How To Poop After Rectocele Repair

Rectocele is a challenging and embarrasing trouble to deal with. This rectocele video and information helps you manage rectocele, reduce your run a risk of rectocele worsening and repeat prolapse after rectocele repair surgery.
Rectocele Repair Rules

Unfortunately women are discharged from intendance after rectocele repair without clear guidelines for how to preclude repeat prolapse.

Read on now to learn:

ten Essential rules for avoiding repeat rectocele
How to ensure your successful rectocele repair

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1. The Golden Dominion – Never Strain!

Never strain to empty your bowels!

A major cause of rectocoele is straining with constipation. Straining often becomes a habit as rectal prolapse issues worsen.

It is vital to avoid returning to your pattern of preoperative straining to empty your bowels later on your rectocele repair.

Keys to Avert Straining:

Using the correcting bowel emptying position and technique
Correcting your stool consistency so that it is easy to empty

Emergency bowel direction strategy is outlined below to avoid straining if you lot become constipated after rectocele repair surgery.

two. Correct Bowel Movement Position

It's like shooting fish in a barrel to fall into the trap of using the wrong position to empty when you lot have a rectocoele. Some women hover over the seat (which tightens the anal sphincter making things worse). Many women with rectocoele slump their spine forrad to empty their bowels.

After rectocoele repair women often need to retrain and correct their sitting posture on the toilet to empty well and avoid straining. rectocele repair rules

Correct position to empty your bowels:

Sit down on the seat (never hover)
Lean forwards (not backwards)
Position your hips and legs apart
Rest your forearms of hands on your thighs to support your body
Maintain the inward curve in your lower back throughout

Note: Some women notice that positioning their knees higher than their hips past placing each pes on a wrapped toilet roll tin help them to empty nonetheless this doesn't hold true for all women with rectal prolapse problems.

three. Correct Bowel Movement Technique

If yous've lived with a rectocoele, y'all know how hard it can be to empty your bowels.

Chances are that yous are in the addiction of using all style of techniques to empty you bowel. Some women need to use their fingers within the vagina or lift and support the perineum with their fingers to empty their rectum. This is because the rectocele causes waste matter to move into the prolapse rather than out of the rectum.

After your rectocele surgery you may go on to support your perineum with your hand if you need to.

This 'Caryatid and Bulge' bowel emptying technique is taught in clinical practice to help women empty their bowels and avoid straining. Learn this technique past watching our bowel movement video

'Brace and Burl' Technique

Go to the toilet or bathroom when yous feel the appropriate urge to empty
Position yourself sitting correctly on the toilet (described above)
Perform 5-half-dozen relaxed deep diaphragmatic animate exercises – these assistance to relax your pelvic floor muscles
Brace to brand your waist – if you say and concord the sounds "SSSS" or "Moooo" this can help bracing
Burl your lower abdomen forwards as you caryatid your waist – this is an essential footstep equally it relaxes your anal sphincter assuasive you to empty
When y'all've emptied your bowels lift and clasp your pelvic floor muscles

iv. Correct Stool Consistency

Bristol Stool Chart

Click to enlarge

If your stool is also difficult or too soft emptying your bowels will be difficult afterward rectocele repair. Unfortunately 1 of the side furnishings of pain relieving medications like codeine and narcotics is constipation which tin can brand stools hard and difficult to laissez passer.

The ideal stool consistency after rectocoele repair is a soft well formed stool that passes easily.

The ideal stool consistency to aim for long-term is Type 3-iv on the Bristol Stool Nautical chart (shown correct)

How to correct your stool consistency?

Eat stool softener foods if your stool is too hard
Avoid eating too much insoluble fibre
Avert suddenly increasing your fibre intake
Discuss your constipation concerns with your doctor before your surgery
Speak with your surgeon about stool softening medications or osmotic laxatives to use afterwards surgery

5. Choose Pelvic Floor Safety Exercises

Some general exercises tin overload and strain your pelvic flooring afterwards rectocoele repair.

General exercises to avoid include intense core abdominal exercises, high bear upon fitness exercises along with specific force training exercises and techniques.

6. Avoid Gas (Wind) Producing Foods

Gas or air current in the bowel is caused by:

Swallowed air
Bacterial fermentation of unabsorbed food in the big bowel

If you are prone to bloating and gas with particular foods picket out for this pitfall later your rectocele repair. Repeatedly begetting down trying to pass air current and alleviate gas discomfort tin can cause y'all to bear down strain your pelvic flooring. Laissez passer gas when you lot experience the urge and try not to ignore or defer passing wind to avoid bloating and abdominal pain.

Gas producing foods & drinks include:

Onions
Garlic
Corn
Legumes (eastward.thou. baked beans, chickpeas, lentils, mung beans, broad beans)
Psyllium (Metamucil)
Some fruits (e.g. apricots, nashi pears, prunes, plums)
Cruciferous vegetables (cabbage, broccoli, brussel sprouts and cauliflower)
Wheat – based products (e.g. bran)
Nuts (eastward.g. cashews, pistachios)
Carbonated drinks

For more information refer to our article on how to salvage gas afterward pelvic floor surgery.

In that location is no one rule fits all when it comes to gas producing foods. Some women have specific sensitivities such every bit fructose, gluten and/or lactose. If you know your gut reacts to specific foods or fluids then to limit or avoid these foods. The depression – FODMAP diet is an excellent resource from the Monash University for women with IBS, fructose, gluten and/or lactose intolerance.

vii. Obey the Urge

The correct urge to empty means recognising and acting immediately on the existent need to empty your bowels rather than going to the bathroom 'just in example'.

When you experience the advisable urge to empty your bowels act on this urge and visit the bathroom. If you defer the right urge too long y'all tin stretch the rectal tissues and reduce your rectal sensation.

Avoid prolonged sitting on the toilet seat which results in straining, contributing to repeat prolapse.

viii. Strengthen your Pelvic Floor

Your pelvic floor muscles extend from your tail bone at the back to your pubic bone at the forepart. These muscles actually form part of the anal sphincter and they back up your rectum when you empty your bowel. Regular pelvic floor exercises (Kegels) are an important for long-term successful recovery later rectocele repair surgery.

How Does Pelvic Floor Strengthening Help?

Strengthening your pelvic floor subsequently your rectocoele repair has two main benefits:

Providing internal back up for your repair and so that it doesn't render
Ensuring your best possibility to empty your bowels without straining

9. Manage Lifestyle Factors

Some lifestyle factors tin increase the likelihood of repeat prolapse after rectocoele repair.

Lifestyle factors that increment the load on the pelvic floor include:

Obesity (abdominal fat)
Heavy lifting
Smoking (chronic coughing)

Take appropriate activeness to manage these lifestyle factors with pelvic floor safety weight loss exercise and condom lifting techniques to protect past your prolapse repair long-term.

10. Have Immediate Action for Constipation

What do you exercise if y'all doubtable y'all are condign constipated after rectocoele repair? Laxative Suppository

Avoid straining – this tin can crusade echo prolapse
Avoid suddenly increasing your fibre intake – this can make your constipation worse.

Take immediate activity and speak with your doctor or pharmacist about the almost advisable medication to soften your stool and aid y'all empty your bowels without straining – this will depend on your stage of post operative recovery, your full general health and other medications you may exist taking.

If yous suffer from chronic constipation inquire your doctor about the potential side effects of other medications you are taking on your bowel movements.

Medications known to cause constipation include:

Iron supplements
Calcium supplements
Antacids (containing aluminium or calcium)
Anti inflammatory medications
Antidepressants
Narcotics
Diuretics

When you take emptied your bowel take appropriate measures using the data above to assistance you avoid repeat constipation. This can exist a matter of trial and error to get the right stool consistency with diet and laxatives. Your goal should exist to minimise the use of laxative medications over time.

Key Points for Rectocele Repair & Recovery

Managing your rectocoele repair well with these x rules can aid y'all ensure the success of your surgery and avoid repeat rectocele.

Managing your bowels well is vital for successful recovery and rectocele repair.
Strengthening your pelvic floor will help yous ensure your all-time possible rectal support and bowel elimination.
Fugitive inappropriate full general exercises and lifestyle factors known to contribute to prolapse issues

Post-obit these key points long-term fundamental points will help you to ensure your best possible outcomes later on your rectocele repair.