Impaction
Impaction is a medical condition where a hard, immovable mass of feces becomes stuck in the rectum or colon. This can occur due to chronic constipation, certain medications, or other medical conditions. If left untreated, impaction can lead to serious complications, including infection and bowel perforation.
Causes
Impaction can be caused by a variety of factors, including:
- Chronic constipation: This is the most common cause of impaction. Chronic constipation can be caused by a low-fiber diet, lack of physical activity, or certain medications.
- Medications: Certain medications, such as opioids, can slow down the movement of the bowels and lead to impaction.
- Medical conditions: Conditions such as diabetes, hypothyroidism, and Parkinson's disease can also lead to impaction.
Symptoms
Symptoms of impaction can vary depending on the severity of the condition, but may include:
- Abdominal pain
- Bloating
- Nausea and vomiting
- Loss of appetite
- Unexplained weight loss
- Changes in bowel movements, such as diarrhea or constipation
Treatment
Treatment for impaction typically involves removing the impacted feces and treating the underlying cause of the condition. This may include:
- Manual removal: In severe cases, a healthcare provider may need to manually remove the impacted feces.
- Medications: Laxatives or stool softeners may be used to help pass the impacted feces.
- Lifestyle changes: Increasing fiber intake, drinking more water, and getting regular physical activity can help prevent future impactions.
Prevention
Prevention of impaction involves addressing the underlying causes of the condition. This may include:
- Eating a high-fiber diet
- Drinking plenty of water
- Getting regular physical activity
- Regularly taking prescribed medications
See also
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Contributors: Prab R. Tumpati, MD