No bowel movement since I had surgery, it's been 5 days now.

Postoperative constipation is common, especially when narcotics are used heavily.  Suggestions vary among practitioners, so it would probably be best to start with your surgeon’s advice.  Try to wean yourself from the narcotics. Stay hydrated with plenty of fluids. If it becomes uncomfortable you can drink a bottle of magnesium citrate. Best wishes.

Thank you very much for your question and
congratulations on your recent brachioplasty and tummy tuck. Constipation is a
common side-effect of a major surgical procedure. Most patients will note their
post-op constipation improves after stopping all narcotics or opioids. I
recommend drinking lots of fluids and sticking with a healthy diet. If your
constipation does not improve, or you begin to experience pain, reach out to
your operating surgeon for their advice.

Though not uncommon, postoperative constipation can be very troublesome. The common suggestions;lots of fluid, roughage,stopping the narcotics if possible, will help. I recommend Milk of Magnesia to get your gut going. If however, you experience pain, fevers, chills or have bleeding, see your doctor to make sure it is not a more serious problem than simply constipation.

Dear DeannaS,you are right, opioids can cause this kind of problem. Every plastic surgeon has his own postoperative protocol which he recommends to his patients. I would suggest you to discuss this with your plastic surgeon.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Thanks for the question.  Constipation is very common after surgery.  This is often related to the use of narcotics for postoperative pain control.  Narcotics reduce bowel activity resulting in constipation.  The more narcotics that are taken the higher the risk for constipation.  The first solution is to only take the narcotics if you need them.  Most patients are off of narcotics within a week after surgery.  Having a tummy tuck with muscle tightening can also contribute to postoperative constipation.  The second potential solution is a new medication on the market called Movantik which is specifically designed to treat opioid induced constipation.