(Updated June 2024) – Deciding to lose a lot of excess weight through bariatric surgery is a significant step towards a healthier you. The weight loss surgery is just part of the process, though. It’s not uncommon to encounter hurdles along the way, and one of the most frustrating can be constipation. Some of our patients complain of no bowel movement after gastric sleeve, but we want to assure you it’s a fairly common question and a relatively short-lived problem.
Most of the time, constipation is a temporary condition that doesn’t have serious complications associated with it. However, the longer it lasts, the more severe and uncomfortable it can get. So if you can prevent constipation after bariatric surgery and help treat it, you will feel better.
Understanding Constipation After Gastric Sleeve Surgery
Constipation after gastric sleeve surgery happens for various reasons, including changes in your digestive system, decreased fiber intake, and reduced physical activity. Let’s take a look at why you may experience constipation. Gastric sleeve surgery, also known as sleeve gastrectomy, involves reducing the size of your stomach.
While this aids in weight loss, it can also affect the way food moves through your digestive tract, potentially leading to constipation. Fiber is crucial for maintaining regular bowel movements. However, after gastric sleeve surgery, your ability to consume high-fiber foods may be limited due to dietary restrictions–including an all-liquid diet two weeks after the procedure.
This can contribute to constipation if not addressed properly. If you’re experiencing constipation after gastric sleeve surgery, you may be wondering how long it will take before you have a bowel movement or how often you should expect to poop. It’s normal for bowel movements to be delayed due to changes in your digestive system.
While individual experiences vary, most patients can expect to have their first bowel movement within a few days to a week after surgery. The frequency of bowel movements after gastric bypass surgery can vary depending on factors such as diet, hydration, and physical activity. However, your bowel habits should be at least once every one to three days–this is generally considered healthy.
No Bowel Movement After Gastric Sleeve: What To Do
If you’re struggling with constipation after gastric sleeve surgery, there are several steps you can take to find relief and promote smoother digestion. Let’s explore some effective strategies:
- Hydration
- Physical Activity
- Stool Softeners or Fiber Supplements
- Avoiding Straining During Bowel Movements
Hydrating Adequately Throughout the Day
Staying hydrated is essential for preventing constipation, as water helps soften stools and keep your digestive system running smoothly. Aim to drink at least eight glasses of water per day (96 ounces a day). Do not gulp your water, which could lead to pain or injury. Instead, sip throughout the day to keep yourself hydrated.
Engaging in Regular Physical Activity
Even light exercise, such as walking, chair yoga, or gentle stretching, can stimulate bowel movements and alleviate constipation. Aim to include physical activity into your daily routine, gradually increasing intensity as you recover from surgery. Not only will it help with bowel movements, but it’s also a great way to start losing weight after surgery. Just make sure to follow your physician’s orders.
Using Stool Softeners or Fiber Supplements
In some cases, your healthcare provider may recommend stool softeners or fiber supplements to help alleviate constipation after gastric sleeve surgery. These over-the-counter options can help soften stools and promote regular bowel movements when dietary modifications alone are insufficient.
Avoiding Straining During Bowel Movements
Straining during bowel movements can exacerbate constipation and increase discomfort. To avoid straining, try to relax and allow your body to naturally expel stool. If you’re having difficulty, consider adjusting your position on the toilet or using a footstool to elevate your feet.
And last but not least, once you have transitioned back into your “normal diet,” make sure you’re taking Miralax if you’re having issues. We discourage other short-term solutions such as milk of magnesia, laxatives, and fiber supplements. They increase the risk of dehydration and are harder on bariatric patient’s stomachs. Miralax is not a laxative or addictive so if you want to take it every day you can.
Frequently Asked Questions (FAQs)
Is it normal to have no bowel movement after gastric sleeve surgery?
Yes, it’s normal for bowel movements to be delayed after gastric sleeve surgery due to changes in your digestive system and dietary habits. However, if you experience persistent constipation or other concerning symptoms, it’s essential to consult your healthcare provider.
How can I prevent constipation after gastric sleeve surgery?
Preventing constipation after gastric sleeve surgery involves maintaining a balanced diet rich in fiber, staying hydrated, engaging in regular physical activity, and avoiding straining during bowel movements. Additionally, following your healthcare provider’s recommendations for post-operative care can help prevent constipation and promote smoother digestion.
What are the symptoms of constipation after gastric sleeve surgery?
Common symptoms of constipation after gastric sleeve surgery include infrequent bowel movements, difficulty passing stool, abdominal discomfort or bloating, and a sense of incomplete evacuation after bowel movements. If you experience these symptoms, it’s essential to address them promptly to prevent further discomfort and complications.
When should I seek medical attention for constipation after gastric sleeve surgery?
While constipation is common after gastric sleeve surgery, persistent or severe constipation accompanied by symptoms such as severe abdominal pain, vomiting, or rectal bleeding may indicate a more serious issue and require medical attention. If you’re unsure or concerned about your symptoms, don’t hesitate to contact your healthcare provider for guidance.
Constipation after gastric sleeve surgery can be a challenging issue to navigate, but with the right strategies and support, you can find relief and enjoy smoother digestion. By understanding the factors contributing to constipation, adopting healthy lifestyle habits, and seeking guidance from your healthcare provider when needed, you can overcome constipation and focus on achieving your weight loss goals with confidence.
Remember, you’re not alone on this journey, and WeightWise offers support every step of the way. Our surgeons, dietitians, exercise specialists, and patient advocates are here to help you lose weight–and keep it off–safely. Here’s to a happier, healthier, and more comfortable recovery after gastric sleeve surgery! Are you a candidate for a bariatric procedure? Watch our FREE webinar and then take the assessment to find out!