I am 4 months past my tummy tuck and wonder if I should be concerned about changed bowel movements?

Pain medications can slow the movement of the bowels.  However, at this stage in your recovery, I don't suspect you are still taking pain medications.  I would suggest an evaluation with a gastroenterologist or start with your primary care doctor.  Good luck and be safe.John T. Nguyen, MD, FACS, FICSDouble Board Certified Plastic Surgeon

Sorry for your trouble. After a TT, the abdominal wall is more rigid. There is perhaps less distension and expansion in your intestines that might have led to diminished peristalsis for some reason. I have not heard of this in the past however and you should have a more formal work up by your primary care physician.

Oral narcotics, like percocet and Vicodin, can cause significant constipation.  Tightened abdominal musculature, dehydration and decreased ambulation can further aggravate your symptoms. Constipation can not only be uncomfortable postop, but also dangerous. Straining can lead to blood pressure swings and muscle tension, which can cause complications. I encourage preemptive and daily laxative use during the post operative period.It is important to see a board certified plastic surgeon in order to maximize safety, comfort, and results.

because they don't do anything to alter what is INSIDE your belly or the anal area.  Your bowel changes suggest something could be occurring inside your bowels and you do need to see your primary care physician about it and possibly have an evaluation by a gastroenterologist. 

You should not have significant bowel habit changes after you have discontinued narcotics and resumed your normal diet and activity patterns.  You should have an evaluation.

See your Primary Care Physician as soon as possible.  Your bowel issue has nothing to do with your Tummy Tuck surgery.