Abdominal bloating after hysterectomy surgery

Abdominal distension after hysterectomy is usually a normal postoperative reaction. Most of it is related to anesthesia and unrecovered intestinal function. A few may be related to postoperative complications.

The most common cause of abdominal bloating after hysterectomy is that anesthetic drugs inhibit intestinal peristalsis, causing gastrointestinal motility to slow down and gas to accumulate in the intestines. The traction and stimulation of the intestines during surgery can also cause temporary intestinal paralysis. Bed rest and reduced activity after surgery will also affect the normal peristaltic function of the intestines. Abdominal distension caused by these conditions usually gradually relieves within 1-3 days after surgery and disappears as intestinal function recovers.

Rarely, postoperative bloating may be related to complications. Postoperative intestinal adhesion may lead to intestinal obstruction, manifested as increased abdominal distension and cessation of flatulence and defecation. Surgical wound infection may also cause an inflammatory response in the abdominal cavity, resulting in persistent abdominal distension. If abdominal distension lasts for more than 3 days or is accompanied by fever, vomiting and other symptoms, you need to be alert to the possibility of these complications.

You should get out of bed as soon as possible after the operation to promote the recovery of intestinal peristalsis. You can massage the abdomen clockwise to help exhaust gas. The diet should gradually transition from liquid to semi-liquid and regular food, and gas-producing foods should be avoided. If the abdominal distension persists or worsens, the doctor should be notified in time, and if necessary, abdominal ultrasound or CT examination can be performed to rule out complications. It is also important to maintain a good attitude and follow your doctor's instructions for post-operative recovery.