack of clarity in your questions (what type of exercise? what substances? what effects?), I cannot provide a definitive answer.
However, it is common for bodily changes to occur after surgery, which may not necessarily be related to the cutting and suturing performed during the procedure.
Furthermore, a well-executed surgery should not sever any critical nerves or blood vessels.

Reply Date: 2007/12/10

More Info


Post-surgery care is a crucial aspect of recovery, and it involves various considerations, including nutrition, physical activity, and the management of discomfort. Let's address your questions one by one, while also providing some additional insights into post-surgical recovery.

1. Probiotics and Laxatives: You are correct to be concerned about the use of laxatives after taking probiotics. Laxatives can indeed affect the gut flora, potentially diminishing the benefits of probiotics. Probiotics are beneficial bacteria that help maintain gut health and can aid in digestion and regularity. If you are using a laxative, it may wash out some of the probiotics, reducing their effectiveness. It is advisable to take probiotics at a different time than laxatives, allowing for better absorption and effectiveness. Additionally, consider discussing with your healthcare provider about alternative methods for managing constipation that may not interfere with your probiotic intake.

2. Abdominal Massage Post-Surgery: After any abdominal surgery, including fibroid surgery, it is essential to be cautious about any form of manipulation or massage around the surgical site. While gentle massage can sometimes help with discomfort and promote circulation, applying pressure directly on the incision site can lead to complications, including reopening the wound or causing internal damage. If you are experiencing persistent pain at the incision site, it is crucial to consult with your healthcare provider before attempting any massage. They can assess your healing progress and provide personalized recommendations based on your specific situation.

3. Changes in Sensation and Recovery: It is common for patients to experience different sensations post-surgery compared to pre-surgery, especially if the surgery involved cutting through nerves or blood vessels. The body undergoes significant changes during surgery, and the healing process can lead to altered sensations, including numbness, tingling, or pain. This can be attributed to nerve regeneration or scar tissue formation, which may affect how nerves communicate with the brain. If you notice unusual sensations or persistent pain, it is essential to discuss these symptoms with your healthcare provider. They can help determine if these changes are part of the normal healing process or if further evaluation is needed.


Additional Considerations for Post-Surgery Care:
- Nutrition: A balanced diet rich in vitamins and minerals is vital for recovery. Focus on foods high in protein (like lean meats, fish, eggs, and legumes) to support tissue repair, as well as fruits and vegetables for their antioxidants and vitamins. Calcium and vitamin D are also essential for bone health, especially if your surgery involved the musculoskeletal system.

- Hydration: Staying well-hydrated is crucial for overall health and can aid in recovery. Proper hydration supports digestion, nutrient absorption, and circulation.

- Physical Activity: Gradual reintroduction of physical activity is important for recovery. Follow your healthcare provider's recommendations regarding when and how to resume activities. Gentle movements and stretching can help maintain flexibility and prevent stiffness, but avoid high-impact activities until cleared by your doctor.

- Pain Management: Managing pain effectively is essential for recovery. Follow your healthcare provider's instructions regarding pain medications and consider complementary therapies, such as relaxation techniques or gentle yoga, to help manage discomfort.

- Follow-Up Care: Regular follow-up appointments with your healthcare provider are crucial to monitor your recovery progress. They can provide guidance on any concerns you may have and adjust your care plan as needed.

In conclusion, post-surgery care is multifaceted and requires attention to various aspects of health. Always communicate openly with your healthcare provider about any concerns or symptoms you experience during your recovery. They are your best resource for personalized advice and support.

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