Fecal impaction: Difference between revisions

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{{SI}}
{{Infobox medical condition
| name            = Fecal impaction
| image          = [[File:Journal.pmed.1000092.g002_fecal_impaction.png|250px]]
| caption        = Radiograph showing fecal impaction
| field          = [[Gastroenterology]]
| symptoms        = [[Abdominal pain]], [[bloating]], [[nausea]], [[vomiting]], [[constipation]], [[diarrhea]]
| complications  = [[Bowel obstruction]], [[perforation]], [[ulceration]], [[fecal incontinence]]
| onset          = Gradual
| duration        = Variable
| causes          = [[Chronic constipation]], [[opioid use]], [[immobility]], [[dehydration]], [[neurological disorders]]
| risks          = [[Elderly]], [[bedridden]], [[neurological impairment]]
| diagnosis      = [[Physical examination]], [[abdominal X-ray]], [[CT scan]]
| differential    = [[Bowel obstruction]], [[gastroenteritis]], [[irritable bowel syndrome]]
| treatment      = [[Manual disimpaction]], [[enema]], [[laxatives]], [[surgery]]
| medication      = [[Laxatives]], [[stool softeners]]
| frequency      = Common in [[elderly]] and [[hospitalized patients]]
}}
'''Fecal impaction''' is a severe bowel condition where a hard, dry mass of stool becomes stuck in the colon or rectum. This is often due to chronic constipation and can lead to severe complications if not treated promptly.
'''Fecal impaction''' is a severe bowel condition where a hard, dry mass of stool becomes stuck in the colon or rectum. This is often due to chronic constipation and can lead to severe complications if not treated promptly.
== Causes ==
== Causes ==
The primary cause of fecal impaction is [[chronic constipation]]. This can occur due to a variety of reasons, including a lack of fiber in the diet, insufficient fluid intake, lack of physical activity, certain medications, and certain medical conditions.
The primary cause of fecal impaction is [[chronic constipation]]. This can occur due to a variety of reasons, including a lack of fiber in the diet, insufficient fluid intake, lack of physical activity, certain medications, and certain medical conditions.
== Symptoms ==
== Symptoms ==
The symptoms of fecal impaction can vary depending on the severity of the condition. Common symptoms include abdominal pain, bloating, and feeling the need to have a bowel movement but being unable to do so. In severe cases, fecal impaction can lead to nausea, vomiting, and even fecal incontinence.
The symptoms of fecal impaction can vary depending on the severity of the condition. Common symptoms include abdominal pain, bloating, and feeling the need to have a bowel movement but being unable to do so. In severe cases, fecal impaction can lead to nausea, vomiting, and even fecal incontinence.
== Diagnosis ==
== Diagnosis ==
Diagnosis of fecal impaction typically involves a physical examination, including a rectal exam. In some cases, additional tests may be needed, such as an abdominal X-ray or a colonoscopy.
Diagnosis of fecal impaction typically involves a physical examination, including a rectal exam. In some cases, additional tests may be needed, such as an abdominal X-ray or a colonoscopy.
== Treatment ==
== Treatment ==
Treatment for fecal impaction involves removing the impacted stool. This can often be done at home using over-the-counter treatments such as stool softeners, enemas, or manual removal. In severe cases, hospitalization may be required.
Treatment for fecal impaction involves removing the impacted stool. This can often be done at home using over-the-counter treatments such as stool softeners, enemas, or manual removal. In severe cases, hospitalization may be required.
== Prevention ==
== Prevention ==
Prevention of fecal impaction involves maintaining a healthy diet high in fiber, drinking plenty of fluids, getting regular exercise, and avoiding medications that can cause constipation.
Prevention of fecal impaction involves maintaining a healthy diet high in fiber, drinking plenty of fluids, getting regular exercise, and avoiding medications that can cause constipation.
== See also ==
== See also ==
* [[Constipation]]
* [[Constipation]]
* [[Bowel obstruction]]
* [[Bowel obstruction]]
* [[Colonoscopy]]
* [[Colonoscopy]]
[[Category:Gastroenterology]]
[[Category:Gastroenterology]]
[[Category:Digestive diseases]]
[[Category:Digestive diseases]]
[[Category:Medical conditions]]
[[Category:Medical conditions]]
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Latest revision as of 15:45, 6 April 2025

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC

Fecal impaction
Synonyms N/A
Pronounce N/A
Specialty N/A
Symptoms Abdominal pain, bloating, nausea, vomiting, constipation, diarrhea
Complications Bowel obstruction, perforation, ulceration, fecal incontinence
Onset Gradual
Duration Variable
Types N/A
Causes Chronic constipation, opioid use, immobility, dehydration, neurological disorders
Risks Elderly, bedridden, neurological impairment
Diagnosis Physical examination, abdominal X-ray, CT scan
Differential diagnosis Bowel obstruction, gastroenteritis, irritable bowel syndrome
Prevention N/A
Treatment Manual disimpaction, enema, laxatives, surgery
Medication Laxatives, stool softeners
Prognosis N/A
Frequency Common in elderly and hospitalized patients
Deaths N/A


Fecal impaction is a severe bowel condition where a hard, dry mass of stool becomes stuck in the colon or rectum. This is often due to chronic constipation and can lead to severe complications if not treated promptly.

Causes[edit]

The primary cause of fecal impaction is chronic constipation. This can occur due to a variety of reasons, including a lack of fiber in the diet, insufficient fluid intake, lack of physical activity, certain medications, and certain medical conditions.

Symptoms[edit]

The symptoms of fecal impaction can vary depending on the severity of the condition. Common symptoms include abdominal pain, bloating, and feeling the need to have a bowel movement but being unable to do so. In severe cases, fecal impaction can lead to nausea, vomiting, and even fecal incontinence.

Diagnosis[edit]

Diagnosis of fecal impaction typically involves a physical examination, including a rectal exam. In some cases, additional tests may be needed, such as an abdominal X-ray or a colonoscopy.

Treatment[edit]

Treatment for fecal impaction involves removing the impacted stool. This can often be done at home using over-the-counter treatments such as stool softeners, enemas, or manual removal. In severe cases, hospitalization may be required.

Prevention[edit]

Prevention of fecal impaction involves maintaining a healthy diet high in fiber, drinking plenty of fluids, getting regular exercise, and avoiding medications that can cause constipation.

See also[edit]

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