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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]
Constipation in a young child seen on X-ray. Circles represent areas of fecal matter (stool is white surrounded by black bowel gas). Specialty: Gastroenterology: Symptoms: Infrequent or hard to pass bowel movements, abdominal pain, bloating [2] [3] Complications: Hemorrhoids, anal fissure, fecal impaction [4] Causes
Children have different bowel movement patterns than adults. In addition, there is a wide spectrum of normalcy when considering children's bowel habits. [1] On average, infants have 3-4 bowel movements/day, and toddlers have 2-3 bowel movements per day. At around age 4, children develop an adult-like pattern of bowel movements (1-2 stools/day).
Treatment in children is typically by an enema with surgery used if this is not successful. [1] Dexamethasone may decrease the risk of another episode. [2] In adults, surgical removal of part of the bowel is more often required. [1] Intussusception occurs more commonly in children than adults. [1] In children, males are more often affected than ...
If otherwise normal parents have one child with the condition, the next child has a 4% risk of being affected. [2] The condition is divided into two main types, short-segment and long-segment, depending on how much of the bowel is affected. [1] Rarely, the small bowel may be affected, as well. [2] Diagnosis is based on symptoms and confirmed by ...
It can form secondary to fecal impaction. A fecaloma is a more severe form of fecal impaction, and a hardened fecaloma may be considered a giant fecalith. The term is from the Greek líthos =stone.
Fecal incontinence or constipation occurs when there is a problem with normal bowel functioning. This could be for a variety of reasons. The normal defecation pathway involves contractions of the colon which helps mix the contents, absorb water and propel the contents along.
Encopresis (from Ancient Greek ἐγκόπρησις, enkóprēsis) 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. [1] Children with encopresis often leak stool into their undergarments.