Rectal impaction (fecal impaction, feces obstruction)

About Rectal impaction (fecal impaction, feces obstruction)

A mass of dry, hard stool that becomes stuck in the rectum due to chronic constipation. When this mass causes blocked passage of stool it can be painful. Small amounts of watery stool sometimes can get around the impacted stool. Patients taking constipating medications (narcotics, anticholinergics, anti-diarrheal medications) and bedridden patients are increased risk of the disorder.

Symptoms

Constipation, rectal pain, fullness in rectum, painful bowel movements, watery stools that do not relieve the urge to defecate.

Tests & Diagnostics

A history and physical exam will be performed. The abdomen is usually bloated. A digital rectal exam confirms the diagnosis (usually the stool can be felt at the tip of the doctors examining glove).
Path 2 — Over-the-Counter Options

OTC sleep aids and supportive treatments

Conventional treatment summary

The stool can often be dislodged by your doctor using a gloved finger while you are on an examination table. A liquid enema (fluid that is pushed into the rectum to expand the rectum) can help. Usually a large bowel movement occurs when the impacted stool is released (bedpans or towels are in supply for this procedure). Laxatives can help prevent a recurrence of the problem.

Medical specialties

Internal Medicine · Pediatrics · Family Practice

This page is educational content, not medical advice. Always consult a qualified clinician for diagnosis and treatment of Rectal impaction (fecal impaction, feces obstruction).