Fecal impaction

A fecal impaction or an impacted bowel is a solid, immobile bulk of feces that can develop in the rectum as a result of chronic constipation (a related term is fecal loading which refers to a large volume of stool in the rectum of any consistency). Fecal impaction is a common result of neurogenic bowel dysfunction and causes immense discomfort and pain. Its treatment includes laxatives, enemas, and pulsed irrigation evacuation (PIE) as well as digital removal. It is not a condition that resolves without direct treatment. Symptoms of a fecal impaction include the following: Chronic constipation Fecal incontinence-- paradoxical overflow diarrhea (encopresis) as a result of liquid stool passing around the obstruction Abdominal pain and bloating Loss of appetite Complications may include necrosis and ulcers of the rectal tissue, which if untreated can cause death. There are many possible causes; these include a long period of physical inactivity, failure to consume adequate dietary fiber, dehydration, and deliberate retention of fecal matter. Medications such as fentanyl, buprenorphine, methadone, codeine, oxycodone, hydrocodone, morphine, and hydromorphone as well as certain sedatives that reduce intestinal movement may cause fecal matter to become too large, hard and/or dry to expel. Specific conditions, such as irritable bowel syndrome, certain neurological disorders, paralytic ileus, gastroparesis, diabetes, enlarged prostate gland, distended colon, an ingested foreign object, inflammatory bowel diseases such as Crohn's disease and colitis, and autoimmune diseases such as amyloidosis, celiac disease, lupus, and scleroderma can cause a fecal impaction. Hypothyroidism can also cause chronic constipation because of sluggish, slower, or weaker colon contractions. Iron supplements or increased blood calcium levels are also potential causes. Spinal cord injury is a common cause of constipation, due to ileus.

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Related concepts (16)

Anismus

Anismus or dyssynergic defecation is the failure of normal relaxation of pelvic floor muscles during attempted defecation. It can occur in both children and adults, and in both men and women (although it is more common in women). It can be caused by physical defects or it can occur for other reasons or unknown reasons. Anismus that has a behavioral cause could be viewed as having similarities with parcopresis, or psychogenic fecal retention. Symptoms include tenesmus (the sensation of incomplete emptying of the rectum after defecation has occurred) and constipation.

Encopresis

Encopresis is voluntary or involuntary passage of feces outside of toilet-trained contexts (fecal soiling) in children who are four years or older and after an organic cause has been excluded. Children with encopresis often leak stool into their undergarments. This term is usually applied to children, and where the symptom is present in adults, it is more commonly known as fecal incontinence (including fecal soiling, fecal leakage or fecal seepage). The term is from the ἐγκόπρησις (egkóprēsis).

Megacolon

Megacolon is an abnormal dilation of the colon (also called the large intestine). This leads to hypertrophy of the colon. The dilation is often accompanied by a paralysis of the peristaltic movements of the bowel. In more extreme cases, the feces consolidate into hard masses inside the colon, called fecalomas (literally, fecal tumor), which can require surgery to be removed. A human colon is considered abnormally enlarged if it has a diameter greater than 12 cm in the cecum (it is usually less than 9 cm), greater than 6.

Electrical and mechanical activity of the intestine

Mattia Bertschi

The intestine is today still an organ whose mechanisms of functions are not fully understood. The diffculty in its understanding comes from the fact that it is regulated by a complex network of signals of different natures. Granting that a multitude of exp ...

EPFL2005

Colonic epithelial expression of ErbB2 is required for postnatal maintenance of the enteric nervous system

Marcella Giovannini

We utilized the Cre-LoxP system to establish erbB2 conditional mutant mice in order to investigate the role of erbB2 in postnatal development of the enteric nervous system. The erbB2/nestin-Cre conditional mutants exhibit retarded growth, distended colons, ...

2003