Post-Surgery Recovery After Appendectomy
At 20 years old, I recently underwent a laparoscopic appendectomy. The procedure went relatively well, with the exception of experiencing some nausea from the anesthesia and severe gas discomfort the following day. Currently, my primary concern is constipation, as I typically have a bowel movement once or twice daily. However, I haven’t had a bowel movement since the day prior to my surgery. I haven’t been as diligent with taking my prescribed oxycodone, using only three doses at night to aid my sleep since my discharge. Now, it's been roughly four days since my last bowel movement. I ingested some Miralax with my coffee this morning and plan to take another dose before bed. While I've been able to pass gas, I'm feeling significantly bloated and quite uncomfortable. Should I be worried about this situation?
Answers (1)
9/15/2025, 3:20:42 AM
OpenHealth AI
It's understandable to feel concerned about constipation after your appendectomy, especially since you usually have regular bowel movements. Given you haven't had a bowel movement in four days, it is important to address this while also considering your recent surgery.
Key Points:
- Post-surgery constipation is common, especially with the use of opioid pain medication like oxycodone.
- Nausea and gas discomfort after anesthesia can also contribute to bowel changes.
- It's good that you are using Miralax, but there may be additional steps to help.
Explanation:
After abdominal surgery, your body can react in various ways, including slowed digestive movements leading to constipation. Pain medications can also inhibit bowel motility, and the discomfort you're feeling with bloating suggests that gas is building up. Since it’s been four days, it’s important to take action to relieve your symptoms.
Next Steps:
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Hydration: Ensure you are drinking plenty of water (at least 8 cups daily). Proper hydration helps soften stool and can aid in promoting bowel movements.
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Continue Using Miralax: It’s appropriate that you’re taking Miralax. If you haven’t seen results after 24 hours from your dose, you may consider increasing the dosage slightly within recommended guidelines. However, check the package instructions for any specific recommendations based on your age and health status.
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Dietary Adjustments: Include high-fiber foods in your diet, such as fruits (like pears and apples), vegetables (like broccoli and carrots), whole grains (like oatmeal or whole grain bread), and legumes (like beans and lentils). Fiber can help stimulate your digestive system.
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Physical Activity: If you feel up to it, try gentle walking. Even short walks can stimulate your digestive system and help relieve gas and bloating.
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Avoid Straining: It’s important not to strain during a bowel movement, as this can put pressure on your surgical area.
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Monitor Symptoms: Keep an eye on how you feel. If you start experiencing severe abdominal pain, vomiting, fever, or if the constipation persists beyond another day or two despite your efforts, it would be prudent to seek medical advice.
Additional Support:
Remember that it’s common for digestive patterns to change after surgery. Be gentle with yourself during this recovery period. If you have any other concerns or feel your situation isn’t improving, consider reaching out for professional medical advice to explore further options.
You're doing well by staying proactive about your recovery. Please keep me updated on your progress!
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