disimpaction

Most often manual disimpaction is performed without general anaesthesia, although sedation may be used.

Initial disimpaction was accomplished in the clinic.

Consider use of rescue analgesics before disimpaction.

Anterior shoulder disimpaction ( pressure)

In health care, such as nursing care, digital rectal procedures (e.g., digital disimpaction)

Constipation that resists the above measures may require physical intervention such as manual disimpaction (the physical removal of impacted stool using the hands; see Fecal impaction).

Distal or sigmoid, fecalomas can often be disimpacted digitally or by a catheter which carries a flow of disimpaction fluid (water or other solvent or lubricant).

Our treatment of chronic constipation consisted of education, faecal disimpaction, prevention of future impaction, and promotion of regular bowel habits, and finally toilet training of the preschool child.

In cases where enemas fail to remove the impaction, polyethylene glycol can be used to attempt to soften the mass over 24-48 hours, or if immediate removal of the mass is needed, manual disimpaction may be used.

Some diseases, such as Chagas disease, Hirschsprung's disease and others damage the autonomic nervous system in the colon's mucosa (Auerbach's plexus) and may cause extremely large or "giant" fecalomas, which must be surgically removed (disimpaction).