Is constipation common after colon resection surgery?

Question

Hi doctor,

I had significant parts of the transverse and descending colon removed about 26 years ago. Sporadically and now more regularly, I am experiencing constipation. Is this a common phenomenon, and is there a solution? I eat a plant-strong diet with fruits, vegetables, and whole grains making up the majority of my intake, and typically drink 60 to 80 oz of water daily.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com

Yes, constipation post partial colectomy is possible even after years of surgery. Post-surgery colon undergoes disruption in rhythmic movements, which can cause constipation. It can be due to dysmotility or segmental transit delay. High fibre diets are not helpful every time. Radio-opaque studies might help to understand whether it is a motility issue or a transit delay.

You must undergo a CT (computed tomography) scan or colonoscopy to check for slow movements, stricture, and pelvic floor abnormalities. You can use osmotic laxatives, prokinetics like Metoclopramide, and physical therapy.

I hope this information helps you.

Thank you.