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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.
Some common causes of constipation include inadequate fiber intake, dehydration, irritable bowel syndrome, stress, certain medications, a lack of exercise, uncoordinated movements between ...
A bowel regimen should also be started to ensure that bowel movements become normal. Opioid pain medication should be avoided as these medications can slow colonic motility and possibly worsen constipation. The key to management and prognosis is identifying the cause or causes of the underlying constipation.
Fecal vomiting occurs when the bowel is obstructed for some reason, and intestinal contents cannot move normally. Peristaltic waves occur in an attempt to decompress the intestine, and the strong contractions of the intestinal muscles push the contents backwards through the pyloric sphincter into the stomach, where they are then vomited.
Functional constipation, also known as chronic idiopathic constipation (CIC), is defined by less than three bowel movements per week, hard stools, severe straining, the sensation of anorectal blockage, the feeling of incomplete evacuation, and the need for manual maneuvers during feces, without organic abnormalities.
Xue explained that pelvic floor muscles coordinate a significant amount of bowel movement and work with the rest of the body to ensure stool comes out smoothly.
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.
Other causes can include acid reflux, asthma, allergies, or other chronic medical conditions, adds Richard Watkins, M.D., an infectious disease physician and professor of medicine at the Northeast ...