Concerns After Hemorrhoid Surgery
Age: 27, currently on medication including Senna, Cefspan, Doxium, Daflon, and Flagyl. No previous history of smoking or substance use, and no known allergies or past medical conditions. I underwent surgery on June 16th to address internal hemorrhoids, during which three prolapsed hemorrhoids were excised. Initially, I was able to have a bowel movement four days following the procedure, after which I managed two more within a short span. However, since Saturday, June 21st, I have not had any bowel movements, and I am beginning to experience abdominal pain. Since that day, I have been taking a stool softener three times daily. Additionally, I resumed taking Senna, a laxative, daily since the following Monday, yet I'm still unable to relieve myself. I am feeling anxious and apprehensive about the prospect of passing stools, fearing that it may be an excruciating experience. Attempting to defecate feels impossible, as if swollen tissue is preventing my rectum from opening. Is this a common occurrence? Do patients typically face such delays in bowel movements post-surgery, sometimes extending for several days? Currently, it’s the eighth day without a significant stool passage, and while passing gas, I notice small amounts of liquid stool; is this a normal symptom?
Answers (1)
6/28/2025, 1:20:34 PM
OpenHealth AI
It's understandable to feel anxious about changes in bowel movements after surgery, especially given that you haven't had a bowel movement for several days. What you're experiencing is not uncommon after hemorrhoid surgery, but it is important to address it.
Explanation
After surgical procedures for hemorrhoids, it’s typical for patients to face temporary challenges with bowel movements. This can happen due to a combination of factors, including:
- Pain and fear: Anxiety about bowel movements can lead to tension, making it harder to relax the muscles necessary for passing stool.
- Medications: Laxatives and stool softeners can sometimes take time to work, and they may not always be enough if the body is resisting due to pain or swelling.
- Post-surgical changes: There may be swelling or sensitivity in the affected area, making it uncomfortable or even painful to have a bowel movement.
Next Steps
- Hydration: Ensure you're drinking plenty of fluids—water is best. This helps soften stool and promotes easier bowel movements.
- Diet: Focus on a diet high in fiber (if tolerated) to help stimulate the bowels. Foods like fruits, vegetables, whole grains, and legumes can be beneficial.
- Gentle Support: Since you’re experiencing abdominal pain, consider gently massaging your abdomen to stimulate bowel movement, provided it is comfortable to do so.
- Pain Management: If pain is affecting your ability to pass stool, discuss with your provider the appropriate pain management options, as pain relief can also ease your anxiety about bowel movements.
- Monitor Symptoms: Track your abdominal pain, descriptions of your attempts to have a bowel movement, and any other symptoms. If the pain worsens or you develop additional symptoms like fever, nausea, or vomiting, these would be signs to seek medical input.
While it's not unusual to experience difficulties, it's vital to address these symptoms proactively. If you're still unable to have a bowel movement in the next couple of days, or if your anxiety escalates, it would be wise to seek further evaluation.
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