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Impaction after rectal surgery please help!

1820 Views 5 Replies 4 Participants Last post by  Soccerlifter
Hi all,

Apologies in advance for the depth of detail here...I'm desperate

I just had a lateral internal sphincteronomy two weeks ago. Initially after the surgery, I had diarrhea for three days or so, so I did not start taking stool softners until about 4-5 days post op. It seems the pain meds did a good job backing up, I only was able to pass some very hard stool two days ago.

Since then it has been a nightmare. I have had to use countless oil enemas and suppositories along with heaps of miralax to get anything out, and that's with lots of straining.

I now I have a rectum full of semi- hard stool in large bits - I was able to manually feel around a little with a gloved finger, but cannot get any put manually. I know it's the end of the solid bits because I'm now having some diarrhea move around it.

Although the surgery was supposed to relax the muscle, things are tighter than ever and I just can't evacuate this stool. It is VERY painful to go at all, and every attempt is a struggle that leaves me in pain for hours.

I just don't know what to do to pass this stool...I've tried every trick, even trying to go in a warm bath. It's extremely irritating to the area, and I am now getting bad stomach cramps, I think from the diarrhea trying to push its way through (all the miralax caught up to me).

Before the surgery I often had to manually remove things - embarrassing, but my bowel just doesn't seem to work properly. There is no momentum to any movement, and I always feel like I'm pushing against a brick wall, now more than ever.

Please please help. This has been three days from hell! I'm thinking I should just go to the hospital - maybe they can sedate me and get it out, the pain is just too bad to do it on my own.

Thanks for taking the time to read
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Thanks for the thoughtful reply! I'm not thinking that more laxative/stool softner will help at this point, as I already feel I have diarrhea trying to get through, if that makes sense. I did speak to the surgeons assistant several times over the past couple days and I'm waiting to get word from the surgeo herself, but the advice so far has just been miralax and mineral oil enemas.

I really appreciate your reply - I'm thinking I may just have to go. My mom keeps saying just to wait it out and that I will go eventually, but it doesn't seem that way, as even with diarrhea the stool that's there isn't budging, the D is just moving around it.

Do you think there is a chance they will give me sedation or put me out to have it done in ER? I don't think I could bear it without, especially considering I think I may have a new fissure from all this.

Thanks again
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