What should you know about gut stitches?

A surgeon may place these sutures in the bowel, abdominal wall, or another internal area. Unlike stitches on the skin, they are usually hidden from view and are selected to support tissue while it heals. Some dissolve gradually; others may remain as part of the repaired structure. Mild pulling, tenderness, bloating, or changes in bowel habits can occur after abdominal surgery, but the expected pattern depends on the operation.

Follow the discharge instructions about movement, meals, medicines, and dressing care. Keep any external wound clean and dry as advised, and avoid lifting or strenuous activity until your surgical team gives permission. Do not press, massage, or try to remove a stitch inside the body. A local anaesthetic such as lidocaine may be used during a procedure; you can read about [Lidocaine Local Anaesthetic](/materials/lidocaine-local-anaesthetic/). Information about [Surgical Sutures](/materials/surgical-sutures/) and [Wound Care and Dressing](/treatments/acute-and-urgent-care/wound-care-and-dressing/) may help you prepare for aftercare.

Contact your surgical team promptly for worsening abdominal pain, repeated vomiting, a swollen or hard abdomen, fever, increasing redness or discharge from the wound, or inability to pass stool or gas. Seek emergency help for severe pain, fainting, breathing difficulty, heavy bleeding, or confusion. A dirty or deep wound may also need advice about [Tetanus Vaccination](/treatments/preventive-care-and-vaccination/tetanus-vaccination/).

Ask which tissues were repaired, what type of suture was used, which activities are restricted, and which symptoms should trigger an urgent review. Confirm when your follow-up is due and whether you need a wound check or information about [Wound Suturing](/treatments/minor-procedures/wound-suturing/).