How can you control your bowel movements after having rectum removed?

After a rectum removal, also known as a proctectomy, individuals experience a shift in their bowel habits. They might require some time to regain control and establish a new routine. Here are some strategies that can help manage bowel movements after a proctectomy:

1. Stool Softeners and Laxatives:

- Initially, stool softeners or laxatives may be recommended to help with bowel movement. They can make stools softer and easier to pass, reducing the risk of constipation.

2. Dietary Modifications:

- Consume a balanced diet with adequate fluids, fruits, vegetables, and whole grains to promote regularity.

- High-fiber foods like fruits, vegetables, and whole grains add bulk to stools and make them easier to pass.

- Adequate fluid intake helps keep stools soft and prevents dehydration, which can contribute to constipation.

3. Regularity:

- Establish a regular routine for bowel movements. Try to set aside specific times each day, preferably after meals, to use the bathroom.

- Gradually increasing the time spent on the toilet can help stimulate the bowels and promote a bowel movement.

4. Pelvic Floor Exercises:

- Pelvic floor exercises, also known as Kegels, can help strengthen the muscles around the rectum. Stronger muscles can provide better control over the bowels.

5. Biofeedback Training:

- Biofeedback training is a technique that uses sensors to provide feedback on muscle activity. It can help individuals learn how to relax and contract the pelvic floor muscles, improving bowel control.

6. Irrigation:

- Some individuals may need to use enemas or irrigation systems to help with bowel management. A healthcare professional can provide instructions on how to perform these procedures safely.

7. Abdominal Massage:

- Gentle abdominal massage can stimulate the bowels and help produce a bowel movement.

8. Avoid Straining:

- Straining during bowel movements can place unnecessary pressure on the newly constructed rectal pouch. It is important to avoid excessive straining.

9. Patience:

- Regaining control after a proctectomy takes time and practice. It's important to be patient and consistent with the recommended strategies.

It is essential to follow the instructions and recommendations provided by the healthcare team closely. They can provide personalized guidance and support based on the individual's specific circumstances.