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A fecal impaction or an impacted bowel is a solid, ... It may occur in chronic obstruction of stool transit, as in megacolon [10] and chronic constipation.
Bowel obstruction, also known as intestinal obstruction, is a mechanical or functional obstruction of the intestines which prevents the normal movement of the products of digestion. [2] [5] Either the small bowel or large bowel may be affected. [1] Signs and symptoms include abdominal pain, vomiting, bloating and not passing gas. [1]
Fecal impaction can occur as well, says Khan, “which is when stool stays in the rectum for so long that it becomes dry and cannot be expelled naturally, so it must be removed with [a health care ...
It is a hardening of feces into lumps of varying size and may occur anywhere in the intestinal tract but is typically found in the colon. It is also called appendicolith when it occurs in the appendix and is sometimes concurrent with appendicitis. [1] They can also obstruct diverticula. It can form secondary to fecal impaction.
In later stages of constipation, the abdomen may become distended, hard and diffusely tender. Severe cases ("fecal impaction" or malignant constipation) may exhibit symptoms of bowel obstruction (nausea, vomiting, tender abdomen) and encopresis, where soft stool from the small intestine bypasses the mass of impacted fecal matter in the colon.
ODS often occurs together with fecal incontinence, especially in geriatric people. [39] Where ODS occurs with fecal incontinence, it may represent fecal impaction combined with overflow diarrhea (overflow incontinence). [39] Self-digitation (digital help) is the use of the digits (fingers) to apply pressure in order to achieve defecation.
Fecal vomiting or copremesis is a kind of vomiting wherein the material vomited is of fecal origin. It is a common symptom of gastrojejunocolic fistula and intestinal obstruction in the ileum. [1] [2] Fecal vomiting is often accompanied by gastrointestinal symptoms, including abdominal pain, abdominal distension, dehydration, and diarrhea.
Additionally, fecalomas may be seen as masses in the colon. In the case of ulceration, the part of the colon adjacent to the fecaloma will be thickened. This thickening of the bowel will help differentiate from stercoral colitis and stercoral ulcer from fecal impaction as the colon is typically not thickened in cases of fecal impaction. [2]