How to have the first bowel movement after cesarean section
Nov 15, 2025
Source: Cainiu Health
Dr. Li Jingxiang
Introduction
After a cesarean section, the first bowel movement can be encouraged by getting out of bed and moving early, adjusting diet, drinking adequate fluids, performing gentle abdominal massage, and using stool softeners or laxatives as directed by your doctor. Avoid straining during bowel movements to prevent interference with wound healing. If you have not had a bowel movement within 3 days after surgery, or if you experience significant abdominal pain or bloating, seek medical attention promptly. Begin walking slowly with assistance from a family member within 24 hours after surgery.
After a cesarean section, the first bowel movement can be encouraged by early ambulation, adjusting diet, adequate hydration, gentle abdominal massage, and using stool softeners or laxatives as directed by a physician. Avoid straining during bowel movements to prevent interference with wound healing. If no bowel movement occurs within three days post-surgery, or if significant abdominal pain or bloating develops, prompt medical consultation is recommended.
1. Early ambulation: Begin slow walking with assistance from a family member within 24 hours after surgery to promote intestinal motility, reduce bloating, and facilitate bowel movements. Be careful not to pull or strain the abdominal incision during activity.
2. Adjust diet: After passing gas post-surgery, gradually transition your diet—start with liquids such as rice water and lotus root powder, then slowly introduce high-fiber foods like vegetables, fruits, and whole grains to stimulate intestinal movement. Avoid overly refined foods.
3. Adequate hydration: Drink sufficient warm water daily. Small amounts of honey water or vegetable broth may also be consumed to keep the intestines moist, soften stools, reduce friction during defecation, and prevent constipation caused by dehydration.
4. Gentle abdominal massage: Using the palm, gently massage the abdomen in a clockwise direction around the navel for 5–10 minutes per session, 2–3 times daily. Apply light pressure to stimulate intestinal motility and relieve bloating and difficulty with bowel movements.
5. Use laxatives as directed: If bowel movements are significantly difficult, mild laxatives such as lactulose may be used under medical supervision. Avoid self-administering strong laxatives to prevent diarrhea or adverse effects on breastfeeding.
When defecating, use a toilet seat rather than squatting for prolonged periods. Clean the anal area with warm water afterward. Maintain a relaxed mindset, as anxiety can worsen constipation. Avoid spicy and greasy foods after surgery to support recovery of intestinal function.
