Post-Surgery Constipation: Effective Laxatives For Relief

Constipation is a common side effect of surgery, often caused by a combination of anaesthesia, pain medications, dietary changes, and reduced mobility. To prevent constipation, it is recommended to stay active, drink plenty of fluids, and eat foods high in fibre. Over-the-counter laxatives can be used to relieve constipation, but it is important to consult a doctor first as some medications may not be safe after certain procedures. This article will explore the causes of post-surgical constipation and provide guidance on effective laxatives and other treatments.

Drink more water and fruit juice to prevent dehydration, which can cause constipation

Constipation is a common side effect of surgery. It can be caused by the anesthesia used during the procedure, pain medications, dietary changes, and a lack of movement following the surgery. Opioid medications, in particular, are often the cause of post-surgery constipation, with 40 to 95% of patients experiencing this side effect.

To prevent constipation after surgery, it is important to drink plenty of water and fruit juice to stay hydrated. Dehydration is a common cause of constipation. When the body is dehydrated, the intestines absorb water from food waste, resulting in hard and dry stools that are difficult to pass. Drinking enough fluids helps to keep the stools soft and easy to pass. Water acts as a lubricant in the intestines, aiding smooth bowel movements.

Research has shown that drinking at least four glasses of water per day can help prevent constipation. In addition to water, fruit juices can also help relieve constipation. However, it is important to note that fruit juices contain a lot of sugar, so they should be consumed in moderation. Prune juice, in particular, can be helpful in relieving constipation due to its high fiber content and gastrointestinal benefits.

While increasing fluid intake is important, it is also crucial to avoid certain foods that may worsen constipation. Low-fiber foods such as processed grains (white bread, pasta), meat, and dairy products should be limited or avoided. Caffeinated drinks like coffee, tea, and colas should also be minimized as they can contribute to dehydration.

Avoid caffeine, as it is dehydrating

Caffeine is a diuretic, meaning it can increase the rate of water loss from the body. This can lead to dehydration, which is already a common issue after surgery. Dehydration can cause constipation, as water is needed to help break down food in the stomach and aid digestion. Therefore, it is important to avoid caffeine after surgery to reduce the likelihood of dehydration and encourage regular bowel movements.

Constipation can be a common side effect of surgery due to a combination of factors, including anaesthesia, pain medications, dietary changes, and reduced physical activity. It is important to take steps to prevent and treat constipation after surgery, as it can lead to discomfort and potentially severe complications.

To prevent constipation, it is recommended to focus on adequate hydration and a high-fibre diet. Drinking plenty of water and other fluids, such as prune juice, can help prevent dehydration and promote regular bowel movements. Eating fibre-rich foods or drinking smoothies with blended fruits and vegetables can also aid digestion and soften stools, making them easier to pass.

In addition to dietary changes, increasing physical activity can help relieve constipation. Short walks or other gentle exercises can stimulate the intestines and encourage bowel movements. However, it is important to consult a doctor before significantly increasing physical activity, as certain movements may be restricted after surgery.

If constipation occurs after surgery, it is important to seek medical advice before taking any laxatives or other medications. A doctor may recommend a gentle stool softener or a plant-derived laxative containing sennosides. In some cases, over-the-counter suppositories may be effective in relieving constipation. It is important to follow a doctor's advice and use these treatments with caution, as some methods may not be safe after certain medical procedures.

Eat more fibre-rich foods, such as bran, beans, apples, and leafy greens

Constipation is a common side effect of surgery due to the use of anaesthesia and pain medications, dietary changes, and reduced physical activity. To provide relief, it is recommended to increase your intake of fibre-rich foods such as bran, beans, apples, and leafy greens.

Bran is the fibre-rich outer casing of the oat grain. It contains a mix of soluble and insoluble fibre, which helps to soften stools and promote bowel regularity. For individuals who have recently been using laxatives, consuming oat bran daily for 12 weeks helped them maintain their body weight and decrease their laxative use by 59%.

Beans are a good source of soluble and insoluble fibre, which can ease constipation in different ways and help maintain regularity. For instance, cooked black beans offer nearly 6 grams of fibre per half-cup serving, while a cup of canned navy beans contains 19 grams.

Apples are an excellent source of fibre, providing 3 grams of fibre per cup. They also contain pectin, a type of soluble fibre that acts as a laxative. Pectin helps to increase stool frequency, decrease stool hardness, and reduce the time spent on the toilet.

Leafy greens, such as spinach, kale, and cabbage, are another great way to increase your fibre intake. They are also rich in magnesium, which helps draw water into the intestines to aid in passing stools.

In addition to eating more fibre-rich foods, it is important to stay hydrated, exercise regularly, and follow a balanced diet to promote healthy digestion and prevent constipation.

Exercise as soon as your doctor says it's safe to do so

Exercise is an important part of daily life, and it's understandable that you'd want to get back to it as soon as possible after surgery. However, it's crucial to remember that your body needs time to heal, and rushing into strenuous exercise can cause setbacks in your recovery and even lead to serious health complications. The time it takes to recover varies depending on the nature and complexity of your surgery, so it's always best to consult your doctor for personalised advice.

Once your doctor gives you the go-ahead to start exercising, it's important to ease into it gradually. Here are some tips to help you safely reintroduce exercise into your routine:

• Be patient: It takes time to build back your strength and stamina. Give your incisions or stitches sufficient time to heal before gradually incorporating light exercises into your routine.
• Modify your routine: Depending on the type of surgery you had, you might need to modify your fitness routine. For example, if you had knee surgery, you might need to avoid high-impact exercises like running or jumping initially but could try swimming or cycling instead.
• Choose low-impact exercises: Walking, yoga, Pilates, and rowing are excellent ways to get your blood flowing and support your overall fitness without putting too much strain on your body.
• Start with light exercises: Even if you were very active before your surgery, start with light exercises and gradually increase the intensity over time. For example, if you used to run, start with a light jog or brisk walk first.
• Listen to your body: Always pay attention to your body's signals. Stop exercising at the first sign of pain or discomfort. Pushing through the pain can lead to further issues.
• Set realistic goals: Be patient with yourself and set achievable goals that consider your condition. Remember, recovery is a process, and it won't happen overnight.
• Prioritise rest and proper nutrition: Ensure you get enough rest and follow a balanced diet to support your body's natural healing process.
• Follow medical advice: Consult your surgeon or physical therapist for guidance on safely reintroducing exercise. They can provide you with specific recommendations based on your surgery and condition.

Remember, the key to exercising after surgery is to take it slow and gradual. By being cautious and following the advice of your medical team, you can safely incorporate exercise into your routine and enjoy the benefits of improved physical and mental well-being during your recovery journey.

Speak to your doctor about laxatives and stool softeners

Constipation is a common side effect of surgery, often caused by a combination of anaesthesia, pain medications, dietary changes, and reduced physical activity. It is important to address constipation as it can lead to discomfort and complications such as haemorrhoids, anal fissures, and rectal prolapse.

Before taking any laxatives or stool softeners, it is crucial to speak to your doctor. They will advise you on the most suitable treatment option, considering your specific circumstances and the type of surgery you underwent. Here are some reasons why you should consult your doctor:

• To determine the underlying cause: Constipation after surgery can be caused by various factors, including medications, dietary changes, reduced physical activity, and the effects of anaesthesia. Your doctor will assess your individual situation and identify the primary cause of your constipation. This targeted approach ensures that the recommended treatment effectively addresses the root cause.
• To receive personalised advice: Not all laxatives and stool softeners are suitable for everyone, especially during the post-surgery recovery period. Your doctor will consider your medical history, current medications, and the type of surgery you underwent to advise if laxatives or stool softeners are appropriate for you. They may recommend specific types of laxatives or stool softeners that are safe and effective for your situation.
• To understand potential interactions: If you are taking other medications, it is crucial to consult your doctor before adding laxatives or stool softeners. They will assess the potential interactions between the constipation relief medication and your existing prescriptions. This step is essential to avoid adverse reactions or interference with your recovery process.
• To discuss alternative treatments: In some cases, your doctor may suggest alternative treatments or lifestyle changes to address constipation. This could include increasing your fluid intake, modifying your diet to include more fibre-rich foods, or gradually increasing your physical activity levels as you recover. They may also recommend dietary supplements or probiotics to aid in constipation relief.
• To monitor your progress: Constipation after surgery typically resolves within a few days with proper treatment. However, if your constipation persists or worsens, your doctor can provide ongoing guidance and support. They may adjust the treatment plan or recommend additional interventions to ensure effective relief.

While constipation is a common issue after surgery, it is important to remember that everyone's experience is unique. Consulting your doctor allows for a personalised approach to treating constipation, ensuring your comfort and supporting your recovery. They can advise on the most suitable laxatives or stool softeners, taking into account your medical history, the type of surgery, and any other relevant factors.

Frequently asked questions