
How to use an enema for clearing the bowel?
There are a series of steps to follow for home use:
- Before starting, warm the enema in a bowl of warm water.
- Remove the lid from the enema nozzle, holding the bottle vertically to prevent spillage.
- Add lubricating jelly to the nozzle if this is a preference.
- Lie down sideways on a towel with knees pulled to the chest.
Do enemas work for impacted stool?
Your doctor may need to remove a portion of the impacted stool manually. They may administer a soap suds enema afterward. This enema usually allows you to pass the remaining impacted stool soon after. Constipation is most often related to diet and lifestyle.
What is the treatment for an impacted bowel?
What are the treatment options?
- Laxatives. A doctor may recommend oral laxatives. ...
- Anal suppositories. Following insertion into the rectum, these will draw water into the area to soften the mass of stool.
- Water irrigation. During water irrigation, a doctor will insert a small hose into the rectum and flush the area with water, encouraging the stool to soften and break down.
Will I get an enema before a colonoscopy?
If you have been taking any kind of medication like multi-vitamins contain glucose and iron or aspirin or certain blood thinners, make sure your doctor knows about it, since these drugs may have an impact on the results of your colonoscopy. Therefore, in order to clear out your colon, you may be given an enema before the colonscopy.

Will an enema work if you are impacted?
The most common treatment for a fecal impaction is an enema, which is special fluid that your doctor inserts into your rectum to soften your stool. An enema often makes you have bowel movements, so it's possible that you'll be able to push out the mass of stool on your own once it's been softened by the enema.
Can enema clear bowel obstruction?
Enemas of air or fluid can help clear blockages by raising the pressure inside your bowels. A mesh tube called a stent is a safe option for people who are too sick for surgery. Your doctor puts it in your intestine to force the bowel open. Some people may not need anything more than a stent.
How do you soften an impacted stool quickly?
What are the treatment options?Laxatives. A doctor may recommend oral laxatives. ... Anal suppositories. Following insertion into the rectum, these will draw water into the area to soften the mass of stool.Water irrigation.
How do you get rid of impacted bowels at home?
Drink other fluids, such as prune juice, coffee, and tea, that act as natural laxatives. Eat foods that are high in fiber, such as whole wheat, pears, oats, and vegetables. Reduce your intake of foods that are high in sugar, which can cause constipation. Exercise daily to help keep your digestive system running well.
Does an enema get everything out?
Enemas are used to relieve constipation and cleanse the colon. Water- or oil-based solutions are injected into the bowel through your rectum to expel impacted waste. Mild enemas like water or saline carry the least risk, but you should consult your healthcare provider before using one at home.
What will the ER do for impacted stool?
Depending on what's causing constipation, ER treatments may include removing the stool from the rectum, enemas, laxatives, suppositories, or oral medications. Constipation can become a serious condition, and Landesman says you should never feel embarrassed about talking about your poop with your doctor.
How long does it take to clear faecal impaction?
The medicine must be continued until your child is no longer passing any hard formed stools and the stool has become consistently watery. This process may take up to two weeks, and sometimes longer.
What happens if you don't poop after an enema?
What should I do if I administer an enema and it does not work? If there is no bowel movement after 5 minutes of using, try to empty bowel. Call a doctor promptly after using a saline enema and no liquid comes out of the rectum after 30 minutes, because dehydration could occur.
How do you soften hard poop that won't come out?
Home remediesAbdominal massage. Sometimes a stomach massage can help stimulate the bowels if they're not moving enough to help stool digest more quickly. ... Drink more water. Increasing water in the digestive tract can make stool softer and easier to pass. ... Eat more fiber. ... Avoid empty-calorie, low-fiber foods. ... Exercise.
What are the signs of an impacted bowel?
The symptoms of fecal impaction include: Constipation. Discomfort and abdominal pain. Inability to eat....Severe symptoms of fecal impaction include:Nausea.Dehydration.Worsening psychosis or confusion.Diarrhea. (It may seem odd, but you may pass watery stool around hardened poop that you can't pass.)Bleeding.
Will a laxative help a bowel obstruction?
Most cases of bowel obstruction need some form of medical intervention. Treatment options for bowel obstruction can include: Medication: Opioids can lead to constipation. If this occurs, laxatives and stool softeners can help.
What is the best laxative for bowel obstruction?
In general, bulk-forming laxatives, also referred to as fiber supplements, are the gentlest on your body and safest to use long term. Metamucil and Citrucel fall into this category.
How can you tell the difference between a bowel obstruction and constipation?
Symptoms of intestinal obstruction are:Severe pain in your belly.Severe cramping sensations in your belly.Throwing up.Feelings of fullness or swelling in your belly.Loud sounds from your belly.Feeling gassy, but being unable to pass gas.Constipation (being unable to pass stool)
Can you have a bowel obstruction and still poop?
It's a common misconception that you can't have a bowel movement if you have a bowel obstruction. Some people do pass stool even when they have a bowel obstruction. Their symptoms are typically pain, bloating, and nausea. You can even have loose stools but still have a bowel obstruction.
What are the effects of enemas?
According to some enema advocates, when waste builds up in your colon over time, it leads to ailments like depression, fatigue, headaches, allergies, and irritability, and using enemas can provide relief. ). There are two main types of enemas — cleansing and retention.
What is the best enema for constipation?
Epsom salt. This is similar to a water or saline enema, but magnesium-rich Epsom salt is said to be more effective at relaxing bowel muscles and relieving constipation. Sodium phosphate. This is a common over-the-counter enema that works by irritating your rectum, causing it to expand and release waste.
What is an enemas injection?
Enemas are rectal injections of fluid intended to cleanse or stimulate the emptying of your bowel. ). Enemas can be administered by a medical professional or self-administered at home. This article reviews different types of enemas, as well as their potential benefits and health concerns.
Why do you need an enemas before surgery?
Enemas may also be prescribed to flush out your colon before certain diagnostic tests or surgeries. Your bowel needs to be empty before these procedures to reduce infection risk and prevent stool from getting in the way.
How long do you have to hold a bowel enema?
Retention enemas. Retention enemas are designed to be held in your bowel for an extended period — usually a minimum of 15 minutes — before being released. Retention enemas may be water- or oil-based, which softens the stool and makes it easier for your body to expel. Coffee.
What is a cleansing enema?
Cleansing enemas. Cleansing enemas are water-based and meant to be held in the rectum for a short time to flush your colon. Once injected, they’re retained for a few minutes until your body rids itself of the fluid, along with loose matter and impacted stool in your bowel. Water or saline.
How did Epsom salt enemas cause death?
For instance, there have been reports of Epsom salt enemas causing death from magnesium overdose. In another case, an older man died from severe electrolyte disruption caused by taking two sodium phosphate enemas ( 3, 15, 16 ).
How long does it take for stool to soften after enema?
After the enema is administered, patients usually wait a few minutes for the solution to mix and soften the stool. A massage of the lower abdomen can help the process until the patient voluntarily releases the impacted stool and solution. The process can be repeated until the symptoms are clear.
What is the best treatment for an impacted bowel?
Impacted Bowel: Symptoms, Causes, Treatment. When it comes to treating an impacted bowel, medical help is the best remedy. But you can take measures to protect yourself from future episodes. University Health News content is medically reviewed or checked to ensure that it is as accurate as possible.
How to treat a bowel impaction?
How to Treat an Impacted Bowel and Constipation. The first treatment for bowel impaction may be to soften the stool with an enema so it can be removed or passed out of the body. In most cases, your physician may be able to manually disimpact the stool.
What causes impacted bowels?
It’s important to check with your doctor if you are suffering from what you believe to be an impacted bowel. Other causes include: Constipation that goes untreated.
How to avoid impacted bowel issues?
The best way to avoid impacted bowel issues is to make sure you don’t become constipated, taking these steps: Drink plenty of liquids daily to reduce your risk of dehydration. Consume more high-fiber foods (such as whole-wheat bread, oats, and vegetables) to promote regular bowel movements.
How to remove stool from rectum?
This process, according to an article in Clinics in Colon and Rectal Surgery, involves inserting a lubricated, gloved index finger in the rectum to gent ly soften and break up the stool. The physician’s finger, bent slightly, can then remove and extract the stool.
How do you know if you have an impacted bowel?
The most common (and obvious) symptom of an impacted bowel: Being unable to have a bowel movement no matter how hard you try, with accompanying pain in the abdomen or back. Other symptoms include: Leaking of watery stool, especially when you cough. Nausea.
What does it feel like to have an impacted bowel?
nausea or vomiting. feeling the need to push. a headache. unintentional weight loss. a feeling of fullness and not wanting to eat. People should seek treatment as quickly as possible if they suspect that they have an impacted bowel. Without treatment, symptoms can become more severe and may include: rapid heart rate.
How to prevent fecal impaction?
avoiding alcohol. using the bathroom when the need arises rather than waiting. While it is not always possible to do so, avoiding the use of laxatives and trying to prevent constipation will lower the chance of a person experiencing fecal impaction.
What is fecal impaction?
Fecal impaction disturbs the normal gastrointestinal process in which digested food passes from the stomach to the intestines and then into the colon and rectum. Without treatment, fecal impaction can cause severe damage. Therefore, people experiencing any of the symptoms should visit their doctor as soon as possible.
How does laxatives affect the colon?
Repeated and excessive use of laxatives affects a person’s colon. The body becomes dependent on the laxatives to help with bowel movements. As a result, the colon becomes less able to perform this process naturally.
How to help a person with constipation?
However, a person can adapt their food choices to help keep their bowel movements regular and avoid constipation. A diet high in fiber can aid regular bowel movements, and natural laxatives such as tea, coffee, and prune juice may be beneficial if a person feels constipated.
Why does aging cause fecal impaction?
Lack of mobility. A lack of mobility due to injury or aging can weaken the abdominal muscles and reduce colonic mass movements. This impairs the body’s ability to pass stool on its own and could result in fecal impaction.
Can you buy laxatives over the counter?
These make the colon produce more water, which softens the mass, allowing the body to pass it through and excrete it. Laxatives are also available to buy over the counter.
What is the best treatment for impacted stool?
Laxative for impacted stool: Common types of laxatives that are used as impacted stool home remedy work by: lubricant stool softener laxatives such as mineral oil that work by lubricating and coating the stool with moisture and water. Softening the stool may help to release the hard impacted stool. To learn more, see: mineral oil for impacted stool.
What are the symptoms of impacted bowel?
Impacted bowel symptoms. Impacted bowel symptoms include constipation with constant urge to push in order to make a bowel movement. When the feces become hard, the impacted colon makes it hard to make a bowel movement. Impacted bowel symptoms may include: Abdominal bloating, abdominal pain. Nausea. vomiting.
How does oxygen help the colon?
Oxygen colon cleanse ( Oxy-Powder ®) releases oxygen in the entire digestive tract and intestines to soften and loosen dry impacted stool and hard waste buildup so they can be flushed out naturally by the body through normal bowel movements.
Why is impacted stool important?
This is very important in order to avoid severely impacted bowel or chronic fecal impaction. The objective should be to get rid of impacted stool for good, and have a healthy digestive function with normal bowel movements.
What to do if you have fecal impaction?
If you have chronic constipation or think you may have fecal impaction, you should consult your doctor. Impacted stool diagnosis typically include a physical exam of your abdomen, and blood work. Additional tests may include: X-ray of the abdomen, ultrasound or CT scan.
What are some medications that slow down the digestive system?
Medications that slows down digestive tract function such as pain medications, anticholinergic agents, calcium channel blockers, antacids, and iron supplements. Laxative abuse can lead to laxative dependency, which is the inability to make normal bowel movements without the use of laxatives.
Can you do a water enema before a bowel movement?
If are familiar with enemas, doing water enema may provide a quick relief. On the other hand, if you have never done enemas before, you may want to consider other less invasive options.
What is impacted bowel?
An impacted bowel, also called a fecal impaction, is a blockage in your colon caused by prolonged constipation. This sounds serious, but it’s a treatable condition with an excellent prognosis. Your doctor can remove the blockage using a variety of methods, which alleviates your discomfort.
What is bowel impaction?
A bowel or fecal impaction requires treatment by a doctor, so make an appointment as soon as you suspect you have one. Since bowel impaction can be caused by serious conditions, such as obstruction or bleeding, it’s important that you have it checked out right away.
How to get rid of a blockage in the intestine?
Take stool softeners as directed by your doctor. Before taking further steps, your doctor may try to induce a bowel movement with stool softeners. These draw more water into your large intestine to try and dislodge the blockage. Take the medication as directed by your doctor as a first step in treating the impaction.
How long does it take for stool softeners to work?
Common directions for stool softeners are to take the medication with a full glass of water and expect a bowel movement within a few hours.
How to tell if you have an impaction?
Let the doctor examine you to see if you have an impaction. Testing for an impaction usually starts with the doctor questioning you about your symptoms. They will then feel around your abdomen for bloating or hard spots. The doctor may also give you a rectal exam to look at the impaction, if you have one.
Can you have diarrhea if you have a blockage?
You may also experience diarrhea occasionally as liquid stool goes around the blockage.
Do enemas cause pain?
Enemas are a routine medical treatment and do not cause pain. You may find it uncomfortable, but there’s nothing to be afraid of.
What to do if you have fecal impaction?
Call 911 immediately if you have trouble breathing, a fast or irregular heartbeat, or are dizzy or confused. Diagnosis.
How to prevent fecal impaction?
Stay active, even if you just go for a daily walk. Drink plenty of water and eat high-fiber foods to keep your bowels regular .
What happens if you take laxatives too often?
If you take laxatives too often, you could keep your body from “knowing” when it’s time to have a bowel movement. Your body will be less likely to respond to the urge to go, and stool may build up in your colon or rectum. Continued. Other medicines.
Why do elderly people have fecal impaction?
Fecal impaction becomes more likely to happen when you’re elderly. There are a few common reasons why you could have this problem: Constipation. Fecal impaction can sometimes develop if you’re constipated -- meaning you have the urge to make a bowel movement but can’t follow through -- and don’t receive any treatment.
Can opioids cause fecal impaction?
Other medicines. Some opioid drugs that treat pain can slow down your digestion, making stool more likely to build up in your colon. Activity level. If you’re not active, you’re more likely to be constipated and have a fecal impaction than people who move around during the day.
What to do if you have impacted stool?
Follow up. When the impacted stool is completely cleared out, your doctor may start you on a laxative regimen to prevent constipation and another impaction. They may also suggest further testing or procedures to look for underlying conditions.
How to prevent fecal impaction?
This includes being aware of your medications can cause constipation, and talking with your doctor if you begin to notice constipation symptoms. Increasing fiber intake and drinking plenty of water may help prevent FI recurrences.
Why does stool press on the intestinal wall?
Stool pressing on the intestinal wall also causes inflammation that may cause liquid secretion by intestinal wall tissue.
Why does fecal impaction happen?
Causes of fecal impaction. Fecal impaction is often caused by untreated chronic constipation. As you get constipated, stool may start to collect in the colon. Because the colon takes water and salts out of stool, this stool collection may harden. This can disrupt the normal movements of the colon that push stool through, ...
What is the next step in stool evacuation?
The next step may be to evacuate the stool with a combination of enemas and oral laxatives. An enema is an injection of fluid into the rectum. Rectal enemas are usually given first. That is followed by an oral laxative (usually polyethylene glycol). How long this takes depends on the size of the stool mass.
How do you know if you have a hard stool mass?
You may have abdominal pain and your abdomen may be swollen. You may be able to feel a hard mass (the hardened stool) in your lower abdomen if you press it with your hand.
What causes a child to pass a stool?
Abnormalities of the anus. Hirschsprung’s disease —a congenital neuromuscular disease that affects the colon and causes problems passing stool. Spinal cord injuries. Certain medications. Children with fecal impaction are usually treated with oral laxatives, enemas, or suppositories.

Overview
Symptoms
- The most common (and obvious) symptom of an impacted bowel: Being unable to have a bowel movement no matter how hard you try, with accompanying pain in the abdomen or back. Other symptoms include: More serious symptoms that could require immediate medical attention include:
Causes
- One of the most common causes of an impacted bowel is an overuse of laxatives. Higher doses and repeated use can make the colon less able to naturally respond to the bodys need to have a bowel movement. When taking laxatives on a regular basis, your body may adjust itself and begin to depend on these laxatives in order to make a bowel movement. Ins...
Diagnosis
- If you have persistent symptoms of constipation and/or the main symptoms of an impacted bowel have become more severe, see your doctor. He or she may perform one or more tests to determine the severity of your fecal obstruction symptoms. For example:
Treatment
- The main treatment for bowel impaction involves softening the stool so it can be removed or passed out of the body. If the bowel is palpable, your physician may be able to manually disimpact the stool. This process, according to an article in Clinics in Colon and Rectal Surgery, involves inserting a lubricated, gloved index finger in the rectum to gently soften and break up the stool. …
Prevention
- The best way to avoid impacted bowel issues is to make sure you dont become constipated, taking these steps: