Gastroenterology Book

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Fecal Impaction

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  1. See Also
    1. Constipation
  2. Definition
    1. Firm immovable stool in rectum or distal colon
  3. Risk factors
    1. Elderly
    2. Immobile patients
  4. Symptoms
    1. Constipation
    2. Diarrhea
      1. Frequent passage of small loose or liquid stools
      2. Results from leakage of stool around the impaction
  5. Signs
    1. Firm, immovable mass of stool on rectal exam
  6. Differential Diagnosis
    1. See Constipation Causes
  7. Management
    1. Disimpaction with rectal exam
    2. Warm water or saline lavage
      1. Instill by rectal tube or Flexible Sigmoidoscopy
    3. Mineral Oil enema (or oral if no risk of aspiration)
    4. Dilatation of anus under general anesthesia

Fecal Impaction (C0015734)

Definition (MSH)Formation of a firm impassable mass of stool in the RECTUM or distal COLON.
ConceptsFinding (T033)
ICD9560.39
MSHD005244
EnglishCOPROSTASIS, Faecal impaction, Faecal impaction of rectum, Faeces - impacted, Fecal Impaction, Fecal impaction of rectum, Feces - impacted, Impacted faeces, Impacted feces, Impacted stool in rectum, IMPACTION FECAL
Spanishimpactacion fecal del recto
Parent ConceptsAnorectal disorder (C0687707), Rectal Diseases (C0034882), RECTAL/ANAL (C0549616), Intestinal Obstruction (C0021843), Impaction of the intestine NOS (C0392503)
SourcesAOD, COSTAR, CST, DXP, LNC, MSH, MTH, MTHICD9, NDFRT, SCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)



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