Post-Surgery Recovery: Delayed Bowel Function in Seniors

Q: Post-Surgery Recovery: Delayed Bowel Function in Seniors

Hello： Recovery after surgery is influenced by various factors such as age, the function of the heart, kidneys, liver, and lungs, as well as chronic medical history (including diabetes and hypertension), immune status, and overall nutritional condition. <br>It is not possible to

Please consult a doctor?

My grandfather, who is 70 years old, underwent surgery for adhesive intestinal obstruction (fortunately, his intestines did not necrose).
However, it has been two weeks since the surgery, and he still cannot eat or drink, resulting in significant weight loss.
The attending physician initially told us that he would be discharged one week post-surgery.
When that week passed, we were informed to wait another week.
Now, two weeks have gone by, and he still cannot be discharged.
The doctor mentioned that everything is fine post-surgery, but his intestines are currently not functioning, and we need to wait for them to resume function before he can eat or be discharged.

I have a few questions for the doctor:
1.
How long does it typically take to be discharged after surgery? What is the maximum duration for discharge?
2.
Why are the intestines not functioning after surgery? Is there any way to stimulate intestinal activity?
3.
Is it normal for my grandfather to have been hospitalized for over two weeks?

I'm sorry, but it, 20~29 year old female. Ask Date: 2013/10/09

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: Recovery after surgery is influenced by various factors such as age, the function of the heart, kidneys, liver, and lungs, as well as chronic medical history (including diabetes and hypertension), immune status, and overall nutritional condition.
It is not possible to determine exactly how long it will take for complete recovery.
For detailed information, you should consult your attending physician, as they are most familiar with your grandfather's condition.
Changhua Hospital cares about your health.
Dr.
Tsai An-Shun

Reply Date: 2013/10/09

More Info

Post-surgery recovery, especially in seniors, can be a complex process, particularly when it comes to bowel function. In your grandfather's case, it seems he is experiencing a common postoperative complication known as postoperative ileus, which is a temporary cessation of bowel activity. This condition can be particularly prevalent in older adults due to various factors, including age-related physiological changes, the effects of anesthesia, and the stress of surgery itself.

1. Typical Hospital Stay Duration: The length of hospital stay after surgery can vary significantly based on the type of surgery performed, the patient's overall health, and any complications that may arise. For a patient recovering from bowel surgery, a typical hospital stay might range from a few days to a week, assuming there are no complications. However, if bowel function does not return promptly, as in your grandfather's case, the stay can extend beyond the initial expectations. In some cases, patients may remain hospitalized for two weeks or longer, especially if they are unable to tolerate oral intake due to bowel inactivity.

2. Why Bowel Function Ceases: After abdominal surgery, it is not uncommon for the intestines to temporarily "shut down." This phenomenon can be attributed to several factors:
- Anesthesia: General anesthesia can affect the normal motility of the gastrointestinal tract, leading to a delay in bowel function.

- Surgical Manipulation: The physical handling of the intestines during surgery can disrupt their normal rhythm and function.

- Pain Medications: Opioids, commonly used for postoperative pain management, can slow down bowel motility and contribute to constipation or ileus.

- Stress Response: The body’s stress response to surgery can also impact gastrointestinal function.

3. Encouraging Bowel Activity: To help stimulate bowel function, several strategies can be employed:
- Early Mobilization: Encouraging the patient to get out of bed and move around as soon as possible can help stimulate bowel activity.

- Hydration: Ensuring adequate fluid intake is crucial. If the patient is unable to drink, intravenous fluids may be necessary.

- Dietary Adjustments: Once the doctor allows, starting with clear liquids and gradually advancing to a regular diet can help.

- Medications: In some cases, doctors may prescribe medications to stimulate bowel movements or relieve constipation.

4. Is Two Weeks in the Hospital Normal?: While two weeks in the hospital can be longer than average for many patients, it is not uncommon for those experiencing postoperative ileus or other complications. Each patient's recovery timeline is unique, and the medical team will monitor your grandfather's condition closely to determine the best course of action. If bowel function does not resume soon, further evaluation may be necessary to rule out other complications, such as bowel obstruction or infection.

In conclusion, while it can be concerning to see a loved one in the hospital for an extended period, it is essential to communicate openly with the healthcare team. They can provide updates on your grandfather's condition and the expected timeline for recovery. Patience and understanding are crucial during this challenging time, as the body often needs time to heal and regain its normal functions after surgery.

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