You may find that your usual bowel habits have changed since your treatment. The following information may be helpful:

• Certain pain medications may cause constipation
• Increasing fluid intake may help to relieve constipation
• Reduced levels of physical activity contribute to constipation
• Certain drugs such as chemotherapy, antibiotics, and antacids may cause diarrhea
• Emotional stress may cause diarrhea

Constipation

You can easily manage constipation by increasing the amount of fluid you drink, engaging in regular physical exercise, and modifying the types of foods you eat. Along with increasing fiber intake, stool softeners are often used to relieve constipation. Do not use suppositories or enemas unless directed to do so by your nurse coordinator, nurse practitioner, or physician.

Diarrhea

It is common to have some diarrhea following a transplant. However, if you have a significant increase in the amount of diarrhea you have been experiencing, new diarrhea that persists for more than 24 hours, diarrhea so severe that it makes you weak, or if your stool is ever bloody, black, or tarry, contact your health care provider.

Rectal Care

You may experience occasional itching, burning, swelling, and discomfort to your rectal area. Gentle washing after each bowel movement with a mild soap and water is helpful. It is important for women to wipe from front to back. There are also other treatments you may try. Sitting in a warm bath 2-3 times a day, for 15-20 minutes, can provide significant relief. Plastic basins (sitz baths) that sit over the toilet rim are also available for this purpose. Over-the-counter creams and ointments for hemorrhoids are available at grocery stores and pharmacies. Call your physician before using any preparations.