FAQ - Fecal Impaction
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Symptoms of fecal impaction?


I was wondering what the symptoms are to fecal impaction. I don't have diarrhea, stomach pains, vomiting or nausea.
However, my stools have been small, skinny, and quite mushy after a long bout of constipation.
I have a little bit of difficulty passing gas and I can feel a hard mass of something through the wall of my rectum.
I have increased fiber and water, but it's still the same
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Common symptoms are chronic constipation, abdominal distention, sudden watery diarrhea, fever, abdominal pain and cramps. Suggest you give in and use a laxative or enema. You sound more constipated than impacted.

How are you able to "feel a hard mass of something through the wall of my rectum."? THROUGH the wall? Wouldn't the mass be INSIDE your rectum?  (+ info)

fecal impaction and pregnancy?


what will the er do during this process if a woman is pregnant. i know they push on the abdomen, but not sure if they can during pregnancy. will the woman have to stay in the hospital or leave within a few hours?
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Fecal Impaction In A Child?


When I was a little boy (3 years and 11 months of age), I suffered from Fecal Impaction. I've always had memories of being a child and being unable to go to the bathroom, which really seemed to upset my parents. Enough in fact for them to take me to the ER when I was crying and unable to go to the bathroom one night.

How my parents dealt with this traumatized me I believe. After we left the hospital, I remember my parents buying diapers for me in a drug store on the way home, which upset me very much. I was placed back in diapers for a while (although I don't know how quite long) after this event.

I remember both by Mom and Dad giving me a suppositories and then diapering me after. This humiliated me a great deal and has really effected me in a very negative and profound way, I won't get into all of the repercussions of this. I was placed in diapers later maybe even up to age 6 for other reasons. But, I'm writing this b/c after having these memories
all of my life, it prompted me to write to every hospital I could think of in the area I was living when I was a child at the time of this event when I was 20 years of age. I did this in order to see if these memories were correct, and once I recieved a medical record confirming my memories, I confronted my parents and asked them why I was placed in diapers again, and told them how this action affected me psychologically. My mother had said that the doctor in the hospital placed me in diapers after giving me in an enema in the hospital, and that he recommended diapers to be used later. What makes no sense to me about this is if I was able to have a bowel movement,why would further suppositories need to be administered, and more importantly, why would diapers have to be used in conjuction with diapers when I was already toilet trained?I have so much anger towards the shame & humiliation they have bestowed upon me.I wanted to ask if there was an MD out there who can tell me if diapers
were really necessary to be used with suppositories after I was taken to the hospital,or were my parents just moronic? I think they should have known better to humiliate a child like that, but I'm interested in a medical professionals point of view.

I had showed the medical record to an MD of mine in the past and he had stated "Your parents put youback in diapers over this?" I wonder what another MD would think.
For those who are interested. I'm a 26 year old man.
"and more importantly, why would diapers have to be used in conjuction with diapers when I was already toilet trained?"

Was an error. I meant to say "And, more importantly, why were diapers used in conjuction with suppositories when I was already potty trained." I'm sorry.
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If you were treated for a severe impaction, it may have been the judgement of the treating doctor to continue using stool softeners after the enema so you would completely empty the bowel. An enema can only loosen feces so far up the colon, after all. Enemas are hard on the colon and the patient, and you can't just give them repeatedly. And in a child of that age, it can also do some damage to the anal muscles, not to mention leaving them incredibly sore. A child can temporarily lose sensation which would allow them to control their bowels. Facing that possibility, and the embarassment that type accident would have caused you, they all no doubt chose the best solution they could.
How clear your memories of the events that followed are hard to judge, and it's hard to say why you became that severely impacted to begin with. It may be possible that for some reason, you came to associate pain with defecation, and simply held in feces as long as you possibly could. Unfortunately, that causes a lot of pain when you absolutely must go, and that just turns the circle all over again. Using the suppositories may simply have been a safeguard for you, to prevent that happening again. Diapers afterwards meant an easier cleanup, for you and them. Changing soiled underwear on a 4-6 year old is not that pleasant.
You can certainly choose to retain all the anger and frustration this memory holds for you. But it seems to me that it has cost you a lot in terms of energy, and happiness. Your parents probably made the best decisions and choices they could at the time. I don't think most parents would do anything they thought would permanently warp their child unless there just was no other real choices available to them. Parents are seldom the perfect examples you see in the movies and tv shows. They are flawed humans faced with making decisions as best they can at the time, with the information and advice they have available to them. It is unrealistic to ask them to do any more. As a result, sometimes children retain memories they find traumatic. In your case, I honestly don't think they are at fault for anything beyond doing the best they could, and you being traumatized in spite of all their best efforts and intentions. It happens sometimes. And second guessing them now is counter productive. Of course it's easy now, with 20/20 rear vision, to say they should or should not have done something. Unfortunately, nobody can make decisions retroactively. But you are now 26 years old. You are quite capable of putting this in the past and leaving it there- where it belongs. You can think this out logically, see it for what it is, and moving on. Or you can stew about it longer, which will still not solve a blessed thing. So far as I can see, you survived and recovered. So the method was not the most pleasant. So what? You are allowing this to have way more negative effect on you than it is worth, and using it as some excuse to beat up everybody involved with it. You will get a lot farther with your life, and be much happier if you learn to let it go and move on. And if you can't do it on your own, perhaps it's time you sought out professional help. You have taken this pretty close to obsession, and it's not a healthy way to live. So either come to terms with it on your own, or find somebody who can help you do it.  (+ info)

Fecal Impaction/Are Diapers Necessary?


When I was a little boy (4 yo), I suffered from Fecal Impaction. I've always had memories of being a child and being unable to go to the bathroom, which really seemed to upset my parents. Enough in fact for them to take me to the ER when I was crying and unable to go to the bathroom one night.

How my parents dealt with this traumatized me I believe. After we left the hospital, I remember my parents buying diapers for me in a drug store on the way home, which upset me very much. I was placed back in diapers for a while (although I don't know how quite long) after this event.

I remember both by Mom and Dad giving me a suppository and then diapering me afterwards, which went on for a while. This humiliated me a great deal and has really effected me in a very negative and profound way. I won't get into all of the psychological repercussions of this. I was placed in diapers later maybe even up to age 6 for other reasons. But, I'm writing this b/c after having these memories
all of my life, it prompted me to write to every hospital I could think of in the area I was living when I was a child at the time of this event when I was 20 years of age. I did this in order to see if these memories were correct, and once I recieved a medical record confirming my memories, I confronted my parents and asked them why I was placed in diapers again, & told them how this action affected me psychologically. My mother had said that the doctor in the hospital placed me in diapers after giving me in an enema in the hospital, and that he recommended diapers to be used later. What makes no sense to me about this is if I was able to have a bowel movement,why would further suppositoriesneed to be administered, & more importantly, why would diapers have to be used in conjuction with supossitories when I was already toilet trained?I have so much anger towards the shame & humiliation they have bestowed upon me.I wanted to ask if there was an MD out there who can tell me if diapers
were really necessary to be used with suppositories after I was taken to the hospital,or were my parents just moronic? I think they should have known better to humiliate a child like that, but I'm interested in a medical professionals point of view.

I had showed the medical record to an MD of mine in the past and he had stated "Your parents put youback in diapers over this?" I wonder what another MD would think.
For those who are interested. I'm a 26 year old guy.
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I'm very sorry your having a hard time with all of this.The only thing i can think of with the diapers is,after enemas and suppositories,sometimes you cannot control your bowels and get to bathroom in time. I am gonna make a guess that maybe if that were to happen,your parents wouldnt want to have to clean it up,or have you be embarassed about going in your underwear.  (+ info)

Fecal Impaction and constipation? Please help.?


I have been constipated for 5 days already, and I have tried to take a lot of fiber and liquids. I have also taken Dulcolax (3 tablets for the past 5 days). This morning (5th day), I was able to pass a small amount of solid stool, (around 3 to 4 inches I assume). I am worried because I have read a few articles on-line with regards to fecal impaction and constipation, on how the two are different, and how fecal impaction is life-threatening. I still feel unsatisfied and my system still feels bloated and full. My belly also seems to be bulging out. How can I know if it is already fecal impaction and when should I seek for help? What can I do to relieve this condition?(I already increased my fluid intake for the past days and I am taking in a fiber supplement) Can I still eat despite having this condition? (since hunger still strikes). Thank you for your help!
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Yes, you can still eat. Go to your drugstore and buy an enema kit, give yourself 1 or 2 enemas, if that doesnt clear you out, see your doctor.  (+ info)

Fecal Impaction? I need help?


Hi all. I have a serious health issue. For about 2 years, I've suffered from constipation on and off, and it started to worsen.. I don't need to get into the details, but I think I may have a case of fecal impaction, which is pretty much matter stuck down there.. and it can cause serious health problems. Well I've felt this way awhile, and I need to change my stance and finally try to solve this problem, since all this time I was scared and nervous that there wouldn't be a cure and it would be hard.

Anyways, I don't even know how to go into a medical clinic and mention this issue, can anyone help me on what to say.. because I've suffered from chronic constipation for a long time and this fecal impaction idea is scaring me.

Also, I was thinking of going to a colonic clinic, is this risky.. it sounds safe to me.

THANKS ALL!
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Take an enema now - then see the doctor!  (+ info)

FECAL IMPACTION sick but help?


Ok I have a fecal impaction(I have IBS the constipation type and while taking celexa the only food I craved and could taste(well tasted good everything else was bitter) was white bread with butter which caused me to gain 30 lbs and also aggravates my IBS). Anyways I went to the doctors and they said not to take any laxitives but to try an enema and if nothing happens I may require surgery...I am ONLY 21 please I don't want surgery and i am still pooping just it's small poops/diareah so I know I am not fully impacted. Is there a NATURAL way to remove this? I can't stop eating sugary foods which I know makes my ibs worse and probably my impaction worse. Please help. I'm willing to fast if you swear it will rid me of the impaction. I need something natural. I'm freaking out here...they took me off the meds but I still crave those foods and can't lose weight. They said no fiber and the enema didnt work well(FLEET)...help
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Well impaction is normally manually removed, an Oil retention enema would be a good place to start, it will soften the stool and allow it to soften some, the longer stool stays in the bowel the dryer and harder it gets, the diarrhea you are having is stool going around the impaction not quite the same as regular diarrhea. After you use an oil retention, then you need to try a regular old fashioned soap suds enema, these products are both OTC at any pharmacy. If this does not move the blockage before they even think of surgery they need to try to manually remove this stool, any nurse worth her pay knows how to do this procedure.
Fasting is probably not the way to go, you need fluids, fluids, fluids, MY other suggestion is to ask your Docs about Miralax, it is a newer laxative that works by keeping water in the stool it does not cause cramping so should not stress your bowel.
IF you have not consulted with a Gastro- enterologist, a specialist in the GI tract .....you need to do this before having any cutting........they should also be able to help you stablize your IBS  (+ info)

Fecal impaction,or bowel obstruction?


Alright,so on friday,i had HORRIBLE diarrhea.
last week(BEFORE FRIDAY),i was having a BM almost everyday,but the stools were sorta small.
and i have had on and off constipation for a few months
Anyway,this morning,i woke up and my stomach was cramping really bad,and im defiantly constipated again.
im not vomiting,or have Nashua,but im wondering...
do i have fecal impaction or bowel obstruction?
if i have bowel obstruction...im telling my dad right away.
if its just impaction...i'll deal with it myself
(im 13)
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could this be Fecal Impaction?


So i've had a stomach ache since the 1st of October. Don't know what it could be (i did however took azithromycin Oct 1st for a sore throat that went away RIGHT before i saw the doctor which prescribed me the anti biotic anyway).

I've been to the doctors office 4-5 times with no results.
So he sent me to have a CT Scan done last week on friday 10/9/09
and the results came back normal.
I had Diarrhea for most of the day 10/9/09 from the contrast drink for the CT Scan and once the next morning. I dunno if i completely emptied my bowels but i felt as if later that evening i had a really large stool that wont come out and whatever did come out was not much but long and thin. Sunday same thing just small pieces of stool. Could i have emptied my bowel that i had nothing left From the Diarrhea of the contrast drink?

On Monday 10/12/09 I went to the Urgent care Clinic to see if i had stool stuck in my rectum after putting his finger inside my anus he didn't find much and gave me an enema, which i couldn't hold for more then 4 mins and ran to the bathroom not much came out sept for a lil bit of stool and all the water from the enema. They took blood test and urine test as well and all came back clean.

That same night I drank Prune Juice before i went to bed, i slept maybe till 5-6 in the morning and woke up with stomach pains and finally fell back sleep at 6:45-7. Got up at 8:30 to get ready for work ate and apple and drank some water.
Got to work 2 hours later i was able to pass stool it was somewhat soft and broken apart brown in color, size was maybe 4-5" in length 4-5 pieces and 3-4 small pieces that broke off from the bigger ones. But I still feel there is a rather large stool that wont come out i can feet it there. Today 10/14/09 Same routine last night drank prune juice slept woke up again whit stomach ache and stomach making gurgling sounds. fell back asleep 2 hours later. Woke up got read for work ate an apple and drank water and left to work. 9:38-am went to the bathroom was able to poop more came out today then yesterday but still thin like yesterday no blood in stool. But i can still not pass the large stool after all the ones that came out first.
Today home for lunch I felt like i had to go again went ant sat there for a bit tried to push a lil to get it out and just a small small bit was protruding my anus so i wiped it off it didn't seem hard but it felt to large to pass.
What i'm wondering is, is this just really bad constipation?
I was reading online and fecal impaction came up and i got really scared. If there was a fecal impaction would i have been able to pass a stool like that described above? and the CT Scan would defiantly pick that impaction up right?


Thanks
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Yes, the CT would have picked up an impaction. As long as you are passing stool, I doubt it is an impaction. You may just be too empty from the diarrhea you had from the CT dye, so it's taking you awhile to get your bowels going normal. Otherwise, it sounds more like bad constipation issues. I would take a laxative (such as Milk of Magnesia) or a stool softener (such as Colace) that will help your guts to move more. Another suggestion, if your symptoms continue after that, is it may be an issue with your gall bladder. My mother's gall bladder went bad and she kept feeling like she had too much stool although she didn't. I would get a second opinion from a gastroenterologist (gut doctor) if it continues or gets worse. Best of luck.

Praying for you.  (+ info)

Fecal impaction or IBS?


After 5 days of not having a bowel movement, I was forced to assist myself in the whole process directly, using rubber gloves and courage. This helped, and I completely emptied my rectum as far as I could reach. However, the urge to have a bowel movement continued, and I haven't gotten any better in two days. I have abdominal pain and can only pass diarrhea but with much difficulty - I am constantly constipated. There is pain on my left side most, and I feel bloated, I cannot eat anything. I even experience shortness of breath at times.

Now, my main question is - is it actually possible that I might have a fecal impaction? It doesn't seem right, because I have an empty rectum - I checked once more - and I don't feel as if there was much stuck in my bowels. I can also walk around and I don't feel so sick that I couldn't walk or whatever. However, most of the symptoms point to this.

I was happy to find out about the existence of IBS, because now I think I might actually have this. But is it a plausible assumption? I am having constipation and pain for three days now.

I have scheduled an appointment with a doctor, but I would really like to get some opinions on this. Please tell me what conditions would be necessary in the case of a fecal impaction and how possible is it that I have it.
EDIT: What goes against the impaction theory most is that I am neither vomiting nor feeling really sick. However, I do have shortness of breath, which is very worrying.
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I have IBS. I'm an RN. Have you been eating fiber at all? Do you have medication for IBS? Anti-spasmotics like Levison or Hycosomine? Don't eat high fat, carbonated, alcohol, sugar, meat. Eat things like oatmeal, rice, foods with some fiber--they will help.

IBS is such a tricky thing. I have several good books on it which turned my life around....changed what I ate for ever. Would you be interested? I'd love to exchange ideas and experiences with you. [email protected]
J.  (+ info)

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