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Dr. Andrew Rynne

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Suggest treatment for removal of dried impacted feaces after the failure of laxatives and enema

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Dr. Salah Saad Shoman

Internal Medicine Specialist

Practicing since :2004

Answered : 1770 Questions

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Posted on Tue, 11 Sep 2018 in Digestion and Bowels
Question: MY Mom is 84 and hasn’t been able to have BM for 5 days we have tried stool softness and mineral pool enema
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Answered by Dr. Salah Saad Shoman 45 minutes later
Brief Answer:
Manual disimpaction.

Detailed Answer:
Hi,

I have gone through your question and I understand your concerns but since laxatives and enema were not successful then probably you are suffering from fecal impaction that will need manual disimpaction either by the doctor or by your caregiver.

This occurs through introducing a suppository, then after ten minutes your caregiver or your doctor should introduce a finger with gentle circular movement and remove the dried impacted feaces.

This might be an uncomfortable and slightly painful procedure and might require topical Lidocaine cream to decrease the discomfort.

I hope I answered your question.

Regards,
Dr. Salah Saad Shoman, Internal Medicine Specialist
Above answer was peer-reviewed by : Dr. Kampana
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