Which action is the best way to prevent constipation after surgery?

• A. Encourage the client to drink 2000-3000 ml of fluid daily.
• B. Limit physical activity.
• C. Limit fiber intake.
• D. Schedule daily laxatives.

Answer: (A)

Maintaining adequate hydration is the most effective way to prevent constipation after surgery. Fluids soften stool and help promote regular bowel movements, which is especially important because postoperative patients are often on opioids that slow gut motility and may be less active. Aiming for about two to three liters of fluid daily, if not contraindicated, supports stool passage and counters dehydration that can worsen constipation.

Limiting physical activity tends to slow bowel movements, which can increase the risk of constipation rather than prevent it. Limiting fiber would also hinder stool bulk and ease of passage; fiber helps form soft, bulky stools that move through the colon more easily, so restricting it is not helpful. Scheduling daily laxatives as a routine preventive measure is not ideal because laxatives can lead to dependency, electrolyte imbalances, and masking of potential issues; they should be used judiciously and tailored to the individual’s bowel assessment.