fecal impaction


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fecal

 [fe´k'l]
pertaining to or of the nature of feces.
fecal impaction accumulation of putty-like or hardened feces in the rectum or sigmoid. The condition often occurs in patients with long-standing bowel problems and chronic constipation. It also may develop when barium is introduced into the intestinal tract and not completely removed.

Symptoms include painful defecation, feeling of fullness in the rectum, and constipation or a diarrheic stool. Rectal examination reveals a hard or putty-like mass. The condition can be prevented in most cases by adequate removal of barium after radiologic studies, and by careful monitoring of the bowel movements of patients with problems of bowel elimination.

Fecal impaction usually requires digital removal with a gloved finger to break up the mass. Prior to removal the patient may be given an oil retention enema to help soften the mass.

impaction

 [im-pak´shun]
the condition of being wedged in firmly.
bony impaction a dental impaction in which the blockage consists of both bone and soft tissue.
dental impaction the blocking of a tooth by a physical barrier, such as a neighboring tooth, so that it cannot erupt; see also impacted tooth.
Impaction of the third molar. From Dorland's, 2000.
fecal impaction see fecal impaction.
soft tissue impaction a dental impaction in which the blockage consists of soft tissue only.

fe·cal im·pac·tion

an immovable collection of compressed or hardened feces in the colon or rectum.

fecal impaction

an accumulation of hardened or inspissated feces in the rectum or sigmoid colon that the individual is unable to move. Diarrhea may be a sign of fecal impaction, since only liquid material is able to pass the obstruction. Occasionally fecal impaction may cause urinary incontinence through pressure on the bladder. Treatment includes oil and cleansing enemas and manual breaking up and removal of the stool by a gloved finger. Persons who are dehydrated; nutritionally depleted; on long periods of bed rest; receiving constipating medications such as iron or opiates; or undergoing barium radiographic studies are at risk of developing fecal impaction. Prevention includes adequate ingestion of bulk food, fluids, exercise, regular bowel habits, privacy for defecation, and occasionally stool softeners or laxatives. See also constipation, obstipation.
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Fecal impaction

fecal impaction

Medtalk The presence of an indurated bolus of feces in the rectum, which is difficult to pass and which may, with time, cause ulceration of the rectal mucosa. See Fecalith.

fe·cal im·pac·tion

(fēkăl im-pakshŭn)
Immovable collection of compressed or hardened feces in the colon or rectum.

Fecal impaction

Obstruction of the rectum by a large mass of feces (stool).
Mentioned in: Bowel Training

impaction

the condition of being impacted. Most commonly a condition in the alimentary tract of herbivores fed on roughage of poor digestibility. See also impactions of anal sacs of dogs, oviduct of birds, scent glands of ruminants.

impaction colic
see impaction colic.
fecal impaction
a syndrome of moderate toxemia, an absence of fecal movements and straining in some cases. There is a collection of putty-like or hardened feces in the rectum or sigmoid. In horses fed on roughage of poor digestibility, the syndrome is one of colic due to impaction in the colon or cecum or both, or of the ileocecal valve. In cattle the syndrome is one of indigestion and ruminal stasis, less commonly abomasal impaction. In both syndromes there is a delayed passage of feces and palpably distended, firm viscera in appropriate locations. Each of these specific impactions is discussed under colic, abomasal impaction, ruminal impaction, omasal impaction, crop-bound and oviduct impaction of birds.
impaction large intestine
see impaction colic.
teeth impaction
see impacted teeth.
References in periodicals archive ?
In conclusion, fecal impaction with colitis seems to present more frequently than known by clinicians.
Key Words: fecal impaction, fecal incontinence, systemic inflammatory response syndrome.
Causes of constipation and fecal impaction are similar and include low intake of dietary fiber, dehydration, immobility, alcohol ingestion, laxative abuse, medication adverse effects, depression, dementia, spinal cord dysfunction, diabetes, metabolic imbalances, and hypothyroidism.
Several general interventions assist in prevention of UI: preventing urinary tract infections and fecal impaction, controlling diabetes mellitus and heart failure, correcting hypercalemia, reducing diuretic fluids, avoiding physical or chemical restraints and managing medications that can cause UI (ACE inhibitors, calcium channel blockers, beta- and alpha-adrenergic agonists, alpha-adrenergic blockers, diuretics, cholinesterase inhibitors, psychotropics, narcotic analgesics and anticholinergics).
Diagnostic Procedures for Encopresis History Physical Examination * History of constipation and * Abdominal examination soiling * History of previous treatment * Developmental screening and outcomes * Abdominal X-rays * Family history of constipation * Neurological examination or other bowel conditions * Toilet training response * Rectal examination for fecal impaction * Family changes or stress * Soiling pattern * Diet * Activity level * History of associated conditions, including enuresis, behavioral and emotional problems, abdominal pain, school absentism * Peer and family relationships * Developmental skills * Academic progress
The patients' mean age was 11 years, 65% were boys, 72% had large-diameter stools, and 47% had fecal impaction.
There was a significant difference in rectal compliance between children who had severe fecal impaction at baseline and those with no impaction.
If untreated, the condition can proceed to obstipation, a more stubborn fecal impaction that may require prolonged hospitalization and more elaborate therapy--for example, manual removal of hardened fecal matter from an anesthetized cat's colon.
As staff at most nursing facilities are aware, the occurrence of a resident having a fecal impaction is considered a sentinel event by the Centers for Medicare & Medicaid Services.
In men, look at prostate consistency and symmetry, and be sure not to miss a fecal impaction in either gender, she advised.
BOB Monkhouse discussing his illness: "I was originally diagnosed as having fecal impaction.