Fecal impaction

A fecal impaction ( composite of Greek κοπριά, kopriá, " feces " and στάση, Stasi or στάσις, ancient greek pronunciation stasis, " Restrain ", engl. Coprostasis or fecal impaction ) is the accumulation of feces in the colon ( Kotstauung or Stuhlimpaktion ) especially the rectal ampulla with the more difficult defecation. This can be the formation of fecal pellets ( scybala ) or Kotsteinen come, which can prevent the discharge from the rectum completely. These droppings can be felt through the abdominal wall, where appropriate, and then as Koprom (also: Sterkorom or Fäkulom ) refers. Released colon secretions can get past the stationary Kotsäule and diarrhea pretend, but more often lead to fecal incontinence. Through the filling of the rectum can (especially when sitting ) of the defecation reflex triggered, which can lead to significant pain.

Patients may complain, so the suspected diagnosis of appendicitis can be made about bloating and pain (also in the right lower abdomen often ).

Chronic Koprostasen can, inter alia, in cases of unsuitable food, chronic laxative intake for constipation, lack of physical activity ( bed rest / immobilization), occur at low fluid intake over a longer period of time or other disorders of intestinal peristalsis.

Complications: peritonitis, possibly intestinal infections, poisoning occurring states ( autointoxication ) as a risk premium.

Therapy

In children, in milder cases a " chair exercise " or a " chair education " is recommended. For as macrogol laxatives are evidence-based recommendations. Enemas (even high intakes ) can be administered less frequently in children, especially in nursing homes. In the ineffectiveness of a digital rectum removal is performed. If necessary, the dose of pain medication is indicated. As a last resort, especially when the closure in the proximal colon, a surgical intervention may be necessary.