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Hi everyone sorry I haven't been around (been really busy) but I have a question about how impacted bowel gets treated. A good friend of mine who has UC just texted me saying he was in the ER with impacted bowel. Unfortunately I saw this coming. He had 2 level cervical fusion surgery on November 21 and because he was grounded from driving for 2 weeks, I took him out for Thanksgiving dinner on November 24. At that time he was high as a kite on painkillers. At that time I warned him not to not overdo the pain killers or he will get constipated. His response: "I have UC it's impossible for me to get constipated."

A few days ago he got constipated and they gave him some high powered laxatives. Apparently they didn't work, or he kept taking lots of pain pills or both, but today he texted me he was in the ER with impacted bowel.

When I had my own colectomy in 1992 at Mount Sinai in NYC, my roommate who was dying of leukemia got an impacted bowel from his disease. I personally witnessed the treatment which was a manual stool removal. It was quite horrifying for me to be in the same room while this was happening, but I was.

My question to you (Jan hope you are around): will they do the dreaded manual stool removal or now that we are in 2016 (and soon 2017) is there a more sophisticated and humane treatment? Whatever they are doing they are doing as I write this?

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Yes, if they cannot do it through enemas...they have different techniques including using warm water and a mild glycerine solution that helps things slide out. Sometimes a glycerine suppository can do the trick but not if the impactions has been there for a while.

The manual extraction is not horrific (they do use gloves!) (and lubricant)...the trick is to not hurt anything up there while doing it especially if the person has a j pouch.

They used to use a long q-tip dipped into glycerine to lubricate the area as high up as possible and stimulate the movement...it worked quite well in small kids who might be traumatized by a full blown enema.

By the way, exercise does help...the more the person moves around, walking etc the easier it is for things to get moving.

Sharon

skn69

Thanks for your replies! My friend texted me last night that they were doing testing on him.  This morning I texted him and I got a reply that he was at home resting, and that what happened at the ER last night was a "long story" which he would discuss with me later after he got some rest.  I am now curious to hear what happened to him.  I will report back when I hear his "long story" but the good news is he is okay.

CTBarrister

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