Fecal impaction in adults.

Abstract

ABSTRACT:

Fecal impaction is a common digestive disorder and is considered an acute complication of chronic and untreated constipation. Generally, the factors responsible for fecal impaction are similar to those associated with constipation. Early identification and treatment minimize complications and patient discomfort. Common treatment options to address fecal impaction of the rectum include manual disimpaction or fragmentation, the use of distal and/or proximal softening or washout procedures such as enemas and suppositories, and oral or nasogastric tube placement for the administration of polyethylene glycol solutions containing electrolytes. In severe cases, surgical intervention is necessary. Post-treatment evaluation should include a colonic evaluation by flexible sigmoidoscopy, a colonoscopy, or a barium enema after the fecal impaction resolves. Following treatment, conduct an evaluation of causes and create a preventive therapy plan.

• Authors: Victoria Louwagie, Mark D Steinman, Ming-Hsi Wang
• Journal: JAAPA : official journal of the American Academy of Physician Assistants (JAAPA) Vol. 36 Issue 5 Pg. 19-22 (May 01 2023) ISSN: 1547-1896 [Print] United States
• PMID: 37043720 (Publication Type: Journal Article)
• Copyright: Copyright © 2023 American Academy of Physician Associates.

Chemical References

• Polyethylene Glycols

Topics

• Humans
• Adult
• Fecal Impaction (complications, diagnostic imaging, therapy)
• Constipation (etiology, drug therapy)
• Polyethylene Glycols
• Enema
• Risk Assessment