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Suggest Treatment For Fecal Impaction

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Posted on Wed, 1 Jul 2015
Question: Im 20 yrs old, i have had 2 surgeries for ovarian cyst related problems (and suffer with endemetriosis)and have been suffering with adhesions for 5 years now, in constant pain, vomiting, cant eat properly..it has now gotten to the point where it has affected my bowel function severely, had a small obstruction and a bleed 7 months ago, and i al on a laxative routine everyday. Sometimes the laxative routine will not work and i can go up to a XXXXXXX of 3 weeks without a bowel movement, if i dont take laxatives bowels will just not work. excercising does nothing to help, stretching the stomach makes pain worse. 2 days ago i had extreme stabbing pain on my left side, and my belly becAme dystended on the left specifically. Before the pain started i had dhiarrea for 3 days, with no proper bowel movement in a week. My doctor took an xray that showed that i was severely impacted. She told me to take an enema which i did, but the enema only made me have diarrhea no proper stool movement again. Im always at risk for another obstruction but i am being referred to a surgeon at some point this year(dont know when, doctors are being very slow with my situation) to see what is the best way to deal with these adhesions as they are just making me sicker and sicker, but right now i need to know what to do, if to go to the ER and let them decide how to deal with my current situation at the current moment?
doctor
Answered by Dr. Aarti Abraham (1 hour later)
Brief Answer:
Yes, you need to go to the ER, you cannot ignore an impaction.

Detailed Answer:
Hello
Thanks for writing to us with your health concern.
I totally empathize with this unfortunate situation, and I realize how distressing it can get.
See, you have been diagnosed with a fecal impaction.
You cannot ignore that.
Yes, you need to go to the ER, atleast to resolve this acute problem.
If an enema does not resolve the impaction, then the next step is manual removal of the impacted bit of stool.
A surgeon would have to do it, with due care, not to damage the rectum.
Rarely, very rarely, surgery maybe indicated for a very obstinate impaction.
But yes, you do need emergency medical attention.
All the best
please feel free to discuss further.
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Aarti Abraham

OBGYN

Practicing since :1998

Answered : 6004 Questions

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Suggest Treatment For Fecal Impaction

Brief Answer: Yes, you need to go to the ER, you cannot ignore an impaction. Detailed Answer: Hello Thanks for writing to us with your health concern. I totally empathize with this unfortunate situation, and I realize how distressing it can get. See, you have been diagnosed with a fecal impaction. You cannot ignore that. Yes, you need to go to the ER, atleast to resolve this acute problem. If an enema does not resolve the impaction, then the next step is manual removal of the impacted bit of stool. A surgeon would have to do it, with due care, not to damage the rectum. Rarely, very rarely, surgery maybe indicated for a very obstinate impaction. But yes, you do need emergency medical attention. All the best please feel free to discuss further.