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Fecal impaction is a common result of neurogenic bowel dysfunction and causes immense discomfort and pain. Its treatment includes laxatives, enemas, and pulsed irrigation evacuation (PIE) as well as digital removal. It is not a condition that resolves without direct treatment.
Frequent urge to defecate, [12] and frequent bowel movements/toilet visits, [35] where only fecal pellets may be passed. [20] Conversely, there may reduced number of bowel movements per week. [19] [1] Abnormal stool texture, which may be anything from watery/loose (overflow diarrhea), [12] to fragmented, [23] very hard [19] or pellet-shaped. [12]
Tenesmus is characterized by a sensation of needing to pass stool, accompanied by pain, cramping, and straining. Despite straining, little stool is passed. [3] Tenesmus is generally associated with inflammatory diseases of the bowel, which may be caused by either infectious or noninfectious conditions. Conditions associated with tenesmus include:
A common symptom is a continual urge to have a bowel movement—the rectum could feel full or have constipation. Another is tenderness and mild irritation in the rectum and anal region. A serious symptom is pus and blood in the discharge , accompanied by cramps and pain during the bowel movement.
Constipation is a bowel dysfunction that makes bowel movements infrequent or hard to pass. [2] The stool is often hard and dry. [4] Other symptoms may include abdominal pain, bloating, and feeling as if one has not completely passed the bowel movement. [3]
Bowel obstruction, also known as intestinal obstruction, is a mechanical or functional obstruction of the intestines which prevents the normal movement of the products of digestion. [2] [5] Either the small bowel or large bowel may be affected. [1] Signs and symptoms include abdominal pain, vomiting, bloating and not passing gas. [1]
The underlying cause may involve infection, inflammation, vascular occlusion or bowel obstruction. [7] The pain may elicit nausea and vomiting, abdominal distention, fever and signs of shock. [7] A common condition associated with acute abdominal pain is appendicitis. [8] Here is a list of acute abdomen causes:
However, instances with symptoms and signs of a bowel obstruction occur, but with the absence of a mechanical obstruction, mainly in acute colonic pseudo-obstruction, Ogilvie's syndrome. [3] In 2023 the US FDA reported gastrointestinal ileus as an adverse effect of the medication semaglutide , with frequency and causal relationship unknown.