What causes difficulty with bowel movements during the postpartum confinement period?

Generally, difficulty with bowel movements during the postpartum recovery period (sitting the month) may be caused by reduced physical activity, dietary imbalance, functional constipation, hemorrhoids, or intestinal obstruction. If discomfort occurs, it is recommended to seek timely medical evaluation and treatment at a正规 hospital. Specific causes are analyzed as follows:

1. Reduced Physical Activity

After childbirth, prolonged bed rest slows gastrointestinal motility, causing food residue to remain in the intestines for too long and excessive absorption of water, leading to dry and hard stools. It is advisable to get out of bed for a 10–15 minute walk daily and gently massage the abdomen in a clockwise direction to promote gastrointestinal movement.

2. Dietary Imbalance

Excessive intake of high-protein and high-fat foods during postpartum supplementation, combined with insufficient dietary fiber, reduces intestinal stimulation and leads to defecation difficulties. Increase consumption of fiber-rich foods such as celery, spinach, apples, and other fruits and vegetables. Drink plenty of warm water or light soups and maintain a balanced diet.

3. Functional Constipation

Hormonal changes after childbirth can affect intestinal function and weaken the defecation reflex, resulting in straining and dry, hard stools. Under medical guidance, osmotic laxatives such as lactulose oral solution, polyethylene glycol 4000 powder, or wheat fiber granules may be used. Establish a regular habit of defecation at fixed times.

4. Hemorrhoids

Increased abdominal pressure during pregnancy can lead to hemorrhoids, which may worsen postpartum due to constipation, causing swelling and pain that discourages straining during bowel movements. Under medical supervision, topical treatments such as compound algin suppositories, Ma Yinglong Musk Hemorrhoid Ointment, or oral Huaijiao Pills may be used. Warm water sitz baths after bowel movements are also recommended.

5. Intestinal Obstruction

Postpartum adhesions or abnormal intestinal motility may cause obstruction, manifesting as difficulty passing stool accompanied by abdominal pain and vomiting. Immediate medical attention is required. Treatment may include gastrointestinal decompression and, if necessary, laparoscopic adhesion lysis. Gradual restoration of diet and activity should follow surgery.

In daily life, it's important to maintain a well-balanced diet with adequate dietary fiber; adhere to a regular sleep schedule and avoid staying up late; engage in moderate physical activity and avoid prolonged bed rest; and maintain a positive mood to reduce psychological stress, all of which help prevent bowel difficulties.