Postpartum Constipation: Why It Happens and What Helps
Postpartum Constipation: Why It Happens and What Helps
When Going to The Bathroom Becomes A Terrifying Ordeal
You haven't pooped since delivery. It's been three days. You're panicked. You're uncomfortable. You're afraid of tearing your stitches. You're terrified of the toilet. Welcome to postpartum constipation—one of those pregnancy/postpartum topics nobody warns you about. It's common, uncomfortable, and absolutely manageable. Let's talk about why it happens and what actually helps.
What Causes Postpartum Constipation
Pregnancy Hormone Effects Continue
Progesterone, which slowed your digestion during pregnancy, remains elevated postpartum. Your digestive system remains sluggish.
Pain Medication Slows Digestion
Pain medication (especially opioids) directly causes constipation. If you're taking pain meds, constipation is expected.
Pelvic Floor Trauma
If you had stitches, tearing, or significant pelvic floor trauma, you might be unconsciously tensing pelvic floor, inhibiting bowel movements.
Fear of Bowel Movements
Fear of tearing stitches, fear of pain, anxiety—these cause tension that prevents bowel movements. This psychological component is real.
Dehydration and Low Fiber
Postpartum, you might not be eating enough (busy with baby). Inadequate hydration and fiber contribute to constipation.
Reduced Physical Activity
You're recovering. You're sedentary. Lack of movement slows digestion significantly.
Postpartum Constipation Timeline
First Few Days Most Common
Most severe in first 3-5 days postpartum. This is when medications and hormonal effects are strongest.
Usually Improves by 1-2 Weeks
As medication wears off, movement increases, and you get eating back on track, constipation typically improves.
Breastfeeding Can Help
Breastfeeding increases bowel movement frequency. Non-breastfeeding mothers might take slightly longer to normalize.
What Actually Helps Postpartum Constipation
Hydration is Crucial
Drink enormous amounts of water. Dehydration directly causes constipation. Aim for 10+ glasses daily if postpartum.
Fiber From Real Food
Eat: vegetables, fruit, whole grains, beans, prunes. Fiber-rich food supports bowel movements naturally.
Stool Softeners are Safe
Docusate (Colace) softens stool, making passage easier. Safe postpartum and while breastfeeding. Ask your provider about dosing.
Gentle Movement Helps
Walking, even short distances, stimulates bowel movement. Movement is medicine for constipation.
Don't Force It
Don't strain. Straining damages pelvic floor and stitches. Let bowels move naturally with support from hydration, fiber, stool softeners.
Hot Beverage Can Help
Warm tea or coffee stimulates bowel movements for many people. A warm drink in morning might help trigger movement.
Prunes are Actually Effective
Prunes have natural laxative properties. A handful of prunes or prune juice genuinely helps constipation.
Reduce or Adjust Pain Medication
If possible, reduce pain medication (with provider approval). As pain improves, you might need less medication and constipation decreases.
FAQs About Postpartum Constipation
Q1: Is it normal?
Very normal. Most postpartum women experience constipation. You're not alone.
Q2: Will it damage my stitches?
Gentle bowel movements won't damage stitches. Don't strain—that can cause damage. But normal movements are fine.
Q3: When should I contact my provider?
If constipation persists beyond 2 weeks, if you're in severe pain, or if you're having any other concerning symptoms.
Q4: Are laxatives safe postpartum?
Yes, gentle options like docusate, prune juice, or magnesium supplements are safe. Avoid harsh laxatives. Ask provider first.
Q5: How long does postpartum constipation last?
Usually 3-7 days. Occasionally up to 2 weeks. Improves as medication wears off and movement increases.
Q6: Can I prevent it?
Not always, but hydration, fiber, movement, and stool softeners help prevent severe constipation.
Q7: Is it safe to breastfeed if constipated?
Yes. Constipation doesn't affect breast milk. Feed your baby normally.
Postpartum Constipation is Temporary and Manageable
Drink water. Eat fiber. Move gently. Use stool softeners if needed. Your bowels will normalize. This temporary discomfort will resolve.
Don't strain. Don't panic. Your body will get back on track. Be patient with postpartum recovery. đź’™
