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A member asked:
87 yr old female w/distended abd - constipated for 4 days. when to consider diagnosis of impaction? what other symptoms? thx!
10 doctors weighed in across 2 answers
Now: Although many elderly patients don't have bowel movements for 3-4 days normally, in this case the patient has a distended abdomen.If she has had no b.M. In 4 days and her abdomen is distended, i would consider impaction and seek treatment as soon as possible.
Answered 5/3/2015
6k views
Constipation/impacti: A simple digital rectal exam showing hard stool in the rectum makes the diagnosis. Then the patient will need enemas or digital DES impaction ( removing the stool with the fingers). As a general rule a person must move its bowels at least every three days otherwise should be using a laxative at that time. Elderly pts may prevent constipation by taking milk of magnesia (magnesium hydroxide) two or three times a week
Answered 2/13/2015
6k views
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