Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

177 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Stroke patient and feeling difficulty to pass motion. Looking for cure

Answered by
Dr. Abhijit Deshmukh


Practicing since :2001

Answered : 492 Questions

Posted on Sat, 15 Dec 2012 in Digestion and Bowels
Question: Hello Dr. Grief. My mother is a stroke patient & is bed ridden. The problem she is currently facing is she is unable to pass motions. She feels like passing motion but is unable to because of which she is in immense pain. She is not constipated. She does pass motions 2-3 times a day. But sometimes this problem causes her a lot of distress. Please help...
Answered by Dr. Abhijit Deshmukh 14 minutes later
I am not sure whether you would want me to answer this question.
Well likely your mother may be having severe constipation with a strong possibility of impacted feces in rectum (fecolith) in which stools form a hard mass in rectum which patient is unable to pass through anal opening.
Ideally she should undergo an rectal finger examination to feel the mass.
If it is there the an attempt should be made to dis impact it with finger which may be bit painful to her initially. There after you can give her olive oil enema 60 ml for 3 days which will help to soften stool. Also liquid paraffin orally along with other stool softeners will help her. Local application of an anesthetic jelly will help to relieve her pain during passing stools. Also increase her water and fiber intake which will help her long term. Stool she is passing twice could be only small amount of liquid stool seeping beside the hard stool mass.
Hope this answers your query.
Please do reply in case of any further questions.
Wish her a speedy recovery.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Abhijit Deshmukh 40 hours later
Thank you doctor. We got an enema administered yesterday morning. However today again she seems to feel a lot of discomfort. Considering the fact that she is almost bed ridden she is bound to feel that way. What I would like to ask is, would you recommend a liquid diet? If yes what should the diet comprise of & for how many days?
Answered by Dr. Abhijit Deshmukh 6 hours later
Thanks for the query,
There is no need to give liquid diet unless she has vomiting or abdominal distention. Give her full diet XXXXXXX in fiber to form bulk of stools ( so that she can pass stools easily). Giving her liquid paraffin everyday is also important. Discomfort will settle only after the impacted stool clears.
Hope this answers your query.
Please do let me know if you have any further questions.
I wish her a speedy recovery.
Above answer was peer-reviewed by : Dr. Aparna Kohli

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,  
Medical Topics ,  

Recent questions on  Impaction

doctor1 MD

Hi , I get very constipated and sometimes need to give myself an enema to prevent impaction and to help from straining that could aggravate my hemorrhoids and also to prevent rectal prolaspse. I recently needed to give myself an enema to the fecal matter was grey in color , should I be worried ?

doctor1 MD

My daughter is suffering from constipation from iron tablets. She has taken solace, miralax and senekot. I think she has an impaction as she is having small amounts of diarrhea . Would mineral oil be something she should take as a lubricant or...

doctor1 MD

Hello: I was leaning over a rail and I heard a swish just below my left side rib cage . The next day it was hard to get out of bed. The pain seems to subside if I stay relatively inactive. Now three weeks later I am starting to hear a gurgling...

doctor1 MD

bottom extraction site hurts when I drink fluids or eat. I've had my extraction month and half ago, so should I go back and see my dentist?

doctor1 MD

Hi, I am 34 weeks pregnant and last night I was partially successful with what I thought was a severe feel impaction. I had a hard clay like stool stuck in my anus and I first tried to digitally remove it. Then I tried a glycerin suppository and lastly a fleets enema helped remove two large segments. I still feel like there is a lot more because it was 5 days with no bm plus I feel like their is something stuck in there. At this point do I try another fleets enema?

doctor1 MD

I haven t had a bowel movement for about 5 days. Past 2 days I have been eating fiber and prune juice; just thinking that some antiobiotics I d taken a week before had me stopped up. Now I think I have a hemmoroid. Whats the best way to get the impaction out: enema, suppositories or finger/glove method? I am scared and have never had to deal with such a situation before. It s hard to stand, walk or sit at the moment. Please help.