[31F] Post-surgery with nausea, cramping, and watery stools

Patient Description

A 31-year-old female has been experiencing significant symptoms since her surgery last week to remove a kidney stone. She reports not being able to eat or drink much, and when she does, she immediately needs to use the bathroom. She wakes up very nauseous and has had cramping and spotting. The cramps, described as menstrual-like and located about half a finger below the belly button, vary in intensity from 4/5 to 8 out of 10 and have remained consistent since Thursday of last week. The patient has not experienced vomiting, fever, chills, severe abdominal pain, or changes in urine. However, she has noticed watery stools with color changes. The light vaginal spotting lasted until Saturday, mainly noticed when wiping. Her diet includes one substantial meal a day (rice, meat, and vegetables) and light snacks (fruits, salad, or sandwiches). No medications were prescribed post-surgery except for Motrin if needed for pain. The patient has a history of an emergency surgery in February to remove a piece of the placenta left after childbirth. She occasionally drank alcohol before the surgery and uses tobacco. She has an allergy to Novocaine and uses an Albuterol inhaler as needed.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

  • Post-Surgical Recovery: It's common to experience some discomfort, cramping, and changes in bowel habits after surgery. The body needs time to heal, and the gastrointestinal system can be particularly sensitive during this period.

    • Treatment: Typically, rest, hydration, and a gradual return to a normal diet are recommended. Over-the-counter pain relievers like Motrin (ibuprofen) can help manage pain, but be cautious with their use if you have gastrointestinal symptoms.
  • Gastrointestinal Disturbance: The nausea, diarrhea, and inability to eat much could be due to a temporary disturbance in your gastrointestinal system, possibly related to the anesthesia or medications used during surgery.

    • Treatment: Staying hydrated is crucial. Small, frequent meals that are easy to digest can help. Foods like rice, bananas, applesauce, and toast (the BRAT diet) are often recommended.
  • Infection: Although you haven't mentioned a fever or severe pain, infections can sometimes occur after surgery and can cause gastrointestinal symptoms.

    • Treatment: If an infection is suspected, a healthcare provider may prescribe antibiotics or other treatments.
  • Hormonal Changes: The light spotting and cramping could be related to hormonal changes, especially considering your recent childbirth and emergency surgery in February.

    • Treatment: Monitoring the symptoms and discussing them with your healthcare provider can help determine if any specific treatment is needed.

What you can do

  1. Stay Hydrated: Drink plenty of fluids, especially water, to stay hydrated. This is particularly important if you are experiencing diarrhea.
  2. Eat Small, Frequent Meals: Opt for bland, easy-to-digest foods like rice, bananas, applesauce, and toast. Avoid spicy, fatty, or heavy foods that might aggravate your symptoms.
  3. Rest: Give your body time to heal. Avoid strenuous activities and get plenty of rest.
  4. Monitor Symptoms: Keep track of your symptoms, including any changes in bowel movements, cramping, and nausea. Using MDandMe to journal your symptoms can help you track progress and share detailed information with your healthcare provider.
  5. Over-the-Counter Medications: If needed, you can take over-the-counter pain relievers like Motrin (ibuprofen) for cramping, but use them sparingly and with caution.

What you should look out for

Seek medical attention if you experience any of the following:

  • Severe Abdominal Pain: If the pain becomes severe or unbearable, seek medical help immediately.
  • Fever or Chills: A fever (temperature over 100.4°F) or chills could indicate an infection and should be evaluated by a healthcare provider.
  • Persistent or Worsening Symptoms: If your symptoms do not improve or worsen over time, it's important to consult with your healthcare provider.
  • Blood in Stool: If you notice blood in your stool, seek medical attention promptly.

Remember, while I can provide information and suggestions, it's important to consult with a healthcare professional for a formal diagnosis and appropriate treatment. If you have any further questions or concerns, don't hesitate to reach out to your healthcare provider.

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6 mo ago

People Also Ask


Is it normal to experience nausea and cramping after kidney stone surgery?

Yes, it is common to experience nausea and cramping after kidney stone surgery as the body recovers. These symptoms can be due to the effects of anesthesia, medications, or the body's healing process.


What dietary changes can help manage gastrointestinal symptoms post-surgery?

To manage gastrointestinal symptoms, it's recommended to eat small, frequent meals that are easy to digest. The BRAT diet, which includes bananas, rice, applesauce, and toast, can be helpful. Staying hydrated is also crucial.


Could the light spotting and cramping be related to hormonal changes after surgery?

Yes, light spotting and cramping could be related to hormonal changes, especially if there has been recent childbirth or surgery. It's important to monitor these symptoms and discuss them with a healthcare provider if they persist.


When should I seek medical attention for post-surgical symptoms?

You should seek medical attention if you experience severe abdominal pain, fever or chills, persistent or worsening symptoms, or if you notice blood in your stool. These could indicate complications that need medical evaluation.


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