Post-Rectal Surgery Care: Managing Symptoms and Recovery Tips

How to care for yourself after a rectal resection?

Hello Dr.
Chen,
My father underwent surgery to remove a stage 1 rectal tumor in May of this year and is currently in recovery.
He is only consuming soft foods at the moment.
However, post-surgery, he frequently experiences bowel movements 7 to 8 times a day, and a few days ago, he even had some fecal leakage onto his clothing.
He had a follow-up appointment with the doctor 5 days ago, who mentioned that he had some abdominal discomfort and prescribed medication that has helped improve the situation.
However, now that it has been a month since the surgery, he is still having 7 to 8 bowel movements daily, and occasionally there is a small amount of fecal leakage.
Is this normal?
My father was previously very healthy, but the post-surgery complications have affected his mood negatively.
The follow-up doctor did not provide a detailed explanation, so I would like to ask for your assistance in clarifying which post-operative symptoms are considered normal.
Additionally, could you please advise us on how to care for him better? Thank you!

Mag, 40~49 year old female. Ask Date: 2010/06/03

Dr. Chen Qifeng reply Gastroenterology and Hepatology

Hello, after rectal surgery, it may lead to a slower recovery of rectal function.
In addition to medications for bowel regulation, exercises such as Kegel exercises and anal sphincter contractions can help strengthen rectal function.
Essentially, it is important to continue follow-up care at the colorectal surgery outpatient clinic.
Wishing you good health, Dr.
Chi-Feng Chen, Taoyuan Hospital, Department of Health.

Reply Date: 2010/06/03

More Info

Post-rectal surgery care is crucial for ensuring a smooth recovery and managing symptoms effectively. After your father's surgery for a rectal tumor, it's understandable that he is experiencing some discomfort and changes in bowel habits. Here’s a comprehensive overview of what to expect post-surgery, what symptoms are normal, and how to care for him during this recovery period.

Normal Post-Surgery Symptoms
1. Increased Bowel Movements: It is common for patients to experience increased frequency of bowel movements after rectal surgery. This can be due to several factors, including changes in diet, the body's adjustment to the surgical alterations, and the healing process. Having 7-8 bowel movements a day can be considered normal in the early stages of recovery, especially if he is consuming a liquid diet.

2. Incontinence: Some patients may experience fecal incontinence or leakage, especially in the initial weeks following surgery. This can be distressing, but it is often a temporary issue as the body adjusts. The anal sphincter may take time to regain its strength and control.

3. Abdominal Discomfort: Mild abdominal pain or cramping can occur as the digestive system begins to function normally again. This discomfort should gradually decrease over time.

4. Changes in Stool Consistency: After surgery, stool may be softer or more liquid due to dietary changes. As he transitions back to a more regular diet, stool consistency may normalize.

When to Seek Further Medical Attention
While some symptoms are normal, there are signs that warrant a call to the doctor:
- Persistent Diarrhea: If the frequency of bowel movements does not decrease or worsens, it may indicate an underlying issue.

- Severe Pain: If he experiences significant abdominal pain that does not improve with medication, it could be a sign of complications.

- Signs of Infection: Fever, chills, or unusual discharge from the surgical site should be reported immediately.

- Severe Incontinence: If the incontinence worsens or becomes unmanageable, further evaluation may be necessary.

Care Tips for Recovery
1. Dietary Adjustments: Since your father is currently on a liquid diet, it’s essential to gradually introduce more solid foods as tolerated. Start with low-fiber foods and slowly incorporate fiber-rich options to help normalize bowel movements. Foods like bananas, rice, applesauce, and toast (the BRAT diet) can be helpful initially.

2. Hydration: Ensure he stays well-hydrated, as fluids are crucial for digestion and can help prevent constipation when he begins to eat solid foods.

3. Pelvic Floor Exercises: Once cleared by his physician, pelvic floor exercises can help strengthen the muscles around the rectum and improve control over bowel movements.

4. Scheduled Bathroom Visits: Encourage him to establish a routine for bathroom visits, which can help train the body to have bowel movements at specific times, reducing the urgency and frequency.

5. Medication Management: Continue to follow the physician's advice regarding any prescribed medications for managing bowel symptoms. If he experiences side effects or if the current regimen is not effective, discuss this with the doctor.

6. Emotional Support: Surgery and its aftermath can be emotionally taxing. Encourage open communication about his feelings and consider involving a counselor or support group if he is struggling with his mental health.

Conclusion
Recovery from rectal surgery can be challenging, and it’s important to remember that many symptoms are normal and temporary. However, if any concerns arise, do not hesitate to reach out to his healthcare provider for guidance. Regular follow-ups are essential to monitor his recovery and address any ongoing issues. With proper care and support, your father can gradually return to his normal activities and regain his quality of life.

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