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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Painful Bowel Movements After Cesarean?

I had a Cesarean 9 months ago. After the birth of my child I was diagnosed with endometritis of the uterus after discharge.. I was readmitted to the hospital where I was pumped with antibiotics. I am still having very painful bowel movements since the operation. What could be causing this?
Fri, 30 Sep 2016
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General Surgeon 's  Response
Hi.
Thanks for your query.
Noted the history of caeserian section 9 months ago and developed endometriosis for which you were admitted and and have taken antibiotics for.
There is still painful bowel movements.
The commonest cause of painful bowel movements after pregnancy is:
Fissure in ano.
I would advise you the following:
Consult a General Surgeon for clinical examination, per-rectal examination and proctoscopy if possible to get the correct diagnosis.
High fiber diet.
Avoid all the foods and beverages and stress-like conditions which gives constipation.
Laxative for softening the stool- never allow the dose too much to cause liquid stools.
Sitz bath- very important- just before passing a stool and after passing a stool.
Clean the area very clear of the fecal soiling that remains after cleaning; use cotton soaked in the same water to clean.
You can apply liquid povidone iodine locally. Apply nothing else.
5 day course of an antibiotic on prescription of a local Doctor.
Add probiotics and multivitamins.
Avoid stress and mental tensions at any cost; this is a very important factor.
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What Causes Painful Bowel Movements After Cesarean?

Hi. Thanks for your query. Noted the history of caeserian section 9 months ago and developed endometriosis for which you were admitted and and have taken antibiotics for. There is still painful bowel movements. The commonest cause of painful bowel movements after pregnancy is: Fissure in ano. I would advise you the following: Consult a General Surgeon for clinical examination, per-rectal examination and proctoscopy if possible to get the correct diagnosis. High fiber diet. Avoid all the foods and beverages and stress-like conditions which gives constipation. Laxative for softening the stool- never allow the dose too much to cause liquid stools. Sitz bath- very important- just before passing a stool and after passing a stool. Clean the area very clear of the fecal soiling that remains after cleaning; use cotton soaked in the same water to clean. You can apply liquid povidone iodine locally. Apply nothing else. 5 day course of an antibiotic on prescription of a local Doctor. Add probiotics and multivitamins. Avoid stress and mental tensions at any cost; this is a very important factor.