Rectal Impaction (Rectal Feces Obstruction)
Description
A large mass of dry, hard stool that develops in the rectum due to chronic constipation. This mass is painful and the patient is unable to pass the stool. Watery stool can get around the impacted stool. Attempts to have a bowel movement cause rectal pain. Patients taking certain medications (narcotics, anticholinergics, anti diarrheal medications) and bedridden patients are increased risk of the disorder.
Symptoms
Constipation, rectal pain, fullness in rectum, painful bowel movements, watery stools that do not relieve the urge to defecate.
Tests
A history and physical exam will be performed. A digital rectal exam confirms the diagnosis.
Treatment
The stool is removed with a finger and enemas. The digital dis-impaction can be painful requiring pain medications before the procedure. Laxatives can help prevent a recurrence of the problem.
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