How to go to the toilet after hemorrhoid surgery

- This is one of the complications that often occurs during surgery. The patient's muscle activity in the digestive system is disrupted, which leads to a slowdown in the movement of food through the intestines.

Effects of anesthesia

One of the reasons for constipation in the postoperative period may be the anesthesia that was used during surgery. The effect of general anesthesia on the body leads to disruption of the activity of muscle fibers, including the structures that form the intestinal wall. Against this background, the activity of peristalsis decreases, and constipation occurs. Intestinal atony under anesthesia is usually a temporary phenomenon. It may disappear after a few days if the postoperative period is favorable.

Small intestinal damage

Direct surgical interventions on the intestines have a more severe impact on the muscle wall. Some patients require surgery to remove part of an organ or excise several loops at once. Carrying out such an intervention leads to the fact that in the area of ​​​​tissue excision the structure of muscle fibers is disrupted, and they can no longer actively contract.

Violation of peristalsis is accompanied by the accumulation of food masses in a certain area. Due to stagnation of feces, the patient experiences constipation after intestinal surgery. This condition can persist for a long time. To treat it, it is necessary to use a set of procedures that will restore intestinal motility.

Intestinal blockage with feces can occur at different levels. The exact location depends on what kind of surgery was performed on the patient. For example, after surgery to remove the appendix, pain occurs due to weakened peristalsis of the ileum. It is located in close proximity to the appendix.

Constipation after rectal surgery

Constipation after rectal surgery is characterized by a special mechanism of occurrence. Surgical intervention is performed in close proximity to the anus. At the time of defecation, the patient strains, and the sutures placed on the intestine diverge slightly. This causes severe pain, which is painfully endured by the patient. Therefore, constipation after surgery to remove hemorrhoids may be conditioned reflex in nature. The patient associates bowel movements with severe pain, and over time, his nervous system begins to associate these conditions.

In addition to the neurogenic mechanism of disease development, patients may experience impaired peristaltic activity at the surgical site. Due to damage to the nerve fibers in the wall of the organ, signals that cause contractions do not reach the muscle cells. In a place where the intestinal wall does not contract, a large amount of feces accumulates over time. Against this background, the patient develops constipation.

Constipation after hernia surgery

A hernia is a condition in which internal organs, including the intestines, protrude from the abdominal cavity and form a hernial sac covered with skin.

Most often, the disease develops in those areas in which the strength of the anterior abdominal wall is least strong - in the area of ​​the femoral ring or inguinal canal. Surgical treatment of a hernia involves repositioning the organs into the abdominal cavity and suturing the soft tissues above them. Sutures are necessary to prevent recurrent episodes of the disease.

Constipation after hernia surgery

– this is a fairly common occurrence. This is due to the fact that the organs in the hernial sac are in an unfavorable environment. The intestinal loops are compressed by the surrounding tissues, blood circulation in their walls is disrupted, which leads to insufficient nutrition of the tissues. Against this background, the muscle strength of the fibers that make up the organ shell is weakened, and the activity of peristalsis decreases.

In especially severe cases, the intestinal loops in the hernial sac die. Necrotic organ fragments must be removed, as they are completely non-viable. After excision of part of the organ and suturing of healthy intestinal loops at the “junction”, the innervation of muscle cells is disrupted. Insufficient fiber activity leads to the fact that feces stagnate for a long time at the site of the operation, which leads to constipation.

Prevention of constipation after surgery: what to do to eliminate the symptom?

Many patients do not know why constipation occurs after surgery and what to do

to prevent it. After surgery, it is very important to follow a number of recommendations that will ensure rapid activation of peristalsis:

• Stepped nutrition. In the early stages of rehabilitation (about 10 hours after surgery), the patient is given liquid food - tea, jelly, juice. Such products do not harm the injured intestines. After a few days, the patient can be switched to solid food. At first, slimy porridges and vegetable broths are used, after 7-10 days the patient is transferred to a regular therapeutic diet.
• Proper drinking regime. A sufficient supply of water to the intestines contributes to the formation of stool of a soft consistency, which will not injure the mucous membrane of the organ. Therefore, after surgery on the digestive system, the patient should drink 1.5-2 liters of water daily.
• Early activation of the patient. After surgery, it is recommended to start moving immediately. On the first day, the patient can rise or sit up in bed and change his position. An early start to movement helps restore the tone of all muscle fibers, including those in the intestinal wall. In the following days, a ward regime is assigned - the patient can get up and move around within his room, and go to the toilet independently.

After discharge, it is recommended to carry out physical therapy and engage in light sports. A good option for physical activity is long walks in the fresh air. It is important to correctly calculate physical activity and avoid overexertion.

• Abdominal massage. To stimulate peristalsis, the patient can independently massage the anterior abdominal wall in the intestinal area. The massage movements should be soft, slow, stroking, and you should not put too much pressure on the stomach. Before starting procedures, you must consult with your doctor. This is necessary because massage is not recommended for some conditions. For example, you should not massage after hernia surgery, since inaccurate pressure on the abdomen can cause a relapse of the disease.
• According to indications - laxatives. Mild laxatives can be used to prevent constipation in the postoperative period. It is preferable to use herbal preparations. A good treatment method is microenemas, which are prepared on the basis of oil. The use of laxatives should be agreed with the patient's attending physician. Only a doctor can detect possible contraindications and select appropriate medications.

Thus, constipation after surgery is a common complication that is associated with impaired intestinal muscle activity. In order to avoid the occurrence of an unpleasant symptom, it is necessary to carefully follow the recommendations of doctors in the postoperative period.

Surgical interventions negatively affect intestinal motility. Most often, the patient begins to suffer from constipation after operations to remove tumors and the appendix, as well as after surgical interventions on the uterus, rectum, and gall bladder.

Causes of constipation

Why does constipation occur after gallbladder removal? This organ is involved in almost all stages of the food digestion process. Bile enters the intestines, where it accelerates the absorption of nutrients. Indications for cholecystectomy are: inflammatory processes, the presence of stones and malignant tumors. Improving bowel function after surgery is facilitated by following a special diet and taking medications prescribed by a doctor. The accumulation of bile in the body prevents the rejection of fatty, fried and heavy foods. It is recommended to eat 5-6 times a day in small portions.

On the first day after surgery, you should not eat or drink water; the next day you are allowed to consume rosehip decoction, dried fruit compote, low-fat kefir and weak tea. On the 4th day you are allowed to take liquid or semi-liquid food - mashed potatoes, boiled pureed fish, vegetable soups. This nutritional principle will have to be followed for 8 weeks. Spicy, fried and smoked foods should be excluded from your diet forever. The range of prohibited foods is quite wide; following a strict diet allows you to avoid changes in intestinal acidity.

Constipation after surgery to remove the uterus can be caused by the development of adhesions. In the early postoperative period, it is also recommended to avoid eating rough and heavy foods. You are allowed to eat porridge, kefir, vegetable salads and soups. It is better to avoid cabbage and legumes. The sooner a woman returns to an active lifestyle, the lower the risk of adhesions and constipation. If necessary, the doctor prescribes mild herbal laxatives.

Laparoscopy is a low-traumatic surgical intervention in which access to organs is provided by performing small punctures. The risk of developing serious complications is low, but constipation does occur after such an operation. In the first days after the intervention, you should avoid any physical activity, visiting the bathhouse or sauna, or taking a hot bath. Proper nutrition and relaxing procedures help quickly get rid of constipation. After laparoscopy, the patient must carefully monitor his health, take care of the suture and change the dressings in a timely manner.

Constipation after removal of hemorrhoids is largely due to the patient's fear and the presence of pain. With the long-term presence of this condition, the rectum ceases to function normally, so it is necessary to begin to deal with the problem before the sutures heal.

Any surgical intervention requires anesthesia. Both general and local anesthesia have their own side effects. Even an experienced anesthesiologist cannot predict what consequences general anesthesia may have. Constipation occurs due to decreased tone of the intestinal walls, abdominal and pelvic muscles. Painkillers negatively affect the functions of the liver, kidneys and gallbladder. Their incorrect operation can lead to deterioration of intestinal motility.

The faster the body gets rid of toxic substances, the easier the early postoperative period will be. It is necessary to observe a special drinking regime and eat properly. The restoration of intestinal microflora is facilitated by the intake of prebiotics. Getting rid of constipation caused by anesthesia is quite simple. At first, you can adjust your stool using oil microenemas, which have a quick effect.

Reason for postoperative absence of stool

Why is there constipation after surgery? Intestinal smooth muscle tone may disappear as a result of anesthesia used during surgery. This is due to the fact that anesthesia has a relaxing effect on all muscle fibers of the human body, including the intestines. Intestinal atony may continue for some time after surgery, since anesthesia continues to affect the body, which is why the person undergoing surgery experiences constipation.

Deterioration of peristalsis leads to the fact that the food bolus does not move well through the intestinal sections, as well as to a decrease in the wave-like movements of the intestinal walls. This process leads to stagnation of feces, they lose water, harden and can damage the mucous membranes. Therefore, it is imperative to combat constipation, but this must be done correctly and under the supervision of a specialist.

In addition, constipation after surgery may occur as a result of the following reasons:

1. Stress that the patient experiences before surgery.
2. A large number of medications that the patient takes in preparation for the intervention.
3. Constipation after intestinal surgery can be associated with the formation of adhesions in the intestines; no one is immune from them during interventions in the gallbladder or appendix.
4. Insufficient physical activity in the postoperative period.

The intestines do not work - what to do? Drugs that restore intestinal microflora

The intestines are an important organ through which food debris gets rid of.
In a healthy person, this happens every day and several times. But sometimes failures occur, and intestinal activity begins to decrease, constipation periodically occurs, which can become chronic. In medicine, there is even a special term - “lazy bowel syndrome”. This pathological condition must be corrected, otherwise various complications may subsequently arise that can cause significant harm to the body. Therefore, we will try to understand the reasons why the intestines do not work. What to do in this case?

What is a “lazy” gut?

This is a pathological condition characterized by a decrease in muscle tone of this organ. They are the ones who first move the food bolus, and then the feces, from the duodenum to the rectum. A decrease in muscle tone leads to the fact that feces begin to be deposited in the intestines, turning into stones.

If they are not excreted, then various diseases arise, and first of all, constipation. Subsequently, this can lead to intoxication of the body, because the absorption of liquid continues to occur, only with it harmful chemical compounds begin to enter the blood.

In addition, prolonged constipation contributes to the occurrence of many diseases, such as hepatitis, hemorrhoids, and colon cancer. Intestinal pathology can cause enteritis and secondary inflammation of the rectum.

Symptoms of pathology

You should know that normally the act of defecation occurs no more than three times every day. If your situation changes or you are stressed, you may skip one day, but “in a big way” you definitely need to go at least three times a week.

Symptoms of a “lazy” bowel appear as follows:

• constipation;
• heaviness in the stomach;
• decreased appetite;
• feeling of bloating;
• bad breath;
• dry mouth.

Late signs of a “lazy” intestine are deterioration in the condition of hair, skin and nails. There is dryness and fragility.

Diagnostics

To determine the health of the intestine, various diagnostic methods are used. These include:

• general blood analysis;
• Ultrasound of the abdominal cavity;
• sowing stool for microflora;
• blood test for thyroid hormone;
• barium enema with x-ray;
• colonoscopy;
• blood test for calcium;
• defecographic examination;
• irrigoscopy if necessary.

Causes of the pathological condition

It is very unpleasant if the intestines do not work. What to do in this case? We will consider this issue later, but now let’s move on to the reasons that contribute to the occurrence of a pathological condition of the intestine:

• a sedentary lifestyle when blood stagnates in the pelvic organs;
• consumption of foods containing insufficient fiber;
• untimely bowel movements;
• mechanical obstacles that prevent stool from moving normally: polyps, tumors, hemorrhoids;
• insufficient fluid intake, as a result of which waste products begin to thicken and become difficult for them to move;
• pregnancy, during which an enlarged uterus and the hormone progesterone relax the smooth muscles of the intestines;
• consumption of products such as baked goods, sausages, salted fish, white bread, polished rice, cheese, boiled milk, coffee and cocoa;
• taking medications containing magnesium, iron, as well as painkillers and antidepressants;
• inflammation of the digestive tract;
• consumption of products with GMOs and other unsafe compounds;
• poor circulation in the vessels that deliver blood to the intestines;
• diseases of the endocrine system;
• Parkinson's disease;
• drinking coffee or tea immediately after meals.

Ways to treat lazy gut

How to make your intestines work? Once the cause of this pathological condition is determined, appropriate treatment is prescribed. If the problem is poor intestinal patency in some area, this “congestion” is eliminated. In this case, polyps, hemorrhoids, volvulus and tumors are removed surgically.

If the disease does not arise for organic reasons or the pathology develops in a child, the condition can only be corrected by conservative treatment. In this case, it is recommended to use not only medications for the intestines, but also other methods that can be performed independently: massage, diet, gymnastics, lifestyle correction. Let's look at them in more detail.

Use of medications

Medications for the intestines help it begin to function normally. The doctor usually prescribes laxatives based on medicinal plants - “Senade”, “Senalex”, “Gerbion Laxana”. The senna extract contained in these preparations significantly facilitates bowel movements.

Rectal peristalsis is enhanced with sodium picosulfate-based products. These are drugs for the intestines such as “Slabicap”, “Guttalax”, “Laxigal”, “Guttasil”, “Slabilen” and many others. Thanks to their action, the intestinal muscles begin to contract, and the absorption of liquid from food waste also decreases.

These medications should not be taken for too long, because the intestines may forget how to empty themselves.

Massage

If the intestines do not work, what to do? Doctors recommend performing a healing massage.

To do this, you need to lie on a hard surface with your legs straight and begin to massage your stomach, first with a warm and then with a cool hand, making movements clockwise.

In this case, it is necessary to lightly press the right side from the pubis to the right hypochondrium, and the left - from the hypochondrium to the groin. A total of ten massage movements should be performed.

Diet

How to normalize the intestines? To do this, you must adhere to the following diet:

• Thirty minutes before meals, it is recommended to drink a glass of cold water;
• Fiber or bran, which are available in the form of bioactive additives, should be added to food;
• eat foods high in fiber: special bread, greens, carrots, cereals, cauliflower and seaweed, broccoli, corn;
• it is necessary to include in the diet raisins, dried fruits, prunes, figs, sprouted wheat, nuts, apples, oranges, honey, dairy products;
• you should drink two liters of fluid every day, no less;
• It is strictly forbidden to consume jelly, stringy meat, cocoa, enveloping cereals, slimy soups, flour dishes, chocolate, refined oil.

Gymnastics

How to make your intestines work? You can perform special gymnastics. To do this, lie on your back, bend your legs at the knees, and with your right hand you need to massage your stomach in a circular motion clockwise.

Also, while lying down, take a deep breath. Holding your breath, you should pull in your stomach for a few seconds and then relax.

You can pump up your abs, breathe from your belly, and do five squats without lifting your heels off the floor.

Lifestyle correction

In order for intestinal function to normalize, you need to change your lifestyle. To do this, it is recommended to walk as much as possible, especially in the morning, and start playing accessible sports (except checkers and chess). You should also chew your food thoroughly and empty your bowels in a timely manner.

Enema

Chronic constipation is harmful to the human body, and the “lazy” intestines should work normally as quickly as possible.

What does that require? Many people start doing an enema, but it should be remembered that it washes away all the beneficial intestinal microflora, further worsening its function.

Therefore, if you still have to use it, it is necessary to replenish the balance of beneficial microorganisms using special means. Which ones? Let's look further.

Preparations for restoring microflora

If the balance of beneficial microorganisms in the intestines is disturbed as a result of exposure to medications, dysbacteriosis occurs. Therefore, it is necessary to restore the microflora. There are a large number of drugs for this, which are divided into three groups:

• probiotics containing live cultures of microorganisms;
• prebiotics, which enhance the growth and reproduction of beneficial bacteria;
• synbiotics, which contain live bacteria.

The restoration of microflora by these means is quite effective, and they do not have any side effects. The most common of them are “Linex”, “Hilak Forte”, “Bifidumbacterin”.

Folk ways to deal with “lazy” intestines

To make the intestines function normally, you can use traditional medicine. Below are the most popular methods.

You should drink 1 tsp in the morning on an empty stomach. vegetable oil, preferably olive. If this is not possible, you can replace it with cabbage brine.

Traditional bowel treatment includes the use of flax seeds, which act as a laxative. To make a decoction, 1 tbsp. l. seeds are poured into a glass of boiling water and infused for five hours, and the liquid should be drunk immediately before bed. The seeds should be eaten. The result will not take long to arrive.

You can normalize intestinal function with the help of a “broom” salad. It includes the following ingredients: cabbage, carrots, beets, grated, and stalked celery. It should not be filled with oil, nor should it be salted. If a person’s acidity is reduced or zero, then sauerkraut is added to the salad. You can use it without restrictions.

To treat the intestines, you can use a medicinal plant such as aloe. You need to take 1-2 leaves, remove the side spines, wash and chop. Then 300 g of honey is heated in a glass container to a fluid state, aloe is added to it and infused for 24 hours. The resulting mixture should be taken warm in the morning an hour before meals.

Bowel surgery

If this organ is impassable and no conservative methods help it normalize its functioning, then doctors resort to surgical intervention.

Intestinal surgery helps remove an obstruction that is blocking the passage of stool.

If surgery is performed on the small intestine, then resection is usually performed, which helps to completely restore patency. All segments of the intestine with dead tissue are usually removed completely.

Conclusion

Many people suffer from chronic constipation, which occurs due to intestinal obstruction. Many factors contribute to this.

If the intestines do not work, what to do? For this, there are conservative and surgical treatment methods.

It is imperative that measures be taken to ensure that this organ restores its normal functioning, otherwise chronic constipation can lead to the most dire consequences.

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Clinical picture

Constipation after surgery is accompanied by the following symptoms:

• The patient feels the urge to defecate, but cannot go to the toilet.
• Feeling of intestinal fullness, heaviness.
• Sleep and appetite disturbances.
• Signs of intoxication are vomiting, which occurs due to the accumulation of toxins in the body.

Your doctor should tell you how to get rid of constipation after surgery. This must be done - hard feces can not only injure the mucous membranes, but also cause internal bleeding. In addition, constipation after surgery can lead to anal fissures, which can lead to infection. Over time, the tone of the intestinal muscles will be restored, but during the rehabilitation period it is necessary to regularly empty the intestines and avoid long-term problems with bowel movements.

How to go to the toilet without pain after hemorrhoid surgery

Pain and discomfort after hemorrhoidectomy are normal and cannot be avoided.

How to go to the toilet after hemorrhoid surgery and return to normal life is a concern for all patients who need to undergo this procedure.

It takes at least two weeks for the rectum to heal and restore function. To avoid complications and reduce the recovery period, a number of measures should be taken.

The rehabilitation period after hemorrhoid surgery

Local medications in the form of ointment and gel formulations help relieve pain and speed up the healing process. At first, the patient needs regular medical examinations and dressings. It is important to maintain personal hygiene and rinse the anorectal area after each bowel movement.

After two weeks of a gentle regimen, you can begin minor physical activity: walking, doing gymnastic exercises. Upon returning to everyday life, use a special ring-shaped seat cushion. This is especially important when working sedentarily.

A gentle diet after surgical treatment of hemorrhoids

In many ways, diet helps solve the problem of how to go to the toilet after hemorrhoid surgery . Its main rules include:

• Fractional meals. You need to eat in small portions 5-6 times a day. Overeating contributes to constipation;
• Food should be light and quickly digestible;
• A normal drinking regime will help avoid hardening of stool.

In the first days, you are allowed to eat low-fat broths and soups, ground in a blender. Dishes should not be salty, hot or spicy, otherwise intestinal irritation may occur. It is strictly forbidden to eat foods that increase flatulence.

These include peas, beans, white cabbage, bananas, and carbonated drinks. It is also not recommended to consume canned food, fried, smoked foods, sweets, baked goods, and bread.

Preference should be given to boiled and steamed foods.

Vegetables, herbs, fruits, and berries improve the digestion process. The daily diet includes porridge, fermented milk products, and lean meats.

The menu must be designed so that the body receives a sufficient amount of vitamins and plant fiber.

Since not only pharmaceutical preparations, but also juices help to go to the toilet after removing hemorrhoids Fresh beet juice is especially effective in normalizing peristalsis.

Important! Normal, regular bowel movements speed up the rehabilitation process after excision of hemorrhoids. Frequent urge to go to the toilet, hard feces, severe straining, injure the rectal area, provoke the development of bleeding and increase inflammation.

If a patient has had hemorrhoids removed, the doctor will definitely tell you how to go to the toilet. The risk of relapse increases significantly for those who do not listen to specialists and do not adhere to the mandatory recommendations of the proctologist.

Source: https://netgemor.com/lechenie/hirurgicheskoe/kak-posle-operatsii-na-gemorroj-shodit-v-tualet.html

Massage

Massage helps to cope quite effectively with poor intestinal motility. But if the surgical intervention was performed on the abdominal wall, massage techniques are prohibited, since there is a risk of sutures coming apart. If the surgical intervention affected other areas, the patient can receive tonic massage sessions.

• circular movements clockwise around the navel with a gradual increase in diameter;
• vibration or circular movements with the edge of the palm in the right iliac region;
• massage of the lumbar region;
• stroking movements of the abdominal area.

Movements should be smooth and without strong pressure.

Gymnastics

Constipation after surgery often occurs due to the patient's low physical activity. If after the intervention it is possible to lead an active life, you need to start every morning with very simple exercises that will allow you to start bowel function.

It is important to understand that with fresh surgical sutures, gymnastic exercises are prohibited. With your doctor's permission, you can do the following exercises:

1. Lie on your back and put your legs behind your head.
2. “Bicycle” is a simple but very effective exercise for training the abdominal muscles.
3. While sitting while inhaling, sharply tense your abdominal muscles and immediately relax them.

How to sit correctly with hemorrhoids and after surgery to remove them?

A sedentary lifestyle is considered one of the main factors in the development of hemorrhoids. Why is this happening? The fact is that a sitting position increases pressure in the abdominal cavity, including in the rectum.

As a result, there is a violation of the outflow of blood and swelling of the veins and vessels, which leads to severe pain and great discomfort.

In addition, from sitting for a long time, the walls of blood vessels become thinner, and the risk of blood clots increases significantly.

How to sit correctly with hemorrhoids to get rid of discomfort? To do this, you need to follow several recommendations:

• Watch your posture and keep your back straight throughout the day. Of course, at first it will not be easy, but you will be able to reduce the load on the tailbone and pelvic organs. Over time, your back muscles will become stronger, and good posture will become a habitual task. In addition, it is useful not only for hemorrhoids, but also for health in general;
• Do not use heated seats. High temperature increases blood flow to the affected area, which leads to increased swelling and pain;
• When sitting, the entire posture should consist of right angles;
• You can sit with hemorrhoids for no more than 2 hours;
• Every 40 minutes you need a break to walk or do a special warm-up.

Participate in an anonymous survey: Which symptom of hemorrhoids bothers you most?

Many patients are interested in what is healthier - to sit on a soft or hard seat if they have hemorrhoids? The best option is a high chair or stool with a hard and cool surface. But you should refuse armchairs, sofas and other upholstered furniture - they can provoke even more prolapse of hemorrhoids.

To make sitting pain-free, choose the right chair. He must meet the following criteria:

• The back is high, straight and as comfortable as possible;
• The height of the seat is equal to the length of the lower leg. You need to sit so that your feet are completely on the floor, and your knees are at an angle of 90 degrees and do not rise above your pelvis. This allows you to transfer most of the load to your legs. If the chair is too high, place them on a stand;
• Seat depth is equal to the length of the hips;
• Armrests – wide and soft;
• Filler – foam rubber or polyurethane;
• Upholstery material – natural;
• The legs are stable.

Hemorrhoid pillow

What is the best way to sit with hemorrhoids? A special orthopedic pillow will help reduce the unpleasant signs of the disease, increasing the effectiveness of drug treatment. Interestingly, it can be used not only for treatment, but also for prevention. So, it will be useful during pregnancy, in old age or with a hereditary predisposition to the development of this pathology.

The anti-hemorrhoid pillow is designed to prevent contact between the surface of the stool and the anus area.

It has a special depression that allows you to shift the load on the bones of the pelvis and hips, reduce pain and normalize blood circulation in the rectal area. The orthopedic pillow should only be placed on a hard surface.

Otherwise, it will be of no use - the buttocks will sink deeper, and the blood vessels and veins will be severely compressed.

Antihemorrhoidal pillow comes in several forms:

• Square;
• Round;
• Wedge-shaped;
• Rectangular.

As for materials, it can be polyurethane, inflatable or foam rubber. It’s also worth noting that hemorrhoid pillows have weight restrictions. Be sure to check what load a particular model can withstand.

Important! It is almost impossible to get rid of the disease only with the help of a pillow! Its use is only an additional measure in the overall treatment program.

An alternative to orthopedic devices can be massage mats and pillows with natural fillings. The first ones are made of durable materials - wood or bone.

They can often be seen in car interiors. Massage mats stimulate blood circulation and improve lymphatic drainage.

Contraindications for their use include open wounds, previous surgery and the acute stage of hemorrhoids.

Pillows with buckwheat husk, flaxseed and other natural fillers are no less effective. By performing a light massage, they prevent blood stagnation and the formation of blood clots.

Is it possible to sit after hemorrhoid surgery? This question worries many patients in proctology departments, but only the attending physician can answer it. In this case, everything depends on the individual characteristics of the body and the type of surgical intervention.

If, when using minimally invasive techniques, you cannot sit for one day, then after hemorrhoidopexy or hemorrhoidectomy (open or closed), this period extends to 7 days. During this time, the patient is advised to lie down or walk.

But even after this period, it is absolutely impossible to remain in a sitting position for a long time.

Advice! Immediately after surgery, doctors recommend sitting on several pillows and then removing them one at a time each day. You should not experience any sharp pain when sitting in a sitting position. Only unpleasant pulling in the anal area is acceptable.

Prevention of hemorrhoids

As you know, any disease is easier to prevent than to cure. Hemorrhoids were also no exception to this rule.

The best prevention of this disease is a set of special exercises, which will be useful for both sick and healthy people who are very sedentary. You need to perform therapeutic exercises every 1.5-2 hours.

This will help disperse the blood, reduce the risk of blood stagnation and prevent the development of complications.

Complex No. 1 – For office workers

• Rapid squeezing and unclenching of the buttocks - 30-40 contractions. This exercise can be performed standing or sitting;
• Walking along corridors or flights of stairs. They allow you to quickly disperse stagnant blood throughout the body;
• Straining (as during childbirth or during bowel movements);
• Raising bent knees. Place your feet shoulder-width apart and perform 20 lifts for each leg.

This simple warm-up improves the condition of the veins in the anus and rectum.

Complex No. 2 – To be performed at home

• Scissors. Lie on your back, raise your legs at an angle of 45 degrees and begin to cross them, imitating the work of scissors;
• Birch. Lie on your back and try to lift your butt off the floor as high as possible, resting on your bent elbows. The legs must be absolutely straight. Lock in this position for 5-10 seconds, and then return to the starting position;
• Walking on your buttocks. Sit on the floor, lift your right and then your left buttock off the floor. Move like this for 3 minutes. Thanks to this exercise, you can quickly disperse blood in the pelvic organs;
• Walking with high knees. This exercise also needs to be performed for 3 minutes;
• Kitty. Get on all fours and bend your lower back in one direction or the other. Repeat 10 times.

Important! If hemorrhoids are in the acute stage, it would be better to refuse physical therapy. It can negatively affect the course of the disease, cause severe pain and a number of other complications.

Complex No. 3 – Kegel exercise

The exercise, developed by a famous American gynecologist, was originally intended to restore the uterus after childbirth, as well as prevent prolapse of internal organs and urinary incontinence. But later it turned out that this exercise has a beneficial effect on the pelvic organs and allows you to get rid of hemorrhoids. You can do it standing or sitting on a chair.

Performing a Kegel exercise is not at all difficult - you just need to learn how to contract and relax the internal muscles of the perineum, staying in each position for a few seconds. To put it simply, all this resembles an attempt to hold back urination. To begin with, 5-7 exercises are enough, later the load can be increased several times.

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Nutrition

Treatment of constipation after surgery is always accompanied by a special diet. It is recommended to include foods rich in fiber in your diet. It will promote the production of enzymes that have an irritating effect on the intestinal walls, thereby improving peristalsis.

In order for the digestive tract to recover faster, you must adhere to the following nutritional recommendations:

1. On the first day, provide the body with complete nutritional rest.
2. Follow the diet prescribed by your doctor for at least 20 days. Since operations on different organs require different dietary restrictions, the diet should be prescribed exclusively by a doctor.
3. Avoid rough foods - fatty, fried, salty, smoked foods are prohibited after any surgical intervention.
4. Fractional meals.
5. It is better to boil or steam dishes.
6. Before consumption, food should be crushed, this will make it easier for the body to digest.
7. Having breakfast at the same time - a schedule can have a therapeutic effect on the intestines, which will have a beneficial effect on its functioning.

Complications of constipation in the postoperative period

Stool retention after surgery is characterized by difficulty or complete inability to empty intestinal contents. Fecal retention leads to intoxication of the body due to the processes of rotting and fermentation of intestinal contents. Toxic substances negatively affect a woman’s weakened body. Prolonged retention of feces leads to disruption of the beneficial microflora of the digestive tract, manifested by impaired absorption of nutrients and medications.

Fecal retention in the body leads to the following disorders:

1. Absorption of toxins into the general bloodstream, which leads to intoxication of the body.
2. Severe weakness increases, constant drowsiness appears.
3. Hard and dry feces during evacuation can injure the intestinal mucosa, which will cause an inflammatory process.
4. Severe straining leads to the appearance of anal fissures, which slows down the recovery process.
5. During difficult bowel movements, the stitches may come apart.

Irritant laxatives

Laxatives with an irritating effect are indicated in cases where the patient experiences constipation after surgery as a result of weak intestinal motility. The effect of the drugs appears 6-7 hours after administration.

The course of treatment should not exceed 10 days. Appointed:

1. "Fitomucil". The composition of the drug includes plum fruits. The contents of the sachet are diluted in water.
2. "Bisacodyl." Synthetic drug. It is taken orally; suppositories are also available.

Nutrition for constipation

To improve the passage of feces, the patient should drink 2–3 liters of liquid, preferably purified or still mineral water.

Beetroot dishes, vegetable oil, prunes, dried apricots, and compotes have a laxative effect. Meals must be organized in fractional ways, 5-6 meals a day in small portions. For constipation, the body requires foods containing fiber, bran bread, whole grain porridge and oatmeal, honey, jam, natural juices, and fermented milk products. Vegetables that cause gas formation, such as legumes, cabbage, eggplant, and radish, should be avoided. It is necessary to exclude foods with a fixing effect: semolina and rice porridge, astringent fruits (pears, pomegranate), rich broths from meat and fish.

Source

Often there are problematic health issues that can only be resolved through surgery. Constipation after surgery is a common and unpleasant problem for patients. How to fight and not face trouble? We will try to understand the nature of the disease and choose the appropriate treatment method.

Osmotic laxatives

Osmotic medications for constipation after surgery help retain fluid in the intestines, which softens hard stool. Most often prescribed:

1. "Fortrans". Prescribed only to adult patients, not recommended for people with diseases of the cardiovascular system. In old age, it is used only under the supervision of a doctor.
2. Carlsbad salt. It can be of either natural or artificial origin. It is diluted in water at a temperature not exceeding 30 degrees - a tablespoon in half a glass of water.

After hemorrhoid surgery, when can you sit, rules, treatment, diet, prevention, recommendations

Sometimes patients with hemorrhoids cannot be cured with conservative methods, then proctologists decide to perform surgery.

Surgical assistance is used not only when conservative therapy is ineffective, but also to prevent serious complications, when large lumps bleed heavily or when fistulas form.

Patients ask doctors when they can sit down after hemorrhoid surgery.

The surgical technique for eliminating hemorrhoidal disease is the most effective therapy, allowing patients to fully recover and forget about hemorrhoidal torment. After surgery, a recovery period is required and most of all, patients are impatient after surgery for hemorrhoids, when they can already sit, the doctor decides based on the patient’s condition.

General rules for rehabilitation after hemorrhoid surgery

Recovery period

When can you sit after surgery for excised hemorrhoids? After excision of hemorrhoids, the recovery period begins immediately.

At first, patients feel pain and discomfort, which disappear on the 4th day after the intervention.

Patients are recommended to follow a special diet and follow medical instructions, after which a week later the person returns to their normal life.

The first two postoperative weeks are recommended in bed rest. This is necessary to avoid stress on the body and to prevent pronounced relapses of hemorrhoidal disease with serious complications.

While lying down, you should do light physical exercises:

• raise your arms and legs up;
• raise/lower the pelvic part of the body.

Charging begins with a light load, which gradually increases (you cannot overdo it). Is it possible to sit immediately after surgery? Proctologists recommend sitting down on a chair on the second day. First, you need to sit on 3 pads, removing one each day.

When sitting down, the patient should not feel any sharp pain. Patients may experience nagging discomfort. For a month after the operation, patients are prohibited from physical activity and heavy lifting. Instead of sitting and standing, patients should walk or lie down during rehabilitation.

You can sit fully after 3 weeks.

Regenerative treatment

Coloproctologist

When recovering from hemorrhoid surgery, it is recommended to treat the sutures with bandages made from wound-healing ointments. Internal operated hemorrhoids are restored with special suppositories with wound healing and anti-inflammatory effectiveness.

To block acute pain, non-steroidal medications, analgesics, and painkillers are prescribed to eliminate swelling and inflammation.

On the second beat after surgical procedures, patients have their first bowel movement, and laxatives (Microlax) are prescribed to eliminate pain. To avoid constipation, you need to drink a lot of water and eat a balanced diet.

Is it possible to sit after hemorrhoid surgery? Sitting is allowed no earlier than after 2-3 weeks, but recommendations are given on an individual basis by the attending physician.

Diet is an important stage of rehabilitation after hemorrhoid surgery

After hemorrhoid excision surgery, a special diet is recommended to help patients recover quickly. The diet should be rich in vitamins, nutrients, fiber, and antioxidants.

Healthy menu products:

Proper nutrition

• carrot;
• tomatoes;
• grape;
• citrus fruits;
• blueberry;
• broccoli;
• melon;
• cucumbers;
• strawberry.

Cereals and legumes are suitable for cooking. To avoid constipation, you need to drink a lot, and water is not replaced with compotes or tea. During the postoperative period, you should drink up to 2.5 liters of non-carbonated water.

There are dishes that are strictly forbidden to eat, as they contribute to relapses and provoke other pathological processes. You should not eat fatty and fried foods, hot sauces and fresh bread are also prohibited. It is also better to avoid tea and strong coffee; there is no talk of soda at all - they are very harmful to health.

Products that provoke hemorrhoidal disease:

be careful

1. Ham, pork, sausages.
2. Beef broth.
3. Seafood.
4. Bacon, goose, duck.
5. Fresh cucumbers.
6. Pepper and onion.
7. Boiled cabbage.
8. Radish.

It is prohibited to use condiments, ketchups, sauces, mustard, and spices. You should temporarily avoid olives, marinades, herring, caviar, sauerkraut, and pickles.

At first, patients who have undergone surgery to remove hemorrhoids are prohibited from eating sweet foods and baked goods. It is better to replace them with herbal teas and fruit cocktails.

Alcoholic drinks remain prohibited for a long period.

Herbal laxatives

Laxatives of plant origin, entering the intestines, swell and stretch the walls of the organ. At the same time, the wave-like movement of the intestines increases, resulting in an act of defecation. The preparations contain natural substances that are not digested in the stomach, but absorb liquid in the intestines.

Appointed:

1. "Fitolax". The composition includes senna, apricot, plantain, dill.
2. "Senade". The drug is contraindicated for inflammatory diseases of the abdominal cavity, gastric or intestinal bleeding and intestinal obstruction.

Constipation symptoms

The inability to defecate for several days is the main sign of constipation. In this case, the patient usually feels heaviness in the abdomen. He may be bothered by nagging pain. Flatulence often appears, since gases also do not pass away, and negative processes with stagnation of feces, on the contrary, intensify. Intoxication of the body gradually develops. The patient may experience nausea. His appetite worsens, sleep is disturbed, and his mood decreases. Hardened stool can injure the mucous membrane and even provoke minor bleeding. Therefore, during the act of defecation, mucus and blood can be found in the stool.

Enteric fillers

Intestinal fillers consist of natural substances, they enhance the functionality of the intestines by stimulating its walls and provoking the act of defecation. The main representatives of this group of funds are:

• agar-agar;
• psyllium seed husk;
• flax seed;
• wheat bran;
• Flavor seeds;
• methylcellulose;
• sterculia.

Enteric fillers are slow-acting because they are considered gentle agents. Their effect can occur within 1-3 days; the effect of agar-agar begins 12 hours after administration. The drugs have side effects. When the intestinal walls are stretched, bloating and flatulence are possible. In addition, for intestinal fillers to work, you need to drink a lot of liquid, which is not acceptable in all cases. For some diseases, taking large amounts of liquid is prohibited.

Folk remedies

Herbalists divide medicinal plants into two groups - those with a high level of laxative effect and those with a less pronounced laxative effect.

The first group includes:

• rhubarb root;
• cassia leaves;
• buckthorn bark.

To the second group:

• marshmallow;
• field steelhead;
• kidney mountaineer.

• cucumber pickle;
• oat decoction;
• plum tinctures and decoctions.

But the first place in the treatment of constipation in folk medicine is given to ordinary drinking water. To quickly empty your intestines, you need to drink a glass of water on an empty stomach; to enhance the effect, you can add a spoonful of honey to the water.

If surgery was performed for hemorrhoids, it is recommended to regularly take baths with chamomile or other anti-inflammatory herbs. The water temperature should be no higher than 40 degrees.

Organization of the defecation process

Patients should be prepared that after hemorrhoidectomy, passing stool will cause pain. But a few days before the operation, the patient must adhere to a strict diet, and before the operation the intestines are completely cleansed. Because of this, there is no stool in the first couple of days after surgery. The patient is faced with the task of establishing the process of bowel movement as early as possible, therefore fasting is strictly prohibited.

It is important to eat right and ensure that your stool is soft. This will make the process as easy as possible. Normal, timely stool is the best prevention of the development of postoperative complications.

To normalize the bowel movement process from the first days, your doctor may recommend using fiber supplements. This could be, for example, Mukofalk. On the 3rd day after hemorrhoidectomy, if there are no problems, feces should already have formed.

If you are in a hospital, you can ask for a painkiller injection before going to the toilet for the first time. It should make things a little easier. In addition, doctors recommend regularly using painkillers if necessary. This could be Ketonal, Nice or some other analgesics. You can also apply Catogel ointment to the anal area; it contains icecaine.

If you can’t have a bowel movement on your own, you need to tell the doctor that after surgery for hemorrhoids I can’t go to the toilet for the most part. Some require a special approach. If, despite following all nutritional recommendations, relief does not occur, you can consult your doctor again. He can advise:

• relax the muscles of the rectum to facilitate the process of removing feces; this can be done by introducing Nitroglycerin ointment into the anus;
• use special rectal suppositories, for example, Relief Advance with an anesthetic effect for pain relief or Proctosan to relieve postoperative swelling;
• take analgesics orally or give injections of painkillers;
• do sitz baths with chamomile or other medicinal herbs.

While in the hospital, it is important not to miss scheduled examinations and dressing changes. After each trip to the toilet, you must take a hygienic shower.

List of surgeries that cause constipation

Constipation usually appears after operations on the gastrointestinal tract. The list includes:

1. Operations to remove appendicitis. The patient is recommended to eat small portions every 2-3 hours (porridge, puree or finely ground food). This diet will help a person quickly restore the functioning of the gastrointestinal tract.
2. . The disease involves a number of reasons for the occurrence of obstipation, including pain, dysbacteriosis, the appearance of scars, disruption of the microflora in the intestines and fear in the operated patient about the dehiscence of the sutures. Rest and proper nutrition are recommended.
3. After abdominal surgery. Constipation is caused by adhesions (formations of connective tissue, which leads to gluing of the serous surfaces of organs) in the abdominal cavity. It is advisable to restore an active lifestyle (sports) as much as possible in order to get rid of the ailment. Doctors advise diversifying your diet with cereals made from coarse cereals (wheat), biokefir, vegetable salads and light soups.

1. After laparoscopy (surgery by creating a small hole). The operation eliminates injury. True, this does not mean that constipation will bypass the patient. In the case of such an operation, you will need to give up physical activity (gym, dancing, running, etc.) and hot procedures (sauna). Daily care of sutures and antiseptic bandage is required.
2. After resection. suggests removing a poorly functioning gallbladder. On the first postoperative day, it is forbidden to drink or eat. Over the next 24 hours, you are allowed to take unsweetened rosehip decoction, switching to green tea, dried fruit compote or low-fat kefir. As for solid foods, mashed potatoes, pureed vegetable soups, and boiled fish are allowed on the fourth or fifth day. Quick recovery and treatment of constipation require adherence to the prescribed diet and proper nutrition.
3. Removal of the uterus and possible adhesions. The occurrence of constipation is often associated with a long operation, a large amount of lost blood, hidden bleeding, and possible infection.
4. After general anesthesia. Everyone's reaction to anesthesia is different. Some people react negatively to anesthesia. In addition, anesthesia has a bad effect on the liver and kidneys due to its inherent narcotic nature. Simple boiled water comes to the rescue.

Almost all surgical interventions in the human gastrointestinal tract lead to constipation. To get rid of the disease, you will need to follow the doctor’s recommendations and take care of your own health.

If you want to treat constipation yourself, you should follow the advice in the article (with your doctor’s permission!). Treatment methods for constipation can be divided into medicinal and traditional.

How to go to the toilet after hemorrhoid surgery

Hemorrhoidectomy surgery is performed on patients who cannot be helped by medications. The decision is made taking into account the risk of complications and the general condition of the patient.

The surgery is painless as it is performed under general anesthesia. But doctors warn of a difficult rehabilitation period ahead.

The most difficult problem to overcome is how to go to the toilet after hemorrhoid surgery.

General discomfort and pain in the anus are relieved by medical procedures. But patients remain silent about such a delicate symptom as bowel movement and tolerate the absence of bowel movements.

Proctologists note that complete healing of the postoperative wound surface will take about a month, but the process of defecation must be established within two weeks. Otherwise, there is a risk of injury to the sutures and wounds with dry feces, bleeding, and infection. Therefore, regulation of bowel movements is important.

Organization of bowel movements after hemorrhoid surgery

Removing waste is one of the main functions of the intestines. The technique of any operation for hemorrhoids involves minimal damage to the mucous membrane, nerve plexus, and muscle tissue.

In severe cases, when, in addition to the removal of hemorrhoids, plastic surgery of the rectal canal, suturing of cracks, and restoration of the tightness of the sphincter closure are required, peristalsis becomes weak.

But intestinal activity does not stop.

Patients feel the urge, but any effort is so painful that going to the toilet turns into torture. There should be no stool during the normal course of the recovery period of 2-3 days. This is caused by cleansing the intestines before the intervention and fasting on the first day.

Then you have to achieve independent stool. To do this, you should not starve or endure pain. Doctors advise:

• a special diet to liquefy and soften stool, increasing fiber intake allows you to stimulate peristalsis naturally;
• administer pain relief with medications when the urge to go to the toilet occurs;
• some patients are helped by sedatives and relaxants, since pain contributes to spastic contraction of the rectum;
• dressings and anti-inflammatory suppositories eliminate tissue swelling and heal the wound;
• sitz baths with warm chamomile decoction act as an antispasmodic and antimicrobial agent;
• self-massage of the abdomen, lumbosacral spine activates acupuncture points of nerve endings in the intestines, stimulates motor waves;
• the use of light herbal laxatives (prunes, decoction of senna leaves) helps if it is impossible to go to the toilet on your own;
• getting out of bed and walking a little is allowed after a week, after 2 weeks, you can move on foot for a longer distance, stimulation of the muscular frame of the abdominal wall during movement provides a natural massage of the intestines, blood flow from the pelvis;
• An established reflex to defecate at the same time helps to achieve regular cleansing; you need to sit on the toilet in the morning half an hour after breakfast.

If there is no bowel movement on the third day, constant bloating, pain and pressure on the lower abdomen, and urges appear. Symptoms of constipation require additional measures if you cannot cope on your own.

Diarrhea is no less dangerous because it irritates unhealed scar tissue and indicates a possible infection of the intestines and concomitant pathology. You should tell your doctor about these difficulties at your next examination.

Lifestyle

2 months after surgery, you are allowed to engage in targeted physical exercise. Your daily exercises should include a “bicycle”, “scissors” in a lying position, a plank on straight arms or elbows. During breaks at the workplace, exercises to tighten the buttocks and retract the rectum are recommended.

Source: https://MojGemorroj.ru/defekatsiya-posle-udaleniya.html

Constipation medications

Stool softeners will help solve the painful situation. Emollients normalize bowel movements. To purchase them, you do not need special prescriptions from your doctor. Medicines fill the stool with an optimal level of moisture, which makes bowel movements easier. It is recommended to take tablets 1-2 times a day.

Fiber in supplements softens stool and facilitates its movement through the gastrointestinal tract. Dietary fiber is consumed in different ways: in the form of capsules, chewing candies or powder - no more than twice a day with the permission of a doctor.

It is worth abstaining from foods that cause constipation:

• Foods with high concentrations of potassium and calcium.
• Milk (cheese, sour cream, yogurt, not including low-fat kefir).
• Fruits (grapes and bananas).
• Sweets (chocolate, caramel, etc.).
• Concentrated nectars.
• Flour and butter products.
• White bread and pastries (sweet and savory).
• White rice.
• Semi-finished products, etc.

Prunes are an essential component in the treatment of constipation, because their natural sugar sorbitol and fiber have a laxative effect. It is permissible to drink warm prune juice - a glass a day.

Traditional medicine suggests treating constipation with senna leaves and buckthorn bark, chamomile infusion, pumpkin or carrot juice. But no folk remedies will clear the congestion without clearly defined rules. In the case of nutrition, this is a strict diet.

Diet should be called the most effective means of combating postoperative constipation, which is prescribed by the attending physician. And not in vain, because exclusively proper nutrition can enhance the effect of medications and give the body strength to fight the disease. The diet consists of products whose composition is rich in certain substances, vitamins and microelements, which can easily cope with constipation:

• Oatmeal and buckwheat (in combination with pieces of prunes and a spoonful of honey are not only healthy, but also delicious).

• Whole grain bread, bran and diet bread.
• Vegetable and fruit salads (except for legumes and quince).
• Steamed lean meat (chicken or turkey).
• Boiled fish.

In addition, you can sign up for acupressure massage. By identifying and activating certain points, stagnant food moves through the gastrointestinal tract. To carry out a massage procedure, it is recommended to make an appointment with an experienced master and not to do it yourself, so as not to harm yourself.

Physical activity is seen as a key part of the diet. It is important to force yourself to move from the moment the doctor allows you to walk. Systematic physical exercise normalizes the functioning of the colon, and light aerobics in the fresh air stimulates regular bowel movements. It is advisable to devote at least 3 hours a week to walking. And at the same time, engage in certain sports that are allowed after the operation.

Try to visit the bathroom regularly. Listen to your body and its signs of the urge to have a bowel movement. You should not put off going to the toilet. Later, such restraints will immediately cause severe constipation. Over time, defecation will acquire an individual pattern, and the intestines will be able to be emptied daily at approximately the same time.

A timely consultation with your doctor before surgery and a discussion with your doctor about the likelihood of constipation will help prevent constipation. Together, optimize the functioning of the gastrointestinal tract and exercise as much as possible. If problematic situations arise, contact a gastroenterologist without delay so as not to worsen the situation. Maintain a stable state of health and invest physical labor in it, because this is the most valuable capital of a person.

If you are having surgery, be aware that constipation is common after surgery. Many painkillers (especially opioid analgesics) and the anesthesia used during surgery slow down the gastrointestinal tract and may therefore cause constipation. In addition, constipation can occur after surgery on the stomach or intestines, as well as due to following a special diet. There are many ways to relieve constipation after surgery. These may include changes in lifestyle, diet, or taking appropriate medications.

How to go to the toilet correctly after hemorrhoid surgery: basic rules

Surgery to remove hemorrhoids, like any other operation, is a radical, but sometimes necessary procedure if conservative treatment methods are not effective.

Pain, discomfort and difficulty going to the toilet are common after surgery, but can be mitigated.

It largely depends on the patient how he will feel after the operation and how quickly he can return to normal life.

Complete healing takes about 4 weeks , but the functions of the rectum are partially restored after two weeks. A general improvement in condition is observed several days after the operation. To avoid complications and reduce recovery time, you must follow some rules.

Features of rehabilitation and regime

Routine plays an important role in recovery. Any heavy exertion after surgery is prohibited; the first two weeks must be kept in bed. Excessive tension may cause relapse or pain.

During recovery, the patient is under the supervision of a proctologist, who gives individual recommendations depending on how the rehabilitation proceeds.

General doctor recommendations include:

• Bed rest . After two weeks of a no-load regime, you can begin light physical exercise: walking, doing gymnastics.
• Following a special diet : eating foods rich in fiber to soften the stool. These products include vegetables (carrots, cabbage, cucumbers, tomatoes), fruits (melons, oranges, grapes, berries) and legumes. To maintain soft stools, you should drink two or more liters of water daily. It is forbidden to eat: meat products, spices, seasonings and products with them, hot sauces, sour foods, fruits with seeds, sweets, strong tea and coffee, carbonated drinks and alcohol. Meals should be small, 5-6 times a day, food should be well digested.
• When returning to normal activities, including work, monitor your work area and use a ring-shaped seat cushion.
• Treat the seams with bandages with wound-healing ointments, follow the rules of hygiene.
• As prescribed by the doctor, medications to ease bowel movements and painkillers.

When going to the toilet, the operated area is directly involved, so this process needs to be given increased attention.

How to properly go to the toilet after surgery

The main problem with defecation during recovery is pain . Often, because of this, the patient does not want to go to the toilet at all or strains too much, increasing the pain.

Moderate pain is normal for a week. To prevent the pain from being too severe, stools should be regular and soft .

There are a number of rules that speed up healing and reduce the risk of relapse:

• You cannot go to the toilet on the first day after surgery! The reasons for this are quite clear: the stitches may come apart, bleeding and inflammation may begin. The patient is not allowed to eat, but on the second day it is possible to return to normal eating and normal trips to the toilet.
• Go to the toilet regularly and avoid constipation . With constipation, the patient may experience the urge to defecate for a long time, but not be able to go to the toilet. Due to the flow of blood to the rectum, blood may bleed and pain may occur. Constipation leads to serious complications. To avoid constipation, it is necessary to use a microenema. Some doctors prescribe painkillers in the form of rectal suppositories.
• Maintain hygiene . Defecation is not the “cleanest” process. Failure to comply with hygiene rules, especially after surgery, leads to the growth of bacteria and inflammation. The patient must observe the rules of personal hygiene after defecation, wash, and monitor the cleanliness and condition of the sutures.
• Avoid formation of hard stool . Hard feces irritate and injure the intestinal walls, which may cause the sutures to separate or not heal. The formation of soft feces is promoted by proper nutrition: consuming fiber and water in large quantities.
• Don't stress during the process . If you have constipation, tension will not help solve the problem, but will only make it worse. Tension causes pain and puts the stitches at risk. It is better to use an enema or laxative.

You may also experience pain when urinating after surgery.

Compliance with the recommendations of the proctologist is a very important aspect in the treatment of hemorrhoids. The operation is not the final stage of treatment, and after it, a patient who cares about his health should carefully monitor his condition.

The risk of relapse and complications remains for 5-12 years, but mainly for those who do not follow the recommendations. Proper nutrition, diet and observance of bowel movements are the main ways to quickly return to your previous lifestyle.

Source: https://gemorroy-s.ru/kak-pravilno-xodit-v-tualet-posle-operacii-na-gemorroj-osnovnye-pravila/

Steps

Taking medications for constipation

Take a stool softener.

If you are constipated, the first thing you should try is taking a stool softener. This type of medication will help you normalize your bowel movements. They can be purchased without a prescription at your local pharmacy.

• The principle of action of these drugs is that they saturate the stool with moisture. This softens the stool and makes it easier to pass through the intestines.
• Keep in mind that stool softeners do not necessarily cause bowel movements, they just make them easier.
• Take a stool softener 1 to 2 times daily, or as directed by your doctor or the directions for use included.
• If a stool softener does not work, other remedies may be needed.

• Take a mild laxative.

  You can take a laxative along with a stool softener. This will help you deal with constipation.

• There are two main types of laxatives: stimulating peristalsis and osmotic drugs. Try taking an osmotic laxative first. Motility stimulants may cause diarrhea and stomach cramps.

Osmotic laxatives help move fluid into the intestines and make it easier for stool to pass through the colon.

• For constipation, a combination of a stool softener and an osmotic laxative often helps.

Relieving Constipation Naturally

1. Increase your fluid intake.

   One of the most effective natural ways to prevent or manage constipation is to drink enough fluids. Use this method as soon as you can drink after surgery.

   Drink natural laxative tea.

   In addition to plain water, you can drink some teas that promote bowel movements. Try to include such teas in your diet after surgery.

   Eat prunes and drink their juice.

   Prunes and their juice have long been proven remedies for constipation.

   • Prunes and their juice are an excellent laxative. Prunes contain natural sugar sorbitol, which has a mild laxative effect.

   To start, drink about 120-250 milliliters (half a glass to a glass) of prune juice per day. Make sure it is pure natural juice. To relieve constipation, it is better to drink warm juice.

2. If you decide to eat prunes, make sure they are sugar-free. Start with half a glass.
3. Take fiber supplements.

   Another natural way to relieve constipation is to increase your dietary fiber intake. When combined with liquid, dietary fiber will soften the stool and make it easier to pass through the intestines.

   • There are several different ways to enrich your diet with dietary fiber. To do this, you can take dietary supplements in the form of capsules, gummies, or powder.

   Take dietary fiber supplements 1-2 times daily. Please follow the instructions for use. Remember that more does not mean better. Too much dietary fiber can cause stomach cramps, bloating, and indigestion.

4. Before taking dietary supplements in tablet or chewing gum form, be sure to consult with your doctor. After some operations, such supplements are contraindicated.
5. Avoid foods that cause constipation.

   There are many natural remedies to relieve constipation. However, some foods may cause constipation and should be avoided after surgery.

It is believed that modern surgical interventions should not entail any complications, but our body thinks differently. Stool retention often occurs when a person undergoes surgery on the intestines, removes the appendix or gallbladder.

Postoperative constipation may occur for the following reasons:

• Formation of adhesions in the intestine after successful surgery. No one is safe from them.
• Anxiety and stress before or after surgery. Many patients experience depression or even a nervous breakdown.
• Taking a large number of medications in preparation for surgery (painkillers).
• Problems with bowel movements may also occur due to insufficient physical activity after surgery.

Intestinal restoration after surgery

At a time when medicine has long been able to defeat such terrible diseases as smallpox, typhus, plague, cholera, numerous intestinal ailments are a scourge in the modern world.

If you start treatment on time, you can avoid complications. But very often people turn to doctors when surgical intervention is no longer possible.

After this, you will have to think about how to restore the functioning of the gastrointestinal tract.

Types of operations

• Laparotomy. The doctor makes an open incision in the abdominal cavity and muscles, removes and cleans the organs and then stitches them up.
  This method is the most commonly used, but also dangerous - complications can occur due to the large resection area and blood loss. Recovery of the body takes from 1 week to a month, depending on the size of the affected area and the complexity of the particular case.
• Laparoscopy. This procedure takes place for small tissue lesions.
  The surgeon makes from 1 to 5 incisions through which he inserts a device in the form of a special tube with a camera. Thus, the doctor can see the condition of the organ and then operate.

What ailments bring you to the surgeon's office?

• advanced hemorrhoids;
• benign and malignant tumor;
• polyps;
• mesenteric infarction;
• Crohn's disease (chronic inflammation);
• obstruction;
• tissue necrosis.

When drug therapy fails, these diseases are treated by incision or removal of the problem area. If the length of the rectum has been shortened, the doctor can remove the bone fracture to the abdominal wall. There is a difficult case when the surgeon has to cut off a large part of one of the sections of the gastrointestinal tract.

Then the patient is prescribed to eat special mixtures throughout his life. The more difficult the task, the more difficult it will be for the body to recover, and its owner will have to get used to the new functioning of the digestive tract. For a person, this is a great emotional burden, which can lead to nervous breakdowns.

In this case, family support and stress-reducing medications are needed; often in such cases, doctors advise consulting a psychotherapist.

What are the possible consequences of resection?

To normalize the functioning of the gastrointestinal tract after surgery, rehabilitation is necessary, as intestinal motility is disrupted. This is a wave-like contraction of the muscles of the organs responsible for moving digested food from the upper sections to the outlet.

The state of digestion depends on motility: difficulty or, on the contrary, too rapid passage of feces, absorption of nutrients worsens.

Waste products are not completely eliminated and the process of fermentation and decay begins, which has a beneficial effect on the proliferation of bacteria and parasites.

https://www.youtube.com/watch?v=xIOXj0hJhyQ

Instability of peristalsis occurs due to surgery and subsequent procedures, such as the patient taking antibiotics, which upsets the balance of bacteria in the gastrointestinal tract.

How to improve the functioning of the stomach and intestines after surgery

The rehabilitation time directly depends on the volume of surgical operations and the place where they were performed. An important component in this process is the patient's general health, his age and how carefully he will follow the doctor's recommendations. To avoid complications, the doctor prescribes a specific diet for each case, because food will immediately come into contact with the diseased area.

Important

The patient needs to adjust physical activity and take hygiene seriously. Treat the suture and bone fracture in a timely manner if part of the organ has been removed.

Recovery methods

There are several methods for normalizing intestinal function after surgery, but for better results it is necessary to combine them into a complex.

Breath control

These exercises can be done immediately after the intervention, as they do not require much strength. Under the supervision of a doctor, the patient inhales and exhales. This helps, especially after severe cases, to feel less pain and prevent inflammation in the lungs. Improper execution can cause nausea and dizziness.

Physical therapy

Gymnastics has a beneficial effect on blood circulation, muscle tone and tissue healing. Any activity stimulates the production of endorphins, which is absolutely necessary for the patient for a quick recovery. The sooner the patient begins to do therapeutic exercises, the faster his body will normalize. They should be performed under the guidance of a doctor.

Depending on the sutures placed, there may be restrictions on movement. If the surgeon performed a laparotomy on the abdominal cavity, you should not strain your stomach; it will be enough to make circular movements with your arms, head, and feet while lying down.

When the organ on which the operation was performed heals, to restore the functioning of the intestines and the general condition of the body, after spending a long time in bed, you will need to do exercises:

• Take the starting position “lying on your shoulder blades”, raise your legs and make forward movements one by one, as if you were riding a bicycle. This way you tone your abdominal muscles and stimulate blood circulation in your legs and pelvis.
• Without changing your position, you clasp your knees with your hands, press them tightly to yourself and count to ten. This action helps relieve excess gas and strengthens your back.
• Now you need to get on your knees and elbows, put your palms down, press your chin to your chest. Touch the floor one at a time, first with your right buttock, then with your left. Such movements stimulate digestive motility.
• From the “kneeling” position, alternately stretch your legs back, arching at the waist.
• Squats stimulate blood flow in the pelvic area.
• Lying down with your knees bent and your hands behind your head, pump your abs - this is the best way to help eliminate excess gases and engage all the internal abdominal muscles.

Therapeutic exercise will help restore the functioning of intestinal motility after surgery, but exactly how you should exercise in your situation will be prescribed by your doctor. Without a doctor's prescription, certain actions may be dangerous to your health.

Folk remedies

They are safe and effective. They can be divided into two types:

Laxatives

• Vegetable oils
  such as sunflower, olive, flaxseed, sea buckthorn or pumpkin can quickly eliminate feces It is enough to drink a teaspoon on an empty stomach before meals or add it to cooked food.
• In nature, there are plants whose decoction will help with constipation - these are Buckthorn (you should be careful with it, as it is addictive when used for a long time), Thorn leaves (the berries have the opposite effect), Elven grass (fights spasms), Licorice (licorice) , Rhubarb (has an irritating property), Marshmallow (mucus envelops the intestines, relieves inflammation).
• The herbs fennel and anise are relevant - they are carminative and help with colic.
• Eating any dried fruit,
  especially prunes and dried apricots, gives a positive result.
• Beets contain a lot of fiber, which mechanically cleanses the body of the remains of undigested food and prevents it from rotting and fermenting. Plum has the same benefits, which is why it is considered a quick and effective remedy for constipation.
• Wheat, oat and corn bran are a storehouse for digestion; they have a porous structure and, like a sponge, absorb and then remove all toxins from the body along with feces.

Constipation after anesthesia

Another cause of constipation after surgery is anesthesia. Everyone is sensitive to anesthesia differently - some have a very negative reaction. In addition, anesthesia, which is a narcotic substance, has a bad effect on the liver and kidneys, and subsequently on the intestines.

With proper treatment, stool retention usually goes away completely within a month after anesthesia.

Usually, constipation is also present with an inguinal hernia. In this case, it is the cause of the hernia, therefore, in order not to bring yourself to such a state, after the operation you should follow all the doctor’s recommendations in order to eliminate stool retention as much as possible.

Constipation is often a consequence of some part of the gastrointestinal tract being changed after surgery. In this case, you need special treatment and timely consultation with a doctor, since the appearance of scars and narrowing of the canals can lead to dire consequences.

How to get rid of post-operative constipation?

Treatment is prescribed only after identifying the cause of this symptom. First of all, you should increase the amount of fluid consumed to 2.5-3 liters. This promotes softening and faster excretion of stool. The diet should include wholemeal bread, bran, buckwheat and oatmeal.

Laxatives allow you to quickly improve bowel movements, but each drug has side effects and contraindications. In addition, they do not help eliminate the cause of constipation. Active substances act in the large intestine, increasing osmotic pressure and enhancing peristalsis.

It is necessary to begin treatment with herbal-based drugs, available in the form of tablets, drops and suppositories. The feces soften due to the swelling of the fibers contained in the preparations. They are quickly eliminated from the body along with feces.

The drug Fortrans is indicated for long-term constipation in adults; it should not be taken if you have heart, liver or kidney diseases. The elimination of unpleasant symptoms is facilitated by the restoration of microflora with the help of probiotics, which reach the intestines in their original form. By increasing the number of beneficial bacteria and eliminating inflammation, the drugs quickly get rid of the problem. Glycerin suppositories allow you to quickly get results, but you should not abuse such drugs. The tone of the intestinal walls decreases, because of this it becomes unable to empty itself. Taking laxatives after surgery can contribute to exhaustion and dehydration. For treatment at home, you can use folk remedies for constipation.

Getting rid of constipation after surgery

Constipation after removal of something in the abdominal cavity can be treated in various ways, and it is better to use them in combination. First, let's look at the basic rules.

After anesthesia

The effects of anesthesia can continue long after surgery. If the patient feels unwell after anesthesia, plain water will help him get rid of these unpleasant sensations.

It must be boiled. If you are allowed to drink something after surgery, you need to consume six liters of water per day.

After a few days, you can introduce some dried fruits (prunes and dried apricots) into your diet, while still drinking water (at least two liters a day).

Diet

General diet rules:

• You need to eat in small portions four to five times a day. This will make it easier for the weakened intestines to digest food and eliminate the risk of constipation.
• It is forbidden to eat cold food. The food should be warm.
• Chew food thoroughly and do not swallow large pieces of food to reduce stress on the gastrointestinal tract.
• It is prohibited to include gas-forming products (white cabbage) in the menu.
• The water consumed must be potable; under no circumstances should it be poured from the tap.

Diet is an effective means of combating constipation after surgery. It is usually prescribed by your doctor. Most often, such a diet includes various healthy foods containing substances and vitamins necessary for the body:

• Cereals (buckwheat, oatmeal). At the same time, pea porridge can cause flatulence and this also needs to be taken into account. You can add prunes and a little honey to the porridge - it will be much tastier.
• Whole grain bread, bran and crispbread.
• Salads from vegetables and fruits. Legumes should be excluded, and quince should not be added to fruit salad.
• Steamed meat. It should be lean (turkey, chicken).
• Boiled fish. It is better to consume fish products without skins.

We refuse:

• Flour and sweet products
• Sweets (chocolate, candies)
• Concentrated nectars
• Alcohol
• Carbonated drinks

How to normalize stool after surgery?

To eliminate constipation after ovarian laparoscopy, you need to follow a special diet. The following foods should be excluded from the diet: bread, persimmon, pomegranate, strong tea, sweets. The menu should include boiled beets, cabbage, carrots, dried fruits, apricots, plums, honey.

Treatment for constipation also includes taking laxatives. After laparoscopy, you should avoid products with senna and other components that provoke spasms. It is better to give preference to plant-based complexes. These include Fitomucil Norm. It contains the pulp of the fruit of the domestic plum and the shell of the seeds of the plantain variety Plantago Psyllium. The product acts gently and does not cause diarrhea, bloating, flatulence, or cramps. You can buy the drug at a pharmacy. Instructions for use are on the package.