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Colorectal Surgery - Duke University Medical Center

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Changes in Bowel Function after <strong>Colorectal</strong> <strong>Surgery</strong><br />

How will my bowel function change after surgery<br />

You may have:<br />

• Loose stools, leakage of stool<br />

• More frequent urges to have a bowel movement (BM)<br />

• Trouble completely emptying your rectum<br />

• A strong desire to have a BM while eating<br />

These symptoms can be worse if you have had bowel radiation treatments.<br />

Why is this happening<br />

• Reduced length or absence of colon after surgery causes faster transit time<br />

• Decreased intestinal surface for absorbing fluids<br />

• Decreased capacity of rectum or surgically created pouch<br />

• Eating and drinking stimulate the gastrocolic reflex<br />

How long does it take for bowel function improves<br />

You may see improvement in the first few months after surgery. For others it may take up to a<br />

year.<br />

What can I do to help<br />

Do not avoid eating or drinking in hopes of preventing problems. This will only complicate<br />

your recovery.<br />

1. Firm up your stool. These foods help make the stool firmer and less frequent.<br />

• bananas, applesauce<br />

• cheese<br />

• boiled white rice<br />

• tapioca pudding<br />

• creamy peanut butter<br />

• white potatoes<br />

• white pasta<br />

• pretzels<br />

• marshmallows<br />

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