Fecal Impaction

Abstract

Fecal impaction is a common gastrointestinal problem and a potential source of major morbidity. Prompt identification and treatment minimize the risks of complications. Treatment options include manual extraction and proximal or distal washout. Following treatment, possible etiologies should be sought and preventive therapy instituted.

Opioid-Induced Constipation

“…Physicians have not long recognized many adverse effects, including OIC, with long‐term opioid administration , and patients may resist discussing their bowel habits with healthcare providers. However, it is important to facilitate such discussion, because a number of complications and adverse effects can occur with OIC, including dyspepsia, reflux, bloating, spasm, cramping , fecal impaction , urinary obstruction or infection , pain, hospitalizations, lessened quality of life, and interference with the pain treatment regimen .…”

Efficacy and safety of laxatives for chronic constipation in long‐term care settings: A systematic review

“…The most common complications of chronic constipation are faecal impaction and the development of a sigmoid volvulus and stercoral ulcer, and if complications are severe and left untreated, they can lead to colonic perforation . Knowing that elderly individuals are more prone to constipation due to their lower sensory perception and other dietary factors, it is not a surprise that constipation and faecal impaction are common in elderly and institutionalized adults . The chronic constipation in LTC residents results in diminished HR‐QoL as well .…”

Chronic severe constipation

“…In these patients there may be an impaired rectal sensation and high distensibility [53]. Patients with megarectum often suffer from constipation (fecal impaction).…”