Stool stuck in the rectum (fecal impaction)

Overview

Fecal impaction is a large, hard mass of stool stuck in the rectum that can't be pushed out.

It's common in older adults, people on opioids, and people who can't move around much. Watery stool can leak around it and look like diarrhea.

Symptoms

Common signs:

• Can't pass stool

Less common

• Leaking watery stool
• Belly cramps
• Loss of appetite

Look up a symptom: Stomach pain

When to get medical care

Causes

Constipation.

Does it spread or run in families?

• It isn't contagious. You can't catch it from someone else.

Who is more likely to get it

• Older adults

Possible complications

• Constipation

Diagnosis

A rectal exam finds it.

Treatment

Get help.

Self-care

• Don't strain hard
• Drink more fluids
• Add fiber slowly
• Don't ignore the urge to go

Medicines

Medicines that may help:

OwieClear doesn't give doses: follow the label or your healthcare professional. Medicine names here are examples, not a full list.

Prevention

To lower your risk or prevent problems:

• Fiber
• Stay active
• Use a stool softener with opioids

Which doctor treats this

• Start with your primary care provider (family doctor or internist).
• They may send you to a gastroenterologist or a colon and rectal surgeon.

Children, pregnancy, and older adults

• Older adults in care homes: Higher risk.

Pregnancy and breastfeeding

• If you're pregnant or planning to be, tell your prenatal provider about this condition.
• Don't start or stop any medicine on your own. Some are safe in pregnancy and some need to be changed.
• Ask before taking any pain reliever. The FDA advises avoiding ibuprofen and naproxen after 20 weeks unless your doctor says to.
• Breastfeeding: Most medicines are fine, but ask. The NIH LactMed database lists what's known about each one.

Outlook

Treatable.

Removing the stool brings fast relief; a bowel plan prevents it coming back.

Getting ready for your visit

Bring a list of your symptoms and medicines.

Questions to ask

• Could my medicines be causing constipation?
• Do I need a daily stool softener?

Research studies

Research studies test new ways to find and treat health problems. Some are looking for volunteers. Talk with your doctor before joining one.

Search ClinicalTrials.gov for studies on Stool stuck in the rectum (fecal impaction)