What Can a Bariatric Patient Take for Constipation? Safe Solutions

Written by Kristen Carli, RD and medically reviewed by Dr. Stephen Boyce, MD

Bariatric surgeries can be life-changing. They help many patients, beyond just losing weight. B They reduce the risk of chronic diseases, like diabetes and heart disease.

However, like many major surgeries, bariatric surgery can have side effects. One such side effect is constipation.

This article will look at why constipation can occur after bariatric surgery. We’ll revise how much water to drink for relief. We’ll share dietary changes that can help. We’ll discuss supplements for constipation and when to see a doctor. 

Why do bariatric patients experience constipation?

Because of the significant changes to the digestive system during bariatric surgery, gastrointestinal symptoms like constipation are common. One reason for this is because patients consume less food after surgery, often due to the smaller size of the stomach.

This can lead to less stool bulk and less frequent bowel movements. Additionally, after surgery, patients often consume less fiber as it is particularly filling.

This reduced intake of fiber can contribute to constipation.  It’s also possible that some of the medications used after surgery, such as NSAIDs after bariatric surgery, can slow bowel movements, like some pain medications and iron supplements. Lastly, it’s also very important to keep hydrated. Inadequate fluid intake can result in harder stools that are difficult to pass, leading to constipation.

How much water should I drink to help with constipation?

So how much water should you drink to ensure you are properly hydrated? It’s a good idea to aim for at least 64 ounces of fluids per day. These fluids should be non-caffeinated and sugar free. Ideally this is water, but don’t underestimate the power of other beverages to help you meet this goal. 

A good idea is to sip fluids consistently throughout the day as opposed to drinking a few large glasses in one sitting. Your reduced stomach size may make consuming large amounts of fluids at once pretty uncomfortable.

If you are unsure if you are hydrating enough, you can use the color of your urine as an indicator. If your urine is pale yellow, you are properly hydrated. If it is darker in color, similar to apple juice, you are not drinking enough water. 

What dietary changes can help alleviate constipation?

While hydration is key to ensure you don’t become constipated, there are also a few changes you can make to your dietary pattern that can help. For one, aim to increase the fiber in your diet. Fiber can be found in foods like fruits, vegetables, and whole grains. 

However, be careful not to increase your fiber intake too quickly. It’s a good idea to increase your fiber intake over time slowly to prevent any gastrointestinal discomfort. If you don’t eat any fiber now, try including ¼ cup of fibrous foods in your diet per day for a few weeks.

Then, after a few weeks, increase this amount to ½ cup per day for a few weeks. If it increases slowly over time, you will avoid any uncomfr doctor’s recommendations on which supplements to take. They will most likely recomortable symptoms. 

Another tip is to avoid drinking liquids with your meals. Bariatric surgery reduces your stomach size and nutrient absorption. So, liquids with meals could fill you up too quickly. This could impair your digestion and absorption over time. Separate the liquids and solids in your diet. 

Be sure to maintain a consistent eating schedule in your recovery journey. Eat balanced meals. including bariatric protein bars or bariatric protein shakes for extra nutrients. They will support your digestion and give you enough nutrients.

What role do supplements play in constipation?

Supplements can play a role in your nutrient intake, especially in the post-operative phase. After bariatric surgery, it’s very important to follow youmend bariatric multivitamin with iron and bariatric protein shakes supplements in order to avoid nutrient deficiencies. 

Additionally, you may require nutrient supplements to prevent constipation. Fiber supplements, like psyllium husk, are key here as they can help increase stool bulk and promote regularity. Some physicians may recommend magnesium supplements because they can draw water into the intestines, helping to move bowel movements along. 

Probiotics may also be helpful. They can improve gut health and even alleviate constipation in some individuals. However, it’s always a good idea to discuss your supplements with your doctor. There are many adverse nutrient and drug interactions that can occur with supplement use. 

Some supplements, like iron and calcium, may even cause or worsen constipation. If you have any questions about your supplement use, reach out to your doctor.

When should a bariatric patient consult a doctor about constipation?

It’s important to note that while some constipation is to be expected after bariatric surgery, there are a few symptoms to watch out for that indicate something more serious may be going on.

If you have constipation for more than a few days, or if it causes severe discomfort, contact your doctor right away. If you see blood in your stools or have severe abdominal pain, seek medical help at once.

If OTC meds and diet changes don’t help, contact a healthcare provider for advice. Lastly, if you think your meds are causing constipation, ask your doctor to review your med list.

Conclusion

Constipation after bariatric surgery can be frustrating. But, it is manageable with the right strategies. Bariatric patients can improve their digestion and regularity. 

They should hydrate, slowly increase fibre, and adjust meal times and supplements. Every individual’s post-surgery journey is unique. It’s vital to keep in touch with your healthcare team to address any concerns. If constipation persists despite these efforts, consult your doctor. 

Also, see a doctor if you have severe symptoms. Treating constipation quickly improves comfort. It also helps your recovery and health goals. With patience and care, you can succeed in this part of your bariatric journey. Then, you can enjoy the benefits of your procedure.

If you want to learn more, why not check out these articles below: 

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