Concurrently the obstructing stool mass leads to increased secretions in the upstream colon. The resultant rectal dilatation leads to smooth muscle relaxation of the internal anal sphincter. lorazepam 2 mg by mouth or by intravenous injection or midazolam 2 mg by mouth or by subcutaneous injection). Fecal impaction is a sequela of long term constipation, whereby a hard fecal mass in the rectum prevents defecation from occurring. This procedure requires premedication with a benzodiazepine (e.g. If spontaneous defecation does not occur, the feces may have to be removed by digital manipulation. If the feces are hard, an arachis oil enema should be given in the late evening and retained overnight, followed by a bisacodyl suppository (10 - 20 mg) in the morning and a saline enema. ![]() It can be divided into three basic categories: watery, fatty. If the feces are soft a bisacodyl suppository (10-20 mg) should be given, followed by a saline enema 2 hours later. Chronic diarrhea, defined as a decrease in stool consistency for more than four weeks, is a common but challenging clinical scenario. This happens when watery stool leaks around hard stool into the rectum. The solutions, Goldstein said, are no different than solutions to constipation from other causes: Monitor your bowel movements, talk to your doctor about changes or pain, and try to get ahead of the problem with. This is called paradoxical diarrhea or overflow diarrhea. The second is called 'overflow' or 'paradoxical' diarrhea, or when you're constipated but liquid stool seeps out around the blockage. Treatment depends on whether the feces are soft or hard: Can you have constipation and diarrhea at the same time Diarrhea and constipation possible at the same time. ![]() Laxatives should be stopped for 24 hours and then restarted at one-half to three-quarters of the original dose. ![]() If diarrhea occurs during an adequate constipation treatment (non-drug measures and laxatives), the patient should be reassessed (including rectal examination) to exclude fecal impaction and intestinal obstruction. The aim of treatment of uncomplicated constipation is to restore the patient to a pattern of defecation that relieves symptoms.
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