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What to Do When You Have Impacted Stool

Never a comfortable topic to discuss, but it's good to have some idea of what to try if you or a loved one ever experiences hardened stool that won't come out on its own.

First, it's vital to remember that whenever you have the urge to have a bowel movement, it's best that you relax rather than try to force stool out with exertion.

Conscious relaxation is necessary for optimal function of your internal anal sphincter muscle, which is a ring of smooth muscle that helps keep your anal sphincter closed when you're not having a bowel movement, and also helps push stools out during defecation. Your internal anal sphincter muscle is entirely involuntary, meaning that it works without your conscious input. By consciously straining to eliminate stools, you can actually disrupt the natural activity of your internal anal sphincter muscle.

This is not to say that you shouldn't strain at all when having a bowel movement. Surrounding your internal anal sphincter muscle is your external anal sphincter muscle, which is under voluntary control; when you bear down, this is the muscle that you are using to generate momentum for defecation. When stools are healthy, you don't need to generate momentum for a bowel movement by contracting your external anal sphincter muscle, but when stools are harder than they should be, it can be helpful to consciously contract your external anal sphincter muscle to get things moving. The key is to stop consciously contracting and to relax once stools begin to pass, as this allows your internal anal sphincter muscle to contribute to expulsion of feces.

With all of that said, if hardened stool is stuck as it is exiting your anal sphincter, it can be helpful to apply a natural lubricant around your sphincter. It isn't a glamorous thing to do, but over the years, I've actually had a handful of parents successfully use this technique to help their young children pass hard stools that were firmly wedged in place.

While wearing a disposable glove, beyond lubricating the anal sphincter with a natural lubricant like coconut oil, it might also be necessary to use a finger to manually remove bits of stool. By generously lubricating before you do this, you can reduce risk of creating an anal fissure.

This is one of a few reasons why I think it's a good idea to keep a box of disposable exam gloves around. The kind that I keep in my office can be found here:

SafeTouch Nitrile Exam Gloves, Non Latex, Powder Free

Back when I ran our residential fasting program, I would sometimes have to manually disimpact people who were severely constipated, as extended water-only fasting can lead to even further hardening of stools, so it's always best to try to have a solid bowel movement before embarking on a long water-only fast. Most of the people that I had to do this for were sufferers of chronic constipation, and usually had weakened smooth muscle tone for a variety of reasons.

Regular intake of highly processed and refined foods - typically those made with flour and sugar - is arguably the most common cause of chronic constipation.

Regular straining to try to force hardened stool out invariably leads to weakened smooth muscle tone in the lower colon.

And resorting to regular use of enemas is often the final step that leads to significant loss of smooth muscle tone in the anal, rectal, and lower large intestinal regions.

The good news is that I have seen people who were completely dependent on enemas to have bowel movements restore full motility. This kind of reversal doesn't typically happen within a few days; it takes weeks, months, or sometimes even years of allowing the smooth muscles that line your colon to recover optimal tone, which requires improvement within your enteric nervous system, a portion of the autonomic nervous system that regulates your bowel movements.

For more suggestions on how to have healthy bowel movements and a healthy colon, please feel free to review::

6 Tips for Overcoming Chronic Constipation Naturally

 
 

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Comments

Oh my goodness. Why didn't you just give your impacted patients some Docusate? Next time, you might want to do what I did, as follows:

Anyway, I had this problem once. I don't know the cause, must've eaten something odd; but "it" was hard as a rock I just couldn't go. I was getting scared; it had been 3 days where pushing like crazy didn't do a thing. Probably made the situation worse. The solution was to put a hot wet facecloth down there, ie., hot compress, for several minutes, over & over, and voila. The deed was done.

An impaction means that the stool has solidified and hardened and NO amount of pushing will ever dislodge it. It is stuck in the anal canal. My mother suffered a stroke and I had to disimpact her on a regular basis. There are also illnesses where constipation is a recurrent problem, nothing moves. Docusate and other pills frequently do not work at all. This is an excellent article. Thank you Dr.Kim

I just passed the most stubborn turd I've ever encountered.
I didn't rub lube on it. Just pushed until I myself a headache.
One of the most rewarding poops ever.

I frequently have stubborn stools, ones that are hard/dry/thick and just don't want to come out even though I have to go really bad with a strong urge. I always carry disposable gloves in my purse as I travel a lot for my job. In public restrooms I can be discreet with the gloves on and reach down and help it along (I know it sounds gross). And yes these are quite rewarding poops when they finally come out.

I used to 'put it off' for around four weeks when I was a child. As a teen, before I used an enema (which is rare), I had to try very hard, and often had burst blood vessels on my face, around my eyes mostly, due to the build-up in pressure.

After I moved out of a house where I regularly argued, my BM's changed drastically, and I've only had to use an enema once since then. It did take them months to get back to normal, but considering that I had been dealing with it for so long, it seemed like a quick change.

On a daily basis I take pain medicine which causes constipation also, I have IBS and all my life suffered with constipation. I have one or two bowel movements a week but must use laxatives and stool softeners. Today,I was freaking out as I couldn't go.I tried so hard and after several attempts and several enemas I remembered I had a water bag that had a tube on the end which I inserted the tube and water in my rectum and used the tube to help loosen the impacted stools and finally was able to go to the bathroom. This scares me that as I get older I won't be able to do this on my own. I have had to go to the ER for this and I know they don't like having to deal with it anymore than I do! Trust me, the ER is my last option!! What am I to do when daily stool softeners and laxatives don't help? When I pooped today, it looked like it was two feet long and as big around as a two golf balls!

I just went through this heinous ordeal,I take pain medicine for a herniated disc,and I'm on a keto diet I ran out of salad for the last couple of days but I finally found the port salute cheese I love so much I bought a six ounce chunk and nibbled on it for most of the day.I ate the whole chunk of cheese,and some roast beef for two days with no fiber. I tried to go that night and it wasn't happening I pushed so hard I thought I was going to stroke out and prolapse my colon.I thought damn this no way to go out,I dont want to be found on the bathroom floor with my colon and poop pushed halfway out, so I waddled over to the other bathroom where we have a bidet with heated water and a pressure switch,I set it to max pressure and heat, and aligned the nozzle and voila by far the biggest turd I ever crapped and hard as a rock. The hot water makes it stink but it works!

Look up and try Scott Olsen PoopDoc

I have this problem. Was it painful? I'm tempted to go to the doctors and have it removed. It's getting BAD

Mine is getting bad too. I need it removed but I am scared of the cost.

I did the hot towel thing and it work. It really worked. Thank you so so so much!!!

Really a hot towel? How simple, love simple things especially when it's about going #2 and getting that out without any problems. Good for you. I hope this works for me and I will try anything

I've been having this problem too but I have miralax and I've been taking that for 2 days now it's not been working as much it will come out liquid and then the hard stool will just stay there it hurts to push but I know if you push to hard you can wreck your rectum that is something I don't want to do. I need something that will help me go to the bathroom and I've been eating fiber it's just not passing through.

Hi, Brittney. Glad it worked for you! Not saying it's for everybody all of the time, but if you are basically healthy with no serious muscular diseases, it sure is worth a try. - Henriette.

Thank you soo much for this tip...I am 1 week post op from a hysterectomy so not allowed to do much straining..I have been having troubles using the bathroom last few days and today was bad until I came across your tip and it worked getting that one dislodged!

THE TOWEL THING WORKS! I spent nearly an hour trying to get poop out and I even had to wear gloves to reach in there to try to break the piece that was lodged and it didn't work. So I brought in a laundry basket and set it upside down so that I could prop both of my feet on it so that they my knees were close to my chest while I was sitting on the toilet (basically I was trying to emulate squatting position). And while I was in this "squatting" position, I used a hot towel compress on the rectum area and HALLELUJAH... the poop came out in about 5 mins of doing this!

Proping the legs up to a squaring position and the hot towel sounds like the best idea I've read. My husband has been in the hospital for 12 days with No bowel movement. All they have tried are over the counter laxatives with no help. In a rehab, with no movement. Thank you for the POSITION IDEA. Funny, TV show "2 1/2 Men" -one man used a stool daily & it became a joke on the show, however I think YOUR advice sounds like a winner❗

My 4 year old poop was stuck for over in hour. I saw your post about the hot water /steam to loosing the poop, it worked within five minutes! T
Thank you!

Thank you so much I was panicking so much when I came to such a problem and that pretty much solved it after 5 minutes of applying an amount of warm wet toilet wipes I pooped and never felt better

OMG I'm so grateful for this forum...I was literally stuck on the toilet for 2 hours about to pass out from exhaustion from all the straining. I was home alone and my husband was out of town so I just started with the most feasible solutions. I called the triage nurse at the emergency room she said to go get medicine but there was no way I could drive myself so I resorted to looking up other solutions. I tried the lube using some sex lube and a glove and I felt how big that piece of stool was I would be in there forever trying to break it up. So I resorted to the warm towel compress and after about 3 minutes...WA-lahh. OMG thank you Jesus that was so horrible. Anyways good luck to anybody else who has to go through this. Try the warm towel it works!

I am going through this right now. As soon as i get home i will most definitely be doing this. Its been very painful for the past 3 days with no solutions

I have this instance maybe once a year and this time I didn't see i coming. I'd caught the flu for 2 weeks then one week after I was better I got food poisening! I think I got so dehydrated from all the meds and ibuprofen which I do not take hardly ever. Im super active and workout 4-5 days a week. I literally cant do anything right now. Had to leave work early cuz I could feel it impacted. I felt dizzy and nauseas just horrible. I took a hot bath, used lube and unfortunately drank mineral oil which just created a flood and a dam! Broke up as much as I could but its like a baseball! Ran out of gloves so after I get home from work tonight Im going to try this hot towel! Fingers crossed! This is so miserable!

What exactly am I supposed to do with the hot towel- just hold it under my rectum??? My stool hurts when it moves down...is that normal? I tried to use a enema but couldn't put the lube in far enough and it burned. HELP!

I apologize but I don't quite get the warm towel thing, WHAT EXACTLY ARE YOU SUPPOSED TO DO WITH IT? pls somebody help me i feel like crying already

You're not alone! I'm 24 and since I was 23 have been having this issue. Mine have been like rabbit droppings my whole life. I suspect IBS but never bothered going to a doctor about it, had a tapeworm when I was young and that was embarrassing enough. Have to physically do the glove method almost every time but since I began doing it I find I have to reach further and further in. It's now getting to the point where this method can't work anymore as I can't push it far down enough. Determined not to see a doctor about it despite having prolapse too but please think twice about this before you start using the glove method as have found it may be making things worse over time.

I tried the face towels didnt work but I think helped somewhat I then did a Salt Water Flush and that got rid of mine, make sure to lube up before.

Thank so much for this, we need more ppl like you. I'm not ready to or comfortable touching my butt while trying.

Oh wow...thanks for the hot rag idea...it worked like a charm had to put on gloves and help break it up a little bit after about ten minutes of hot rag and little finger guidance I'm so relieved.. the most rewarding bowel movement ever..thank u so much for idea...

I learned a while ago that our annus and rectum are not lined up when we sit down. So having a bowel movement in that postition generally requires some pushing. In the beginning of time people squated to do their deed ;) But since the invention of toilets we all sit down now. But if you can put a 'wooden block' or stool in your bathroom and raise your legs close to your buttocks while you go, it makes the movement much smoother as that mimics the 'squating' position, doing a better job of lining up the annus and rectum. Dr Kim, you know the human body well, this works for me and all my family members, would you agree with this?

Ihave to agree with you, I have had this problem recently for the first time and took your advice, and placed a plastic bag on the floor and squatted, I noticed movement but it took to long so i place my arms behind me and lent back, arms holding me up, the motion came and the relief, I had not realised how much had been trapped in there. Thanks for your advice.

Nothing beats squatting. After trying to remove bits and pieces with a gloved hand lubricated, which took me forever, I placed plastic and tissue on the floor, squatted, and viola....So much relief.

We have many men from India working at my work. One time someone didn't use the toilet, I found it amusing. Then once I was out for a long hike and needed to go, dug a little hole and it's just so natural. Don't forget about the squatty potty, easy to make your own, I just kept pulling the skillsaw out until I got mine set to the right height and use it pretty often now. Get more soft vegetables into your diet.

Awesome advice. I just tried this and it came out immediately!!!! It was huge and I never would have gotten it lose without that trick!!!! Thank you so much

I know someone who is completely dependent on enemas and wont have a bowel movement for up to a month or more. It is very scary, I want to help them before this kills them but their smooth muscles are apparently very weak. Once they do have a bowel movement they can continue having a normal bowel movement for about a week or two but then it builds back up. Laxatives, fiber, and different diets don't help. Multiple doctors continue to give those same methods as advice but they don't help. What can this person do to gain back smooth muscle strength, otherwise I fear the worse. They are only 21 :( Please Help!

i have been completely dependent on colonoscopys. What i mean is.. sometimes i go only 1 WEEK without a bowel movement and im backup. What i mean by backup is i have a stool stuck in my butt, THAT even with an enema, magnesium centrate, go lytly, miralax, any laxative u can think ... nothing budges the stool that wants to come out, but its like my anal says NO ! I usually am admitted threw the e.r and a doctor does a colonscopy and removes the harden stool... that seems to be the only thing to help me relieve ; because i can NOT do it on my self. I pray to find a doctor that can help me with my problem . I am 24 and been dealing with this since 7 years old. I am tired and disgusted. I want a regular life :(.

You should really check into colon hydrotherapy, also known as colonics

Try a vegetarian diet with raw fruits and vegetables for one month and notice the difference. Your stools will be normal again. Juicing is also important; juice raw beets, celery, carrots, cucumbers, dandelions, turmeric, and ginger. Best of luck.

Christine, you may also explore other options like fennel, cardamom, and Carica papaya.. good to have people using nature's gifts.. might as well share the herbs that were effective for my chronic constipation. Take care :)

Try to avoid eating breads, rice, potatoes and pastas as they build bulk.

I'm so glad to have found this website. I'm right in the middle of my problem and I well understand what some of you have gone through. I normally take Konsil every day and for some reason quit doing it. And now I'm paying the price. A few years ago I had an anal fissure and thought it was hemorrhoids. When the doctor told me what it was I wanted to cry. I did not want to have surgery because the results would be questionable. That's when I started using Konsil on a regular basis. This product has more fiber per teaspoon than any of the other products. If you use it make sure you drink lots of water with it.

Try taking 2 fiber gummies a day and it will regulate you and no-whey one percent milk. That works for my daughter.

Thanks to my prior colonoscopy, I found out that a 32 oz of Gatorade and 7 doses of Miralax does the trick. I've done that the last two times when I have been plugged up and it works. I have a muscular disease so I'm not too sure this will work forever. I really hate having constipation especially when I work for a very uncompassionate boss.

I too suffer. I don't go poo for upto 11-12 days and is scary. I get regular bouts of peritonitis and need hospitalisation for intravenous antibiotics and aeveral doses of antisickness injections. Mine is worse since ive been taking morphine for other chronic pain illnesses. Ive no miracle cure to share but totally sympathise with all who suffer.

I hope you are better. In case you didn't know, pain medications like the morphine you were taking causes constipation. If I had to take a lot of antibiotics I would start taking a probiotic with it too. I have chronic pain in my spine and was greatly helped by radio frequency ablation instead of taking pain medication. Maybe your pain management doctor can find some non-medicine relief for you and your bowels might regain health. Good Luck to you!

Not having regualr bowels is not something you want to brush aside. My daughter is 13& she suffered the same issue. I had Dr.'s telling me about Fiber, regular diet& exercise. Regular fiber intake is critical. Sprinkle Benefiber on your food or mix in drink; it's tasteless. Also, sit in the bathroom everyday giving yourself time to go along with cutting out processed foods & sugars & replacing with foods/ fruits rich in protein and fibers. You don't want to end up like my aunt. She actually died from colon cancer. She never took it seriously that she rately moved her bowels until it was too late. Also, get in with a Gastroenterologist. Take this very seriously because you could die!

Anybody with constipation issues should find a doctor that will do an iodine load test. Iodine has been removed from bread and animal feed. The removal has caused people to be hypothyroid. The thyroid gland needs iodine to be able to produce thyroid Hormones. Without a proper functioning thyroid gland the colon doesn't have the strength to do peristalsis.
Research iodine supplementation because it might be the answer for not needing enemas.

I had my thyroid removed several years ago , I have been off my thyroid hormone replacement medicine for a few days and now I'm in the process of squatting with a hot towel down there hoping something I have read on this page will help. I'm wondering if this is happening because I have missed taking my thyroid medicine. Either way this is painful and I'm not going to miss taking my medicine any more just in case that's the issue.

Drink lots of water.

had this happened for the 1st time in my life.. always been healthy... I wanted to go poop and the "poop" was there ready to come out but it woudn't.. i didn't pay much attention to it bc it never got to a "serious" level but after 30 min nothing.. i started getting nervous and it got to the point where I was in the toilet unable to move, not move. i wasn't alone so i got some meds.. i wouldn't had been able to do anything if i woul'da been alone. I got laxative which it did nothing, and had a rectum liquid that did the job..
im eating a better diet and exercising again.. i don't want to go through that ever again..

I was classified as constipated since 3 years of age and usually pass one hard round table tennis ball of poop once a week until when I was 25 yrs old when I found out that 8 to 10 pints of beer gave me relief the following morning. This lasted a few years and I went back to once a week poop until recently when I took herbal slimming tea to soften my stool, but still had to agitate my lower belly and strain strenuously to get relief. From my IPad (safari) I now realize that my condition is due to intusussception which is enveloping a part of my colon ( like a telescope).i am now 84 yrs old and healthy, but have decided to live with it for whatever years I have left. I hope my comments can help younger people who have my ailment.

Thank you so very much for your beautiful comment. I see that I am several years late commenting, but I feel that your comment and advice was not only very useful but courageous. Thank you and may God bless you

Hot shower was the best solution for me. Bend over and just let the water flow, push when the urge strikes. You are in the shower and can clean it later if needed. You will know when to step out to use the toilet though.

Hope this helps. ;)

I usually come across this problem and it is a bit frightening. However, one could apply pressure at the base of the spinal cord between the anus and the base of the spinal cord using a finger. This helps to constrict the size of the poo. Movement is then restored without further damage.

Brilliant. Happily I do not have a long term problem with constipation, but I did not have a motion yesterday and today I could feel the strong urge to go, but nothing would come. I was sitting on the toilet for about half an hour and occasionally stood up and twisted my body about a bit as I thought that might get things going - but no result. I then got out my phone to look on the internet for a solution, - going to the pharmacy to buy medication was out of the question. I tried your suggestion of pushing with my finger between the base of my spine and my anus and could actually feel the hardened stool. Then it came out like a rocket before I could sit down again. I think there was a hardened plug near my anus and the rest was a reasonably soft consistency (apologies for the graphic description). Great relief but a bit of a mess. Make sure you have plenty of toilet paper and wet wipes to hand, and you will probably want a shower afterwards. Your advice was so simple and very effective for me, Thanks.

Oh my goodness. Thank you all for your posts. I endured it, but was very close to going to the ER.Here is what worked for me. After pushing for an hour, trying to manually remove small amounts at a time, I began to have some mucus type sepage and a lot of pain. I found some glycerin, KY jelly for lubricant.Didnt work then either. I drank about 2 cups of milk as I am generally lactose intolerant.Tried taking a long hot shower as I was getting nervous to the point of shaking At this point, I couldnt urinate,
Which I suspect pressure on my ureter. (I was NOT dehydrated, I suspect this was a bad combo of phenergan and hydrocodone I had taken for muscle spasm/ neck injury).Sent hubbie to WM for 2pk Fleet saline enemas. .I laid down in the tub on top of the plastic bathmat and tried the enema. I suspect I had a tear, because it was burning a lot to use the enema.I took the previous post advice to use two fingers in a V formation, I supported the external muscle my pushing towards my body externally. I had a hand held shower massager with warm water nearby to spray the anal area to relieve the burning while insering and apllying the saline enema. I probaly had torn tissue from pushing. After emptying the first enema, I refilled it with warm water and used that also. Within 15 to 20 minutes, the intestinal pressure pain really became intense .And finally the involuntary muscle kicked in and had as someone else posted"the best poop of my life" The immediate relief was almost orgasmic. I pray that is the first and last time I ever have an impacted stool. Gross, without a doubt, but if you live long enough, painful and gross things happen. Two lessons learned, No amount of straining will help, and get in the tub lie down when you use the enema . Wary today that it doesn't happen again. Vowing to take better care of my diet and fluid intake so it NEVER happens again!

I have had impacted stools once or twice a year for several years now.

Back when I was about 23 I had one so bad that I sat in the toilet for 4 hours with no avail. I finally told myself I would force it out no matter the pain - and I did.

It hurt bad. Turns out I got an anal fissure as a result of what I did. No meds. No stool softener. Nothing. I also had eaten lots of peanuts and so when it came out the peanuts were on the side of the stool and like razor sharp blades cut my internal parts badly on the way out.

For years I have now had to be careful as even the slightest bowel movement would reopen the cuts that took months to heal and would cause me lots of bleeding.

In 2014, I had to take some hydro codone medicine which had OxyContin in it to help my lung inflammation heal. Unknowingly, this medicine gave me the thickest, hardest, driest stools imaginable. For 2 days straight I suffered. Even with stool softener and lots of fluid. When it came out, I was super relieved .... But my anal fissure would return again.

Most recently (today) I had another bout of constipation (impacted stool) that was tough. I literally was at the point of crying ... I took the stool softener the day before but my muscles kept trying to push something out that wasn't coming out. I did everything to no avail. Finally, before I would try to go to the ER or urgent care for help, I cried out to God (Jesus Christ) for help.

Now call it what you will.... But .... In the next minute..... I finally was able to pass the stool. And it didn't hurt. And it came out easily. I'm shocked and amazed....and I had changed nothing. It just happened.

So to any believers out there, call upon God in your moment of need and ask for help. I don't know about the rest of you. But it helped me and I know 100% it was His doing. I was saved from so much pain.

God bless you all.

Thanks for your post. Just want you to know that you are right. Our lord is careful over his own and will help when we call. Praying for my 3 year with this problem. I know the resolution is on the way. Thanks again and be encouraged!

Im with you on that. A believer and i had been in anguish for 2 hours on the toliet then i cried out God come now o need your help. Well 15 min later He answered and i feel much better
Thank you Papa God!

My experience was very to the point as yours in this horrific bowel experience. I never experienced such a scary thing. I'm about to turn 50 years of age and my most serious constipation episode up to date was 2 and this one being the second one. I took: saline drink my wife got from drugstore, 2 plastic spoons
Olive oil and help assist myself with gloves and ky jelly. For 3 hours I was in some serious abdomen pain. It was very scary. Pa had gotten worse. I got up and headed for toilet once more to do be the glove master again, I asked my wife to pray with me. And the Lord heard us. All of a sudden felt major pressure, I know it wasn't me because I had no strength to push and was I deep pain. I felt 2 hands pushing down ward starting from my shoulders then too of my stomach. I immediately hovered over toilet but before I could sit , I put my hand on sink and the other on corner of wall while my body was in a forty five degrees and Walla! It all came. Praise Our Lord Jesus Christ. God is good. He is a merciful God. Even we are sinners. He loves and care from all of us!!!

I just want to say thank you for your comments about god. It was so refreshing to read other people actually give god the credit. It so very rarely happens. I was in this situation, and was in so much pain, having faith the whole time that god will see me through this. I haven't had a real bowl movement in over a month. Besides a few little pellets here in there. I was on the toilet shaking and crying and sweating and praying. I asked god to help me know what to do. I pulled this webpage up first one I clicked on. I began to try the vasoline method and I could tel I was seriously blocked up and didn't know if I could get it all out since there was so much and it went so far I couldn't reach. Anyways this helped me a lot, and it helped to know not to strain and I tried the squatting method all of it was helping little by little. And then I read these post and I did the same thing I stood up leaned on my wall and cried out to Jesus with in a couple seconds the rest of it began coming out on it's on. I was so thankful. I knew god sent me to this post, and I knew god would help me. Your faith helped me In my time of need so thank you. And guys god will help you if you only ask. On his time not my own. Thank you to all of your post and this thread, it was truly helpful.

Often when you have hard stools they will get stuck right before they come out. You can feel a pushing/pressure on your perineum because they can't get through. Or if you are a woman they will push on the vaginal wall closest to the anus. While in the situation on the toilet or the shower, push on the perineum or put a finger or two in the vagina and push the wall so the stool has nowhere else to go but out. While doing this just bare down just a little and you will will surprised how well it works.

I am so thankful for finding this web page and reading your solution. I was not able to have a bowel movement for 3 days however the stool was right there, I was in so much pain because I felt the pressure of having to go but I was not able to get it out. I tried everything I possibly could, stool softeners, drink a lot of water, warm towels, Hot wash clothes and nothing would work then I read your post and it took a few times of trying it but your solution finally worked for me and I can't thank you enough! I was so desperate to try anything! I did have to bare down almost the whole way at my bathroom sink with a towel under me but I did it and I feel sooo much better! Thank you again.

I’m a woman and the suggestion of pressing against the vaginal wall is what ended up working for me. Warm face wipe compresses helped a little, but it was still too hard to break up. Finally when I read this post I was able to insert my thumb into my vagina and my middle finger into the rectum. I was able to manually dislodge pieces with my middle finger while massaging it internally with my thumb via the vaginal wall (and bearing down to push as well). I was amazed at how much I could feel internally. I would also note I had to do this a few times to get all of it, taking significant breaks to relax the muscles. Thank you for sharing this tip on an icky subject!

I had the most excruciating experience with an impaction that began with unholy pain, me pouring sweat, vomiting, and screaming. It lasted about 30 min. of me manually evacuating the problem followed by me crying in an Epsom salt bath.

I had a hemorrhoidectomy about three weeks ago (never have this surgery at all costs) and I will regret it for the rest of my life. The next week took a turn for the worse when my internal sutures ruptured and I began hemorrhaging an immense amount of blood. Still have no idea how this happened as I followed all post-opp procedures to the letter. After a few units of blood and a bit of emergency surgery I was released the next morning. Thankfully this surgeon removed this large skin tag the first one left behind. So the whole cycle of pain had begun again and I reassumed the regiment of stool softeners, Percocet, regular sitz baths, and constant ice packs. All I wanted was just a mildly annoying internal hemorrhoid that would not go away gone and I'm left with purple, unsightly anus with stitching that of Frankenstein. A week after the hemorrhage scare things were getting better. The blood and mucal discharge had subsided and I was finally able to stop wearing menstrual pad (being a man I first had to figure out how to properly put these on and my heart goes out to women) but the pain was still crippling so I continued with the pain killers. I of course ran out a couple of days and had thought nothing of it since I previously had a few yet painful but successful bowel movements. This was a terrible lapse of judgment. I had no idea what the hell was going on when I went to use the bathroom. The pain was instant and that pressure on the sphincter was as if I was passing a bowling ball. After a bit of pushing and screaming agony I called my GI's office in a panic to inquire what was happening and the nurse told me I most likely had an impaction. Thankfully I had a hot Epsom salt bath prepared as is normal following a BM after this procedure because jumping in it was the only brief relief that gave me the constitution to talk to the nurse. She said this one is probably quite severe and my pre existing swelling made matters worse. She instructed me to find any lubricant within reach as I was home alone (all I had was polysporin) and worked me through manually removing the impaction little by little. Once the initial impaction was removed everything else behind it came flying out. It was such an amazing relief but left my anus sore and swollen as if I just came out of surgery. The nurse calmed me down a bit and told me to stay in the tub for a while then follow the usual cleaning and application of a steroid ointment for the inherent damage that had been done. When I was finally able to clean myself and the mess to the best of my ability I crawled to my bed unable to move. I called my sister who thankfully is a nurse and she promptly rushed over to my aid. After preparing an ice pack, and a couple Xanax she monitored my minor bleeding until it finally stopped.

So I'm writing this two days after the whole ordeal as I'm finally able to sit up again and I apologize for the long story but I just had to get this horrible experience out somewhere. I'm in constant panic that all this may have damaged my anus so much so that I will develop stenosis and be reliant on stool softeners for life or worse undergo more surgery.

My final point is an impaction is no joke and oh blessed be those who befall this heinous ordeal. Stay calm as best you can and follow the advice of this article then make those vital lifestyle changes to help prevent such a problem from happening again.

This reminds me of my first impaction. Due to a drug problem (which I have since overcome) I impacted my bowel in a phenomenal way.

I was addicted to codeine and the best hit was when fasting. So this week I had taken way more than usual and eaten next to nothing. It’s satirday I’m at home not feeling the best and realise I have no idea when I went to bathroom last.

I get the urge, something similar had happened before so I took some laxative tablets and drank some coffee, nervous as I was I smoked which sometimes gives me the urge to go to the loo. So I made the fatal mistake of pushing.

And lord did I push, the urge to push was pretty strong so I bore down and pushed till my blockage was just about crowning about half inch.(after maybe 1 hr+ of pushing) This put pressure on my vagus nerve (I think) and I’ve never been so scared and ill in my life.

My body was like jelly, heart was racing and my extremities totally numb I thought I was going to pass out and die but I had a stool sorta sticking out from my anus.

I tried digging it out, no go the pressure was so painful I needed to pee but couldn’t. Trying to pee engaged the urge to push which left me faint and panicky.

I was really terrified I had to get help I was alone. I called an ambulance and when in triage they gave me a stool softener and performed an X-ray.

i was really uncomfortable and troubled, in total panic mode. Kept needing to pee and it kept making me want to push. My impaction was so big it was blocking the urethra from letting me pee.

Eventually it’s time for an enema. I was told to keep it in as long as possible. This was very distressing. Some minutes went by and I wobbled as quickly as I could to the toilet. A couple of no go pushes then my body took over and (excuse the language) my arse tore in Twain, or that’s what it felt like.

A ghush of everything came out. Curious I had to look. Let’s just say it couldn’t be flushed at all. The relief after was immense.

That experience was by far the most embarrassing thing I’ve ever endured. If I can survive that, you can survive anything!

My best tip if suspect an impaction (I.e. been on opiate meds, no fibre and you haven’t been to the loo in 2+days, then get some lactulose drink ~100mL with 2L of water and go walking. Hold it in ignore the cramps when it’s time you’ll know you might need to strain a bit but if it’s not shifting when straining then don’t strain, push it back in and wait.

Sorry for the mega long post you’re not alone I have been there, you’ll get over this and when you do you’ll be so grateful, enjoy.

I thought i was going to die. I couldn't pee either because of where it was. I tried for a half hour before I read your article. I got an exam glove and some bedroom lube and sadly had to lube in my butt. I live in the country and luckily own 9 acres of wooded area. I squatted outside which definitely helped. It still took me about 15 minutes of systematically pushing and relaxing to get it to pass.

I recently got off of heartburn meds. (Prilosec, ranitidine etc.....) and switched to tums. I'm thinking the calcium has something to do with it. This is my 3rd time having hard stool since the change but the first to be totally hung up.

Good luck to anyone attempting this method.

Ok so I've been suffering off and on with impacted bowels since I got pregnant in 2010. The first time it happened I ended up in the Emergency room because I couldn't even urinate! They gave me an enema and after an embarrassing ordeal I finally got relief. Every time it happened after that I bought my own enema and relived it that way at home. The last 24 hours were hell, feeling the urge to go, and when I pushed a lot of blood came out, only blood, and it was painful. I was trying to go all day today and nothing I did worked, I knew I needed an enema but couldn't go get one, so I improvised. I put some extra virgin olive oil to lubricate the anus and rectum, then I found a medicine syringe that you get with children's cold medicine or liquid animal medicine, I cleaned it out with hot soapy water, then filled it with about 4mg of warm water, I then carefully inserted and injected it while sqauting and then I laid down on my left side until I felt the urge to go again. After a few hard, and somewhat painful pushes, it all finally came out! Omg I'm so relieved! If I had of done that yesterday when it first started then it might not have gotten so painful after all the failed attempts to push it out. Try it and see if it works for you!

I had small of and lower belly pain the week prior to Christmas but I. Didn't think to much of it. I generally never have a problem going and a lot of the I'm on the other end of the spectrum with looser stools.To keep everything sort and sweet this past Sunday was the worse day of my life and I couldn't go for love nor money.I was alone and in the middle of the situation I started to panic,too,with shing and sweating.after 6 hours of qtips and 2big glasses of red grapefruit juice some manual removal and manipulation I took the biggest and thickest ever poop in my life and by golly I thought I was going to pass out with relief. I had no idea I was impacted and it was from roasted turkey stuffing and I had eeaten too much hard cheese and crackers. This afternoon I found this site and just wanted to share my story because it was a very scary episode for me and reading all the other comments. and tips that have been shared will keep me on my toes so this does not happen again.I'm 62yrs old and female.
This was one of a very scary episode that I don't want to repeat EVER.

So comforting and helpful to read from the good doctor and hear I am not alone. Being stuck in this position came as a total shock as I have never experienced it in my life before. Tried a bit of the finger pick technique and took Miralax which I later read wouldn't much help the stool which had already reached my rectum. I am just happy that the pressure I exerted which I don't think had ever been this heavy didn't make anything rupture. I got to the point of shaking called my doctor who wouldn't take my call and finally through what I attribute to a combination of a bit of picking..luck and actually walking seemed to set it off as I ended up going while standing after pacing the room..What an ugly ordeal..I was told a suppository might help to soften the stool when it gets down there but at least I feel like I am armed with many good ideas from this page if I ever go through that nightmare again. The crazy amount of bulked up stool that I finally expelled made me understand why I couldn't push it back up and try later

This is my second time having to deal with this. Somehow I was lucky enough to "suck" it back up but it made my insides a little unsettled. I haven't had this problem but once before tonight and at the time I was tired and "sucked" it back up and went back to sleep and by the time I woke up I was rushing to the bathroom. The body is an amazing machine and knows how to take care of itself. However does need help.
I paced a minute find this forum and tried to hit faceclothe I got it steaming hot and out it down there for 2 mins then got it hit again and put it down there again for about three minutes.
Gave it a bit and then back to the bathroom. It still took some patience but I agree that steal ning is not the solution. I just sat there with phone and let gravity and nature take care of it. I did move a bit but the hot compress did magic. I just wish I found this before I took those three stool softners. I must say that I agree to with whoever said it was the most satisfying crap they ever took. sAME!!!

Many thanks for the suggestion of using coconut oil. Lubricant and a hot bath were far more helpful than an enema and magnesium citrate. I had a full day of misery and, at the age of 64, have NEVER had such a problem. I was desperate for a remedy that would actually work and work quickly. Although I did have to resort to using a gloved finger, the coconut oil was most beneficial. Within an hour after applying it, I was successful in delivering what felt like a baby from my rear! Sorry to be so graphic, but that pretty well describes it. I never drink enough water, and this experience was a severe warning to start treating my body better!

Oh my God this stool was stuck up there for a week and when I saw you should squat, I tried it. I put a plastic bag on the floor and it gave me huge relief. I can't believe I hadn't tried it before, but now I'm clean and happy!

For me, it was lots of lubrication and squatting. It was painful and felt like needles and passing glass. But lubricating made it easy for me. Hot water bath relaxed my muscles. I will not hydrate myself well and pay attention to my diet. I don't want this to happen ever again.

I am 66 and, unfortunately, have been prone to constipation for the past few years (ageing). I have a heart condition that makes straining dangerous. What works for me is a hot wet cloth applied to the anus, two boxes that elevate the legs, and squeezing the side of butt near anus with hand as I go. Try it folks, IT WORKS.

Okay, it returned a second time after three months and was accompanied with blood. Anal Fissure. Processed cheese and sugar just aren't my thing. I'm going to avoid it completely or make take them once a week.
This time hot water compress and lots of lubricating jelly made it easy. Less painful. So satisfying. Try to relax your muscles while doing it and exert very little pressure or you might tear. Also drink lots of water and take laxatives to build pressure. Maintain a healthy diet. Try to find out the cause.
I deeply sympathize with all the sufferers. Please don't be ashamed and talk to your family or friends and seek a doctor if it is getting worse. It happens to everybody. Even Presidents and Celebrities.

This is the second time of brutal pain. After four hours of stuffing coconut oil in my bum and several false alarms ... I decided to not let my Saturday go to waste and met up w my poor family for breakfast ... as they were waiting to eat breakfast since 7 am. As soon as I arrived to diner I felt like coming back and was about to do an olive oil enema when I got the urge after five to eight pulses, the poop started to come out although I had to pull some out with a latex glove. Eventually everything came out but now my toilet is super clogged. It was enormous. The whole experience was super scary. I am forty years old, male and on a paleo like diet. I drink lots of water everyday. But I think the culprit is a protein shake that I take here and then as both times it happened the next day or two days after. Truly painful and will do everything in my power to eat more veggies and carbs and stay away from the protein shakes. I also squatted in the tub. Laid down in the tub. Tried the cold compresses. And eventually I ate breakfast when nature called. I will still try an olive oil enema tonight to clean anything else that might be in there.

I have an impact stool that will not move it feels like I'm sitting on pins and needles I've been trying to go for 3 hours. I tried the towel, I ran hot water on it,I used lavender baby oil.I've tried to use a glove and use my fingers and nothing is working I'm trying to pass it now on the phone typing this. But the pain is excruciating. Should I go to the emergency room? I just had a breast reduction 4 days ago I can't strain no harder then I am. I feel like just ending it all and dying. The Percocet has made things worse even though I have no pain from​ my breasts I have a blockage that's bigger than any pain or cut or lift. I have read every post on the Forum and I've done everything that everyone tried when they got relief I'm not getting any I'm scared.

I'm experiencing the same thing going on five hours now! I'm in
So much pain! Lord please help!!!!

I'm in the same boat but it's been about 36 hours I've been trying to go like I'm in labor tried all the remedies above but nothing it really feels like I'm passing a baby smh

I've had problems pooping my whole life. I'm 43 years old now. When I was a kid, I would squat on the toilet seat and that helped.
In my 20's, I somehow figured out that inserting the tip of my thumb into my vagina and gently pushing down would take care of any impacts. My hubby hates that I do that because he's afraid I'll tear the wall of skin that separates the areas.
It's only gotten worse as I've gotten older. I've never seen a doctor about it. I think I should probably change that lol

Hello,

I have suffered with constipation everytime I eat rice or other white bread products for years. Even my mother had chronic constipation because her parents could only afford to feed them cheap food because they had 10 kids spanning from the 1940's to the 1960's. I always vow not to let myself get constipated, but I know better. I read this forum and decided to use the hot towel method while in the shower, except I used this method to insert a glycerin suppository made for adults. I had also taken a couple of laxitaves earlier. I decided that I didn't want to go to work miserable. So I went to sleep at about 9:45 and woke up at about 1:00am. I decided to walk around little to get the peristalsis going. I went and grabbed a plastic bag and gave a little push and I was relieved that I didn't have to get an analysis fissure this time. Thank you to the people who suggested the hot towel method. I also did the squat method and I feel much better.

I may have spelled that wrong but from reading these comments, some of you may have gastroperesis. Talk to your doctor!!

Oh wow. This worked amazing. I didn't squat for more than a minute or two and out it came. It was huge! Thank u so much.

Thank you for your helpful advice! As a pregnant woman, who gave birth to another baby less than a year ago, I am prone to constipation. Your tips helped me keep calm. And, most helpful is the natural lube. I have never heard that before. I will definitely implement it in the future, as it was successful this time!

i just had this problem happen to me where i had my poop just stuck there, i sat on the toilet for about 10 minutes pushing as hard as i could reading this article. i read where it said not to strain so i relaxed and watched a couple of videos on instagram that i really liked and it seem to do the trick, my stool started to come out no problem, such a relief.

I have this hard turd there and I push for it to come out but my vest tightens up and I start heaving then my area around the turd will hurt like its being cut I've tried multiple ways to get it out but I am also worried if I leave it there will something happen to me ?

I suffer from piriformis syndrome and my sciatic nerves are always irritated or pinched could that have an affect on my bowel movements?

 

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