Increased Bowel Movement Frequency Following Laparoscopic Appendectomy

Case at a Glance

A 20-year-old male patient presents with increased bowel movement frequency following laparoscopic appendectomy, experiencing 3+ bowel movements daily starting postoperative day 2-3.

Patient's Story

The patient underwent laparoscopic appendectomy 5 days prior to presentation. He is a 20-year-old male weighing 50kg. Bowel function returned on postoperative days 2-3, but since then he has experienced significantly increased bowel movement frequency, requiring defecation at least 3 times daily. He reports minimal fiber intake in his diet but continues to experience frequent bowel movements. The patient describes the stools as formed, not diarrheal in consistency. He expresses concern about whether this frequency is within normal postoperative parameters.

Initial Assessment

Patient appears well-recovered from laparoscopic appendectomy with primary concern being increased bowel movement frequency. Vital signs stable, patient ambulating well. Abdominal examination shows healing laparoscopic port sites without signs of infection or complications.

The Diagnostic Journey

Clinical evaluation focused on distinguishing between normal postoperative bowel pattern changes versus pathological causes. Patient history confirmed absence of diarrhea, fever, or other concerning symptoms. Surgical site examination revealed appropriate healing without complications.

Final Diagnosis

Postoperative bowel pattern adjustment following laparoscopic appendectomy - likely representing normal physiological adaptation to surgical intervention and anesthesia effects on gastrointestinal motility.

Treatment Plan

Conservative management with patient education regarding normal postoperative bowel pattern variations. Dietary counseling provided regarding gradual return to normal eating patterns. Patient advised to monitor for any changes in stool consistency, presence of blood, fever, or worsening abdominal pain.

Outcome and Follow-up

Patient reassured that formed stools with increased frequency in early postoperative period is generally not concerning and typically resolves spontaneously. Advised to continue monitoring and seek medical attention if symptoms worsen or new concerning features develop. Expected gradual normalization of bowel patterns over the following weeks as recovery progresses.