Your Questions About Impacted Feces

Richard asks…
is impacted feces really a common problem?
I had someone ranting on and on about impacted feces, is it really a problem?
Is there a solution that doesnt involve an enema?

Jill answers:
Don’t read the claim…just read the origins.

Nancy asks…
My dog may have to have surgery tomorrow to remove impacted feces. What does this surgery involve?
My husband didn’t bother asking the doctor, and I’m concerned.

Jill answers:
It may be possible to remove the impacted faeces from the dog via the rectum, this can be done with repeated enemas and laxatives.
If the faeces are impacted further up the colon then they may need to be removed surgically.
Surgery would involve anaesthetising the dog, then cutting the stomach open down the middle.
The intestines can then be explored and the site of impaction found.
It may then be possible to “milk” the impacted faeces closer to the anus so they can be extracted from the outside, but with a true impaction the intestine will need to be cut open and the cause of the impaction removed.
The gut will then be sewn up and the dog should be sweet!
Good luck.

Joseph asks…
What is the best Laxative to use for impacted feces?

Jill answers:
.Stimulant laxatives
These stimulate the nerves in the large bowel (the colon and rectum, sometimes also called the large intestine). This then causes the muscle in the wall of the large bowel to squeeze harder than usual. This pushes the faeces along and out. Stimulant laxatives include senna, bisacodyl, and dantron. Their effect is within 8-12 hours. Therefore, a bedtime dose is recommended so you are likely to feel the urge to go to the toilet sometime the following morning. Stimulant laxative suppositories act more quickly (within 20-60 minutes). Possible side-effects from stimulant laxatives include abdominal cramps, and a ‘weakened’ bowel (‘lazy bowel’) with long-term use..
.Osmotic laxatives
These work by retaining fluid in the large bowel by osmosis (so less fluid is absorbed into the bloodstream from the large bowel). A commonly used one is called lactulose. However, this can take up to two days to have any effect so it is not suitable for the rapid relief of constipation. Possible side-effects of lactulose include abdominal pain and bloating. Some people find the taste of lactulose unpleasant. Another osmotic laxative is called polyethylene glycol (trade name Movicol). This usually has a rapid action..
.Faecal softeners
These work by ‘wetting’ and softening the faeces. The most commonly used is docusate sodium (which also has a weak stimulant action too). Bulk-forming laxatives also have some faecal-softening properties. Liquid paraffin used to be commonly used as a faecal softener. However, it is now not recommended as it may cause side-effects such as seeping from the anus and irritating the skin, and it can interfere with the absorption of some vitamins from the gut..
.Which laxative should I use and for how long?
The one recommended by your doctor or pharmacist will depend on factors such as your own preference, possible unwanted effects, other conditions that you may have, and cost. However, as a general rule:.
•Treatment with a bulk-forming laxative is usually tried first.
•If faeces remain hard despite using a bulk-forming laxative, then an osmotic laxative tends to be tried, or used in addition to a bulk-forming laxative.
•If faeces are soft but you still find them difficult to pass then a stimulant laxative may be added in.
You should use a laxative only for a short time, when necessary, to get over a bout of constipation. Once the constipation eases, you should normally stop the laxative. Some people get into the habit of taking a laxative each day to ‘to keep the bowels regular’ or to ‘prevent constipation’. This is not advised, especially for laxatives which are not ‘bulk-forming’. If you feel that you need a laxative regularly, then see a doctor for advice on which is best to use in your circumstances. (Some people with persistent and severe constipation do require regular laxatives. But it is best if this is done under the advice and supervision of a doctor.)
See under “faecal softeners” I would recommend you start with a healthy diet and sodium docusate (found in all major supermarkets/chemists) If this doesn’t help, try a fibre supplement. Failing this add a senna tablet (also found in most supermarkets and chemists….
Something’s got to give eventually!

Maria asks…
how do you rid your body of any impacted feces before a colonoscopy precedure?

Jill answers:
Before your procedure, usually the night before, the doctor will have you drink a bowel prep that acts as a laxative to rid your colon of stool.

Jenny asks…
What should someone do for impacted feces?
My husband went to the ER and they said he was full of feces but it won’t come out. They gave him a referral for a GI Doctor but the soonest appointment I could get for him is for July 12th. He is in Pain now, what would be the best way to get him to pass some of it. He has been taking laxatives but nothing but watery stools are coming out. I read something about drinking mineral oil but, I don’t want him to be in more pain than he already is. Also someone suggested a stimulant laxative, is this going to make him hurt way more? Should he take them both at the same time? like I said before we would ask the doctor but he needs some relief now
Just a little FYI, The ER was pointless, they actually prescribed him Hydrocodones, which causes more constipation. They didn’t give him any laxatives, They just told him to go on a liquid diet, which is what he has been doing.

Jill answers:
In such a case, they like to give Suppositories. Because what you put in it just going to be stopped and the problem is lower. The ER should have had the best stuff to flush your system orally, so if they gave him something there ( that could be taken only there) he should have been flushed out. At this point I would consider there to be an Obstruction. Or rather, something that cannot pass past a point. If they cannot get Suppositories to work, they will need to do surgery.
Before they do surgery they will likely scope him both directions and possibility take X-Rays and other types of scans to get an idea of what is going on inside. At that point you will be very pissed off.
An Obstruction is an Emergency. They should be able to get to you much sooner. You will know his entire system has stopped when he starts to vomit bile. But you can also have bile go into your blood stream in very bad situations. Once you have Bile in your Blood Stream, they won’t want to do anything and will want to start from scratch. Prepare to be upset and I hope this passes on it’s own.
Added: Are you serious.. Some people get dry mouth and dehydrated on Oxycotton. I wouldn’t suggest high sodium or liquid diet. If you have too much water it will weaken your bodies ablity to break down things in your digestive system. If you don’t get enough of the correct nutrients, then you will weaken and everything will get worse. ( I should say he, but really this goes for anyone).
You should try to not get the normal ammount of Iron and hold back on Potassium. Both Iron and Potassium will make him worse because they concentrate things. Sugar will also cause more constantpation, so will caffeine. I don’t think Prunes, Fiber, or anything of that sort will be very helpful,.. They are intended for someone that can pass things through their system.
The old fashion way was Castor Oil ( or something like that). You can some times find this in flavored Lip Balms and flavored Lip Gloss. Some places have gotten wise, that have teens and children, and have banned these because they go hand and hand with eatting disorders since they make you go. The problem is Castor Oil can make your stumoch have some discomfort at first and that may be prove a problem for your husband since he already hurts. Some Doctors still recommend it for children and babies because it’s considered safe and effective. A little bit can go a long way if you get desperate. Think ” If rubbing it on your lips is enough when you are healthy,.. ”
But it would help if he used Prescription Suppository. If he isn’t vomiting then it’s probably moved to a point where they shouldn’t be treating him by having him take things orally. But eventurally, he may start vomiting. There is also a chance he isn’t constipated but has something else wrong, but that’s why you need to see Doctors that will actually check his intestines thoroughly.
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Tags: blood stream, mineral oil, polyethylene glycol, castor oil, abdominal pain, Abdominal Cramps, persistent and severe constipation
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