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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 [1] (a related term is fecal loading which refers to a large volume of stool in the rectum of any consistency). [2]
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 addition, a low-residue diet is often prescribed before and/or after abdominal surgery or cancer treatments. A low-fiber diet is a low-residue diet eliminating dietary fiber in particular. The terms are not always distinguished, but when they are, a low-residue diet will include additional restrictions on foods such as dairy products, which ...
Mayo Clinic Arizona is a multi-campus medical clinic and tertiary medical center in Phoenix, Arizona. Its two main campuses are the outpatient clinic building, situated in east Scottsdale, Arizona, and the Arizona Hospital, located in north Phoenix, Arizona. [ 1 ]
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.
Additionally, if you have a first-degree relative with colon cancer, experience changes in bowel habits that do not resolve, or have rectal bleeding, see your doctor, as early screening may also ...
The colon is then mobilized from the retroperitoneum. Care is taken to avoid injury to the ureters and duodenum. The surgery then follows the same steps as small bowel resection. However, due to the colon's placement in the retroperitoneum, more dissection is often required to allow for tension free anastomosis. [5] [6]
Another surgery successfully fixed things. "I've lived without it now for a long time and I'm very grateful," he said. However, even nearly dying in the hospital didn't halt Perry's addiction.