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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Fecal Impaction Be Treated?

I have a huge hard bowel movement that will not pass. I had the same problem yesterday which caused bleeding and pain and 3 hrs of pushing, but nothing is helping this one. what over the counter medicine can I use to soften thus to get it out? the bowel movement yesterday actually was stuck and I had to break it up with my fingers. this one I cannot even get close to coming out.
Wed, 21 Dec 2016
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General & Family Physician,  's  Response
Hello dear
I understand your concern
Your symptoms could be due to fecolith obstruction.
I would suggest to consult the gastroenterologist for the better treatment.
OTC drug will not more help you
I would suggest to undergo stool examination, ultrasound scan of abdomen,colonic transit studies, defecography and colonoscopy examination.

Following advice will help you:
Glycerine enema and manipulation by sigmoidoscopy for immediate relief
For maintenance:
Syrup Lactulose: can be taken up to 30 ml twice a day
Tab bisacodyl at bedtime can useful
Bulking agents like isabgol husk

Lifestyle changes:
Drink one spoon of honey in warm water daily in morning before the bowel movement.
Eat high fiber diet. Every meal should have salads and fruits with skin.
Drink 2-4 litre water daily
Daily evening and morning walk for 30-45 minutes to regularize the bowel movement.
Take more fruits and green leafy vegetables in the diet.
Set Up regular time for the motion.
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How Can Fecal Impaction Be Treated?

Hello dear I understand your concern Your symptoms could be due to fecolith obstruction. I would suggest to consult the gastroenterologist for the better treatment. OTC drug will not more help you I would suggest to undergo stool examination, ultrasound scan of abdomen,colonic transit studies, defecography and colonoscopy examination. Following advice will help you: Glycerine enema and manipulation by sigmoidoscopy for immediate relief For maintenance: Syrup Lactulose: can be taken up to 30 ml twice a day Tab bisacodyl at bedtime can useful Bulking agents like isabgol husk Lifestyle changes: Drink one spoon of honey in warm water daily in morning before the bowel movement. Eat high fiber diet. Every meal should have salads and fruits with skin. Drink 2-4 litre water daily Daily evening and morning walk for 30-45 minutes to regularize the bowel movement. Take more fruits and green leafy vegetables in the diet. Set Up regular time for the motion.