Postpartum Poop, Pee & Pelvic Floor: What You're Not Told at Discharge

date Thu, 17 Jul 2025

Postpartum Poop, Pee & Pelvic Floor: What You\'re Not Told at Discharge

🤐 Why No One Talks About This

You leave the hospital with a baby — but little info on what’s happening to your body.

You’re told to rest and return at six weeks, but what about:

  • Pee leaking when you laugh?
  • Poop that won’t come out for days?
  • Pressure “down there” that feels like your insides might fall out?

Let’s break the silence.

🚽 Postpartum Poop: Let’s Be Real

It’s common to go several days without a bowel movement after birth. Whether you delivered vaginally or by C-section, your muscles are healing, your digestion is sluggish, and you might feel terrified of tearing stitches.

Common experiences:

  • Constipation for 3–5 days
  • Painful bowel movements
  • Hemorrhoids
  • Fear of pushing

What helps:

  • Stool softeners or magnesium
  • High-fiber foods and water
  • Probiotics
  • Gentle walks
  • 💡 Support your perineum with a clean pad or cloth if needed. Don’t strain. Just breathe and relax.

💧 Pee Leaks, Burning, and Bladder Changes

Many women feel burning when they pee after birth — especially with micro-tears or catheter trauma. Others notice they pee more often, or accidentally leak when sneezing or laughing.

What’s common:

  • Leaky bladder (stress incontinence)
  • Urgency or difficulty starting flow
  • Pain or burning
  • UTI-like symptoms

What helps:

  • Hydration + avoiding bladder irritants like caffeine
  • Pelvic floor therapy
  • Avoid “just in case” peeing
  • Double voiding (pee, pause, pee again)

🧘🏽‍♀️ Your Pelvic Floor: What’s Really Going On

The pelvic floor is the unsung hero of childbirth — and it often takes a hit.

Common issues after birth include:

  • Prolapse: A feeling of heaviness, dragging, or like something’s falling out
  • Painful sex (dyspareunia): Burning, tightness, or discomfort during intimacy
  • Incontinence: Peeing during sneezing, jumping, laughing
  • Core weakness: Softness or doming in the belly, especially with movement

These symptoms are not “just your new normal.” They’re signs your body needs support.

🏥 What You’re Not Told at Discharge

Most women are discharged without being told:

  • You might not poop for a week
  • Bleeding can last 4–6 weeks
  • It’s normal to feel weak or “open” down there
  • Prolapse can show up weeks after birth
  • A 6-week checkup doesn’t equal full recovery

🩺 What to Ask Your Provider

Ask for:

  • A pelvic floor physiotherapy referral
  • Evaluation for prolapse or diastasis recti
  • Guidance on safe return to sex or fitness
  • Help before your 6-week check if symptoms are severe

✨ Final Thoughts: Your Body Deserves Truth

Recovery isn’t TMI — it’s necessary.

Your body just birthed life. You deserve support, not silence.

Let’s normalize:

  • Talking about poop
  • Laughing without leaking
  • Feeling strong again
  • Having sex when it feels good — not because you’re “cleared”

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