Discussions By Condition: Gastrointestinal conditions

Impaction Problem...not for squeamish

Posted In: Gastrointestinal conditions 4 Replies
  • Posted By: JCatGuy
  • March 31, 2008
  • 04:01 AM

Hi,
I always nowadays usual manual disimpaction, as laxatives no longer work. However, even w/large High Tap Water Enemas...whether some or nothing comes out...I not only feel hard stool under the skin of the upper rectum, and I've PRESSED w/finger, the stool under skin inwards, until I can grab hold, deep within rectum and only then can I squeeze it out, little by little (unless it breaks apart). I'm miserable. Any ideas? Jay

BTW, I've been on everything from Miralax, Colace, Fiber, Exercise, Dulcoax, Senokot, Amitiza, Zelnorm (before off market) and on and on...mixed and matched...even castor oil...It's been a nightmare and I can't find an MD who treats me w/the disabling pain and weakness and now, inability to eat (out of pain of exploding)...in and out of ER and hospitals...and they've said, "pacted top to bottom"...even, CT SCAN found Bile Duct/pancreatic Duct dilations...yet my MD, Poo Poo's it all, no pun intended; as if it's all in my mind. Help...Jay

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4 Replies:

  • I'm so sorry to hear of your symptoms. Let me ask-have you always had this since you were a child or did it start when you became an adult? I am a female in my 30's and had similar problems but now I eat a diet very high in fiber and it really help. I can describe my own problem as feces feeling "stuck" in my intestines or colon. Sometimes they would be almost out but then nothing and I was miserable. When it finally did pass it was almost like pushing a baseball out of me and hurt very badly but felt so much better once it finally got out of me. I have changed my diet almost completely. I eat very little if any meat and rarely drink. I found this changed my bowels for the better. Meat has no fiber so it will sit in your body and basically rot until something fiberous comes along and sweeps it out of your body. If you're a big meat eater and eat very little fiber this could be one reason why you're having problems. Also, could it possibly be diviturculitis. I know I'm probably not spelling it right but it's when feces push into the walls of the colon and cause alot of pain, etc. I don't have your original post handy but I would find another doctor who doesn't dismiss your symptoms and have a colonoscopy and make sure there is nothing blocking evacuation. You could have a non-cancerous polyp blocking you and no matter how much laxative you take it may not help if it can't really get out. Good luck to you and please post your results!
    tarmale 13 Replies Flag this Response
  • Hi, Thanks for replying........No, this all started about 2 years about (mid 40's) and it's been 2 years of ***l w/urine retention too! FIber makes thigns worse for me...as it impacts me faster....but at this point it's too late, I have impacted areas of colon (sigmoid, transverse and ascending is worst-it's like a steel plate)....last 4 months I've gone to bathrrom only maybe 6 times and that was eithe with Castor OIl (which stopped working) and TAP WAATER ENEMAS (which also stopped working ...even 80 oz).....MY MD never calls me back and I fear the er rejecting me again......I"m lost in suffering. Jay
    JCatGuy 1 Replies Flag this Response
  • Paralysis of the colon or slow peristaltic movement can be caused by: Medical conditions. Certain medical conditions such as hypothyroidism and hypokalemia may cause slow movement of the colon. Injured anal sphincter. It is scientifically known as patulous anus. When the anal sphincter is injured, it is either caused by damage to the sphincter muscle itself or the nerve supply of the anal sphincter. This causes an abnormal loss of tone in the muscles surrounding the anus and all contracting actions. Medications. Medications such as loperamides, pain relievers and certain anti-depressants may cause paralysis or slow peristaltic movement as well. Dyschezia or difficulty defecating is usually results from often suppressing or ignoring the urge to defecate. Above taken from:http://www.disabled-world.com/artman/publish/article_1838.shtml**********************"Defecating soon after the urge is felt also can be helpful because if urges are ignored, the rectum may eventually stop signaling when defecation is needed. Stimulant laxatives (such as cascara or castor oil) can damage the nerve cells in the colon wall, decreasing the force of contractions and increasing the tendency toward constipation. Thus, people who take strong laxatives whenever they "miss a movement" may wind up unable to move their bowels without them."Above taken from:http://www.chirobase.org/06DD/gastro.html
    Beth56 272 Replies Flag this Response
  • Jay, you definitely need to find yourself a new doctor. It seems like this one can't help you and is not going to call you back. Check with your insurance company to see if they have a specialist at a hospital or something that you can go and see. I've had problems with older doctors that do not want to hear anything the patient has to say. They know everything and we know nothing and it annoys me to no end. I'm so sorry to hear about the problems you are having. I agree with Beth that there is something going on but your dr. probably cannot diagnose it. Please post your findings. :confused:
    tarmale 13 Replies Flag this Response
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