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2.5 weeks post hysterectomy: Ability to have bowel movements different? 2.5 weeks post hysterectomy: Ability to have bowel movements different?

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Unread 01-13-2022, 10:29 PM
2.5 weeks post hysterectomy: Ability to have bowel movements different?

This may be difficult to explain. I was wondering if anyone found that having a bowel movement post-hyst has felt different or become more difficult. I’m not referring to constipation, but more of the ability to expel stool. I know a lot of people talk about the bladder being front and center, but the bowels are too. Just trying to figure out if this may be temporary or permanent.

Background: I have an unrepaired rectocele and am about 2 1/2 weeks post-op. I have always needed to apply pressure to my perineum to pass stool because of the rectocele, but it’s even more difficult now…like it feels like I’m not able to engage all of the same muscles required to move stool.

I’ve been hydrating, taking my Rx GI med for constipation, and taking stool softeners daily. My stool is soft.

Has anyone had this experience? Thank you for any feedback.
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Unread 01-14-2022, 05:53 AM
Re: Ability to have bowel movements different?

While I've not had that exact experience (no rectocele here), my bowels were definitely not "normal" after surgery, and I had to actively manage my GI tract for 7-8 weeks. I really had to monitor my fiber and fluid intakes, otherwise I'd get backlogged and constipated.

That whole lower abdominal area has had ligaments, blood vessels and connective tissue cut. Whatever was bleeding was stitched or cauterized, so there is a LOT of inflammation. We swell internally, cramp easily (they're digestive cramps), our backs can hurt, our bladders act up, and our pelvic floor muscles are weakened. We're often advised not to strain, quite a few doctors don't want their patients doing Kegels until they're more healed, although that's not universal. To me, it makes sense that the muscles used to move your bowels may also be a part of all that trauma.

No tips or advice other than to keep doing what you're doing for your stool to remain soft.

BTW... LOVE your screen name! It made me laugh the first time I saw it!

Unread 01-15-2022, 05:34 AM
2.5 weeks post hysterectomy: Ability to have bowel movements different?

To help your intestinal muscles to remember how they're supposed to work, I recommend sitting on the throne after every meal; this stimulates the gastro-colic reflex, in which the stomach tells the brain that it's full, then the brain tells those muscles to contract and expel what's in there, to make room for the new stuff coming in. Magnesium from dark chocolate, leafy greens, pumpkin seeds, quinoa, and almonds can also help those muscles to function as they should. Happy pooping, and best wishes for continued health and healing!

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