Doctor insights on:
Fecal Matter Constipation
Yes: By definition, constipation is difficulty or inability to have a bowel movement. A fecal impaction preventing movement of fecal matter through the colon would definitely qualify. However, you can still be constipated without a fecal impaction. A fecal impaction requires urgent medical care, as you risk perforating the bowel with the increased pressure and space occupation. Read more
Yes: The longer you go without a bowel movement or complete evacuation then higher risk that stool will remain in the rectum long enough to get more dessicated (dried out from water being removed while in rectum), harder (more difficult to pass without straining &/or pain) and larger (large enough to get stuck or impacted). At some point pain usually occurs & the stool becomes more difficult to pass Read more
The cause: Fecal impaction is a relatively common cause of constipation. Generally is a result of dehydration and low fiber and sometimes exacerbated when defecation is avoided for a period of time. Manual disimpaction with a lubricated gloved finger may be necessary. Notably, this can cause diarrhea as well if liquified fecal matter oozes around the impaction. Read more
Can mild constipation (going 3x per wk) cause fecal odor that's bad in public/when stressed but better at rest? Other cause? Have veg & water in diet.
Possibly: Try eating unpasteurized yogurt three times a day or taking a probiotic and adding some otc fiber additive to take daily. This will bulk up the stool, and change the nature of bacteria in gut which will alter the odor. If this does not work see a GI doctor. If the constipation is of recent onset, get checked for thyroid function. Read more
Chronic constipation no obstruction or any disease, just an extremely boated and distended stomach. Howcan I clear out all the built up fecal matter?
Several options..: Patients with chronic constipation should understand they have a very efficient colon in reabsorbing water and holding on to residue. To have more regular bowel movements will mean providing the colon with daily help (supplement) - a fiber product (metamucil, prunes), stool softener (doss), or osmotic laxative (glycolax, mom). But not a stimulant laxative such as dulcolax or senna herbal products. Read moreSee 1 more doctor answer
Both situations: Are not healthy for an individual on a chronic basis. Neither should be ignored if the condition is chronic or more than just occasional. See your primary doctor and if necessary they will refer you to the appropriate specialist. Read more
Colonoscopy shows fecal impaction after 5+ yrs of constipation (1 BM or less a week). Why does this make me feel sick if constipation not toxic?
IBS?: Irritable Bowel Syndrome is a Diagnosis of exclusion, so be sure to see a GI dr. And get evaluated. IBS-C seems to be a possibility here, and there are meds that can help along with dietary changes and decreasing stress. IBS is common in women 20-40yo and everyday stress can worsen symptoms. IBS-C can cause irritability, bloating, and discomfort. Best wishes. Read more
I have been having constipation, bloating, diahreah, loose stool, thin stool, and stool inconsistency. Could this be fecal impaction?
Colitis: The differential diagnosis is vast. Infectious...need for stool cultures. IBS celiac and other immune diseases. drug side effects. Thyroid diseases malabsorption/maldigestion diet indiscretion etc etc try to stay on a liquid diet and then slowly introduce a soft mechanical + probiotics...if not better must see a Dr. Read more
Can chronic constipation cause a false normal fecal elastase stool test level? Sample only achieved after high dose bisacodyl laxative (25mg).
No: However, fecal elastase is famously neither sensitive nor specific for anything. It is helpful but only as one small part of a workup along with other indicators to determine whether to treat. Read more
My mother has developed urinary and fecal incontinence. Has unresolved uti's and suffered a bad bout of constipation recently. Treatable conditions?
Fecal incontinence incident days ago...Had bowel movement soon after & a lot of stool passed, could it be that was a 1 time thing due to constipation?
Irritable bowel syndrome or fecal incontinence? I have constipation, a smell lingering, moist anus when I walk or sit, and anus feels loose when I sit
Fecal leakage?: Occasional incontinence of stool with fecal leakage is common, but loss of bowel control particularly without warning may signal a significant infection, inflammatory problem, maldigestive concern, or neurologic disorder. Sometimes, particularly in youths, the condition is behavioral. Alternatively, your odor problem is skin-related or neurologically-based (olefactory mis-sense). What's doc say? Read more
More fibers in food.: There is nothing like fecal vomiting. It does not happen. You must be vomiting partially digested food that itself can be smelly. Have you ever had your constipation checked out? This needs to be treated to get rid of the problem. Usually it is due to lack of fiber in the food. Eat more of salads, vegetables, and fruits. You may also use something like metamucil or citrucel to increase your fiber. Read more
29 yr old female and constipated for a week. After laxitives my stools are small little soft lumps. Fecal occult blood was neg. Any need to worry?
Constipation: No, nothing you mention is concerning. I expect this will sort itself out soon enough. Read more
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