Suggest Treatment For Fecal Impaction And Stomach Cramps

Posted on Sat, 20 May 2017

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sat, 20 May 2017 Answered on

Mon, 12 Jun 2017 Last reviewed on

Question : A SPECIALIST IN fRANCE DIAGNOSED FAECAL IMPACTATION AND PRESCRIBED ME MOVICOL AND TABLET LACTULOSE 3 TIMES A DAY IT GAVE ME QUITE BAD STOMACH CRAMPS ON RETURN TO eNGLAND my gp took me off lactulose and gave me laxido powders but i dont think that the impactation is moving my question is do i go back to the lactulose and buy some movicol ?

Answered by Dr. Geeta Sundar (1 hour later)

Brief Answer:
Best treatment for fecal impaction is glycerine suppositories

Detailed Answer:
Hi, welcome to HealthcareMagic,

The best treatment for fecal impaction is glycerine suppositories daily to be inserted into the rectum. After a couple of days lubricate gloves with glycerine, and introduce finger inside to gently remove impacted feces. Do this daily till it gets released.

Along with this take soluble psyllium husk--1 large spoon in 200 ml water at bedtime. This should work. But if it does not, then please go to ER for a glycerine enema for prompt relief.

Feel free to revert back.
Regards

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Geeta Sundar (12 hours later)

The impactation is higher than the rectum when i had a camera inserted the specialist said i need to take oral medicines to soften the stools and movicol for pushing out. i did not know how long this would take or if i needed to go to hospital

Answered by Dr. Geeta Sundar (19 minutes later)

Brief Answer:
maybe the best would be a glycerine enema for you.

Detailed Answer:
OK then glycerine suppository may not help.
Try soluble Psyllium husk and Movicol. If Movicol gives cramps then Bisacodyl--1-2 tablets at night is also good at evacuation. This may take some days.
But maybe the best would be a glycerine enema for you. This will soften the impaction even above rectum.
You can discuss this with your doctor.
Are you passing some stools or not?

Regards

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Above answer was peer-reviewed by : Dr. Remy Koshy