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=== | |||
===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]] | ||
{{WH}} | {{WH}} | ||
{{ | {{WS}} | ||
Latest revision as of 18:31, 8 July 2016
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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
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