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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]
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 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.
Bowel management is the process which a person with a bowel disability uses to manage fecal incontinence or constipation. [1] People who have a medical condition which impairs control of their defecation use bowel management techniques to choose a predictable time and place to evacuate. [ 1 ]
Complications from constipation may include hemorrhoids, anal fissure or fecal impaction. [4] The normal frequency of bowel movements in adults is between three per day and three per week. [4] Babies often have three to four bowel movements per day while young children typically have two to three per day. [8] Constipation has many causes. [4]
Colonic irrigation, also known as colon hydrotherapy, colonic hydrotherapy, or a "colonic", is a treatment which is used "to wash out the contents of the large bowel by means of copious enemas using water or other medication." [19] During a cleansing enema, liquid is introduced into the colon and retained for five to fifteen minutes. [20]
Rectal douching is a hygienic practice to clean the rectum to void hardened stools as opposed to a pharmaceutical method to soften the stool. Rectal douching is distinguished from anal cleansing, which is the routine cleaning of the anus after defecation.
The initial clean-out is achieved with enemas, laxatives, or both. The predominant approach today is the use of oral stool softeners like Movicol, Miralax, lactulose, mineral oil, etc. Following that, enemas and laxatives are used daily to keep the stools soft and allow the stretched bowel to return to its normal size.
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