Hi, Senna is a stimulant laxative that is commonly used to relieve constipation. However, it can cause side effects such as abdominal cramps, diarrhea, and electrolyte imbalances. If you have had an appendectomy (surgical removal of the appendix), it is important to avoid taking senna as it can cause inflammation of the intestinal wall and worsen your condition. Instead of using a medication, there are several natural alternatives you can try to relieve constipation after an appendectomy. These include: * Drink a lot of fluids: Hydration by drinking a lot of liquids can help soften your stool and help with easy bowel movement. Aim to drink at least 8 glasses of water per day, and avoid sugary or caffeinated beverages. * Eat high-fiber foods: Foods that are high in fiber can help promote bowel movements. These include fruits, vegetables, whole grains, and legumes. Some examples include apples, pears, berries, broccoli, spinach, brown rice, quinoa, and lentils. * Take probiotics: Probiotics are beneficial bacteria that can help regulate your digestive system. You can take probiotic supplements or eat foods that are naturally high in probiotics, such as yogurt, kefir, sauerkraut, and kimchi. * Engage in physical activity: Physical activity can help stimulate your digestive system and promote bowel movements. You can try walking, jogging, yoga, or other forms of exercise that you are comfortable with. It is important to note that it may take a few days for your bowel movements to return to normal after an appendectomy. If you continue to experience constipation or abdominal discomfort, be sure to follow up with your healthcare provider for further evaluation and treatment recommendations. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Priyanka, General & Family Physician