Fecal impaction Health Article

Expectations (prognosis)

With treatment, the outcome is good.

Complications

• Tear (ulceration) of the rectal tissue
• Tissue death (necrosis) or rectal tissue injury

Calling your health care provider

Tell your health care provider if you are experiencing chronic diarrhea or fecal incontinence after a long period of constipation. Also notify your health care provider if you are experiencing any of the following symptoms:

• Abdominal pain and bloating
• Blood in the stool
• Sudden constipation with abdominal cramps, and an inability to pass gas or stool. In this case, do not take any laxatives. Call your health care provider immediately.
• Very thin, pencil-like stools

Prevention

Prevention of fecal impaction focuses on preventing constipation. Add fiber to the diet to promote normal stools. Also, get enough fluids and exercise to help in the formation of normal stool.

Always respond promptly when you have the urge to go to the bathroom (defecate).

References

Nelson H. Diseases of the rectum and anus. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007: chap 148.