Fecal impaction: Difference between revisions

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==Overview==


A '''fecal impaction''' is a solid, immobile bulk of [[stool]] that can develop in the [[rectum]] as a result of chronic [[constipation]].  
A '''fecal impaction''' is a solid, immobile bulk of [[stool]] that can develop in the [[rectum]] as a result of chronic [[constipation]].  
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The mainstay of treatment are [[enema]]s to soften the impaction and disimpaction, i.e. [[finger|digital]] manipulation by a health practitioner. Use of [[laxatives]] may be dangerous because of the possibility of tearing caused by violent expulsion of a large mass (known as [[stercoral perforation]]). [[Surgery]] may be necessary if the bowel becomes totally obstructed.
The mainstay of treatment are [[enema]]s to soften the impaction and disimpaction, i.e. [[finger|digital]] manipulation by a health practitioner. Use of [[laxatives]] may be dangerous because of the possibility of tearing caused by violent expulsion of a large mass (known as [[stercoral perforation]]). [[Surgery]] may be necessary if the bowel becomes totally obstructed.
See: [[Fecaloma]]
==Historical Perspective==
==Classification==
==Pathophysiology==
==Causes==
===Drug Induces===
[[Lanthanum carbonate]]
==Differentiating {{PAGENAME}} from Other Diseases==
==Epidemiology and Demographics==
==Risk Factors==
==Screening==
==Natural History, Complications, and Prognosis==
===Natural History===
===Complications===
===Prognosis===
==Diagnosis==
===Diagnostic Criteria===
===History and Symptoms===
===Physical Examination===
===Laboratory Findings===
===Imaging Findings===
===Other Diagnostic Studies===
==Treatment==
===Medical Therapy===
===Surgery===
===Prevention===


==See also==
*[[Fecaloma]]


===References===
===References===
*{{cite journal |author=Wrenn K |title=Fecal impaction |journal=N Engl J Med |volume=321 |issue=10 |pages=658-62 |year=1989 |pmid=2671728}}
*{{cite journal |author=Wrenn K |title=Fecal impaction |journal=N Engl J Med |volume=321 |issue=10 |pages=658-62 |year=1989 |pmid=2671728}}
*[http://www.healthcentral.com/mhc/top/000230.cfm healthcentral.com]
*[http://www.healthcentral.com/mhc/top/000230.cfm healthcentral.com]
{{reflist|2}}




[[Category:Gastroenterology]]
[[Category:Gastroenterology]]
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{{WikiDoc Sources}}
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Latest revision as of 18:31, 8 July 2016

WikiDoc Resources for Fecal impaction

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief:

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Overview

A fecal impaction is a solid, immobile bulk of stool that can develop in the rectum as a result of chronic constipation.

Symptoms include chronic constipation. There can be fecal incontinence and paradoxical diarrhea as liquid stool passes around the obstruction. Complications may include necrosis and ulcers of the rectal tissue.

Non-invasive treatments are similar to those for constipation and include increased intake of fluids and dietary fiber, and physical exercise. However, once fecal impaction occurs, these methods are usually not successful.

The mainstay of treatment are enemas to soften the impaction and disimpaction, i.e. digital manipulation by a health practitioner. Use of laxatives may be dangerous because of the possibility of tearing caused by violent expulsion of a large mass (known as stercoral perforation). Surgery may be necessary if the bowel becomes totally obstructed.

See: Fecaloma


Historical Perspective

Classification

Pathophysiology

Causes

Drug Induces

Lanthanum carbonate

Differentiating Fecal impaction from Other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications, and Prognosis

Natural History

Complications

Prognosis

Diagnosis

Diagnostic Criteria

History and Symptoms

Physical Examination

Laboratory Findings

Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Prevention

References

  • Wrenn K (1989). "Fecal impaction". N Engl J Med. 321 (10): 658–62. PMID 2671728.
  • healthcentral.com

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