![]() If the feces are soft a bisacodyl suppository (10-20 mg) should be given, followed by a saline enema 2 hours later. Treatment depends on whether the feces are soft or hard: Laxatives should be stopped for 24 hours and then restarted at one-half to three-quarters of the original dose. If diarrhea occurs during an adequate constipation treatment (non-drug measures and laxatives), the patient should be reassessed (including rectal examination) to exclude fecal impaction and intestinal obstruction. Surgery is usually only needed if the impacted stool has caused a perforation (hole) in your intestine.The aim of treatment of uncomplicated constipation is to restore the patient to a pattern of defecation that relieves symptoms. ![]() If manual (or colonoscope-assisted) disimpaction is successful, surgery is usually not required. A colonoscopy is generally done under sedation in a hospital. If the stool blockage is found, the doctor may use the colonoscope to attempt to dislodge the stool blockage. This is when a thin tube with a light and a lens at the end is inserted through the anus to examine the colon. If these methods are unsuccessful (for instance, if the impacted stool is beyond the reach of an inserted finger), the doctor (a gastroenterologist) may do a colonoscopy to look for the cause of the blockage. How long this takes depends on the size of the stool mass. That is followed by an oral laxative (usually polyethylene glycol). An enema is an injection of fluid into the rectum. The next step may be to evacuate the stool with a combination of enemas and oral laxatives. They will insert a lubricated, gloved finger into your anus to break up the mass. If the stool is in your rectum (the part of your large intestine right inside the anus), your doctor will try to take it out manually. Treatment involves disimpaction (breaking up the stool mass) and then evacuation (removing the stool mass). Once FI is confirmed by your doctor (usually after a series of X rays or an abdominal CT scan), they will confirm that you are not bleeding from your colon and do not have a hole in your colon (perforation). Agitation or confusion, especially in the elderly or those who can’t describe symptoms.(These symptoms might happen if the mass pokes a hole in your intestinal wall.) Fever, chills, lightheadedness/dizziness, or sudden extreme worsening of abdominal pain.Hard mass of stool in the rectum that you can feel when sticking a finger in your anus.Hard mass in the abdomen that you can feel when pressing down.After 4 (or more) days of not being able to pass stool, sudden liquid diarrhea, possibly with trouble controlling bowels.Inability to pass stool for at least 4 days.In other cases, liquid stool can get past the hardened stool mass causing liquid diarrhea or even incontinence (inability to control bowel movements). If the hard stool is close to your anus, you may be able to feel the hard stool if you insert your finger inside. You may be able to feel a hard mass (the hardened stool) in your lower abdomen if you press it with your hand. You may have abdominal pain and your abdomen may be swollen. Symptoms may depend on where the stool mass is located. In these cases it’s mostly liquid stool, and the stool generally passes around the impacted fecal matter in the intestines. Many people with fecal impaction still pass stool.
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