If your stools remain hard, try using an osmotic laxative in addition to – or instead of – a bulk-forming laxative. If your stools are soft, but are still difficult to pass, try taking a stimulant laxative in addition to a bulk-forming laxative.
The fastest-working oral laxatives include mineral oil, saline laxatives (like magnesium hydroxide and magnesium citrate), and stimulant laxatives (like bisacodyl and senna tablets). Common OTC products in this group include Milk of Magnesia, Dulcolax, and Senokot.
A provider will need to insert one or two fingers into the rectum and slowly break up the mass into smaller pieces so that it can come out. This process must be done in small steps to avoid causing injury to the rectum. Suppositories inserted into the rectum may be given between attempts to help clear the stool.
When you have a fecal impaction, you'll need to have the hard mass of stool removed from your colon or rectum to get better. It won't go away on its own, and it can lead to death if it's allowed to worsen.
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.
A doctor may recommend oral laxatives, such as polyethylene glycol (MiraLax) or bisacodyl (Dulcolax). A person should take the tablet as the doctor, pharmacist, or instruction leaflet advises. Polyethylene glycol comes as a powder to dissolve in water or another drink.
Fill a bucket with hot water. Carefully pour the hot water into the toilet to dissolve the liquid, bar soap or baking soda. The soap or baking soda and vinegar combination should quickly begin to unclog the clogged toilet drain by helping the clogged object start sliding down the pipes.
These treatments include using liquids or air (enemas) or small mesh tubes (stents) to open up the blockage. Surgery is almost always needed when the intestine is completely blocked or when the blood supply is cut off. You may need a colostomy or an ileostomy after surgery.
Identifying Bowel Obstruction Symptoms
Most people affected by a bowel obstruction are unable to pass gas or have a bowel movement, and may have a swollen abdomen. Infrequent bowel movements or hard stools usually do not indicate obstruction.
Pain in your abdomen and/or lower back. Feeling like your abdomen is swollen (bloated). Having the need to poop but can't. Stomachache like you're full and/or have a loss of appetite.
“It would be an emergency if you hadn't had a bowel movement for a prolonged time, and you're also experiencing major bloating or severe abdominal pain,” notes Dr. Zutshi. Slight symptoms will not take you to the emergency room. You should go to the emergency room if your symptoms are severe.
What is fecal impaction? Fecal impaction is a complication of chronic constipation. Eventually, your long-term constipation can lead to a large lump of dry stool getting lodged in your rectum. This stool is difficult to pass, but it can also lead to severe complications if untreated.
A fecal impaction or an impacted bowel is a solid, immobile bulk of feces that can develop in the rectum as a result of chronic constipation (a related term is fecal loading which refers to a large volume of stool in the rectum of any consistency).
Dulcolax® Liquid Laxative works faster than MiraLAX. Dulcolax® works in as little as 30 minutes (30 minutes to 6 hours) while MiraLAX works in 1–3 days (based on product labeling).
Stimulant laxatives such as Senokot (made from senna pods) and Dulcolax (active ingredient: bisacodyl) are the fastest-working oral laxatives, with overnight results.
HOW LONG WILL MOVICOL® TAKE TO WORK? Don't be concerned if MOVICOL® does not work immediately. MOVICOL® usually takes 1 to 2 days to trigger the first bowel movement.
Enemas: fluid (usually water and salt) flushed into the rectum can loosen a mild impaction and trigger the reaction to pass stool. Suppositories: laxatives inserted into the rectum that can soften the impacted mass and promote passage.
Will Drinking Water and Other Fluids Cure Constipation? Extra fluids help keep the stool soft and easy to pass, but drinking more liquids does not cure constipation.
Blockage or obstruction: Several things can cause a blockage in the colon, rectum, or intestines. Certain cancers, including colon, rectal, or abdominal cancer, can press on the colon, blocking stool movement. Another condition that can cause obstruction is anal fissures.