If your symptoms don't resolve or you experience pain and bleeding, call a doctor. If you have fewer than three bowel movements a week combined with difficulty with your bowel movements or other discomfort, it may be worthwhile to talk to a doctor.
“It would be an emergency if you hadn't had a bowel movement for a prolonged time, and you're also experiencing major bloating or severe abdominal pain,” notes Dr. Zutshi. Slight symptoms will not take you to the emergency room. You should go to the emergency room if your symptoms are severe.
The physician will many times insert a tube to help decompress the bowel which also provides the patient with significant relief. All in all, it is imperative to learn and understand that the stool is waste matter.
Anyone who experiences changes in bowel habits and any concerning symptoms — such as severe abdominal pain or bleeding — should seek emergency medical attention.
Constipation occurs when bowel movements become less frequent and stools become difficult to pass. It happens most often due to changes in diet or routine, or due to inadequate intake of fiber. You should call your doctor if you have severe pain, blood in your stools, or constipation that lasts longer than three weeks.
How is fecal impaction diagnosed? Healthcare providers diagnose fecal impaction by a physical examination and a digital rectal examination. They look for a large amount of poop in your rectum. If your provider suspects your fecal impaction could be located in your colon, an abdominal X-ray can confirm its location.
If you're constipated and vomiting, it might be a sign of fecal impaction. Fecal impaction occurs when a large, hard mass of stool gets stuck in the colon and can't be pushed out. This is an extremely dangerous situation and requires immediate medical attention.
Laxatives. A doctor may recommend laxatives if an enema and manual removal do not work. They cause the colon to create more water, softening the impacted stool and making it easier to remove.
Unlike some laxatives on the market, Movicol is designed to give you more control over your bowel movements and is gentler that most products. Usually people find that Movicol takes effect around one to two days after taking it. The duration of the treatment for constipation may continue for up to two weeks.
If laxatives don't work, ask for help. You should see your doctor and discuss it if you are constantly needing to take laxatives.
Chronic constipation can be subclassified into four categories: normal transit, slow transit, dyssynergic defecation (DD) and slow transit-dyssynergic combination (6,7).
Obstipation is a severe form of constipation, where a person cannot pass stool or gas.
Drink more water for constipation.
“The large intestine draws water out of the stool before it's passed out of the body. So if you are dehydrated due to exercise, hot weather, a medical condition or just not drinking enough water, you can end up with hard, dried-out stool that is more difficult to pass.
Appearance: Hard and separate little lumps that look like nuts and are hard to pass. Indicates: These little pellets typically mean you're constipated.
If you take laxatives too often, you could keep your body from “knowing” when it's time to have a bowel movement. Your body will be less likely to respond to the urge to go, and stool may build up in your colon or rectum.
A child is said to have faecal impaction when the constipation becomes so severe that they are unable to clear it out. All the poo in their bottom clumps together to form a large mass, which the child is unable to pass.
Movicol helps you to have a comfortable bowel movement even if you have been constipated for a long time. Movicol also works in very bad constipation called faecal impaction. Do not take Movicol if your doctor has told you that you have: a blockage in your intestine (gut obstruction, ileus)
MOVICOL® is a gentle and effective treatment for both chronic and occasional constipation. It has been available around the world for more than 20 years, and there are many clinical studies that prove its effectiveness and gentle mode of action.
Movicol won't make you have a bowel movement immediately; it can take one to two days of taking Movicol for it to work.
Manual Disimpaction
If hardened stool is palpable in the rectum, it may require manual fragmentation or disimpaction. A lubricated, gloved index finger is inserted into the rectum and the hardened stool is gently broken up using a scissoring motion.
If your constipation is causing you pain, or discomfort, you may want to take a painkilling medication, such as paracetamol. Make sure that you always follow the dosage instructions carefully. Children under 16 years of age should not take aspirin.
Make a fist with your right hand and place it on your abdomen at hipbone level. Press firmly into your belly and slide your hand in a circular motion up toward your ribs, across your belly, down to your left hip bone, and back across the bottom of your belly. Repeat 10 times.