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

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

What could cause loose stool with gritty black specks and hard flakes in 90 yr old person?

90 year old male patient, bed bound having loose stool with not much control. Stool is very gritty with black specks and hard flakes present. Not really a specific complaint. Have done enema and milk of magnesia thinking May be an impaction but has not helped. Going on 3 weeks now since stools have been this way
Thu, 21 Feb 2019
Report Abuse
General Surgeon 's  Response
Hi,

The intestinal system slows down as well as the liver and pancreatic function with advancing age.
Since the patient is bed-ridden and is 90 years old I would advise you the following for the gritty black specks and hard flakes:
Get the X-ray of abdomen to see for the fecolith formation and possible impaction in large bowel.
If fecoliths are present then saline-soap enema can help for complete evacuation and may help regularize the bowel.
Secondly, get the stool tests routine, microscopy and occult blood.
Food adjustments is a necessity to have normal stools.
Addition of pancreatic enzymes an probiotics may help further.
If there is occult blood present in stool, there may be need of a colonoscopy and biopsy to rule out cancer.
Tests of blood: routine and for tumor markers.
CT scan of abdomen if possible and further management as per the cause found.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. T Chandrakant, General Surgeon.
I find this answer helpful
Internal Medicine Specialist Dr. Penchila Prasad Kandikattu 's  Response
Hi,

It may be due to impacted stools is coming with in formed stools. Shows incomplete evacuation of bowels. Also possible with upper GI bleeding or intake of dark green leafy vegetables.

Give her plenty of fiber with liquids intake. If symptoms not improved please consult your doctor he will examine and treat you accordingly.

Hope I have answered your query. Let me know if I can assist you further.
     
Regards,
Dr. Penchila Prasad Kandikattu,
Internal Medicine Specialist

I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in

doctor1 MD

Hello: I have quite a concern and I will be going to the general doctor tomorrow for the physical examination. First a little about me, I am a 28...

Recent questions on  Impaction

doctor1 MD

90 year old male patient, bed bound having loose stool with not much control. Stool is very gritty with black specks and hard flakes present. Not...

doctor1 MD

I have recently had knee replacement surgery and hydro condone was prescribed for pain. I have e looked up the symptoms and have fecal 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...

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...

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...

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?