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Fecal Impaction

Fecal impaction, a severe form of constipation where hardened stool lodges in the rectum, causes discomfort and health risks. Dr. Bharat Pothuri, a board-certified gastroenterologist in Houston, provides expert care using proven treatments to relieve symptoms and restore bowel function.

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Texas Medical Board
Harris County Medical Society
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Bharat Pothuri

About the Expert

Dr. Bharat Pothuri is a board-certified gastroenterologist and the founder of GastroDoxs. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.

Common Causes and Risk Factors

  • Chronic constipation from low dietary fiber
  • Insufficient fluid intake leading to hard, dry stool
  • Physical inactivity or prolonged bed rest
  • Use of certain medications (for example, opioids)
  • Nerve or muscle disorders (such as spinal cord injury)
  • Aging-related decrease in bowel motility

Signs and Symptoms

  • Abdominal pain, cramping, or bloating
  • Persistent rectal pressure or fullness
  • Inability to pass stool despite the urge
  • Difficulty or inability to release gas
  • Leakage of watery stool around the blockage
  • Nausea, vomiting, or reduced appetite

Expert Treatment for Fecal Impaction by Dr. Bharat Pothuri

Dr. Pothuri uses a step-by-step approach:

Medical History and Symptom Review

He discusses your bowel habits, diet, fluid intake, medication use (especially opioids), activity level and any risk factors for chronic constipation or nerve injury.

Physical Examination

He performs an abdominal exam to check for distention or tenderness, then gently conducts a digital rectal exam to feel for hard stool in the rectum.

Imaging Studies

  • Abdominal X-ray to visualize the extent of stool burden and confirm impaction.
  • Ultrasound can help rule out other causes of abdominal pain and assess the stool mass.

ICD-10 Coding

The diagnosis is recorded under code K56.41 (Fecal impaction) to ensure accurate documentation and streamline insurance processing.

Bharat Pothuri
Treatment

Our Team offers a full range of care for fecal impaction.

1. Lifestyle and Diet Modifications

  • Ensure adequate hydration (aim for 8-10 cups of water daily)
  • Increase dietary fiber with fruits, vegetables, and whole grains
  • Incorporate regular physical activity (walking or light exercise)
  • Establish a consistent bathroom routine to promote regularity

2. Medications

  • Osmotic laxatives to draw water into the bowel and soften stool
  • Stool softeners to ease passage of impacted stool
  • Suppositories or enemas for more rapid relief when needed

3. In-Office and Advanced Procedures

  • Manual disimpaction under local anesthesia in the office
  • Endoscopic evaluation or removal when manual methods are insufficient
  • Surgical intervention in rare, severe cases after less invasive options
1.5K

Patients Treated

Dr. Pothuri has treated more than 1.5K patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.

20Y

Years of Experience

With over 20 years of experience, GastroDoxs has been a trusted provider of gastroenterology care, focusing on delivering the best outcomes for patients

Bharat Pothuri

About the Author

Dr. Bharat Pothuri is a Board-Certified Gastroenterologist and Hepatologist. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.

Frequently Asked Questions

What is the difference between fecal impaction and constipation?

Constipation means stools are hard or infrequent. Fecal impaction means a large, dry stool is stuck in the rectum and cannot pass without treatment.

What are the signs of fecal impaction?

You may experience abdominal pain, rectal pressure, nausea, vomiting, or notice watery stool leaking around the blockage.

What is the ICD-10 code for fecal impaction?

The ICD-10 code is K56.41, used for documenting the diagnosis and facilitating insurance claims.

Is surgery required to treat fecal impaction?

No. Surgery is rare. Most cases are resolved with laxatives, enemas, suppositories, or manual removal in the office.

Can diet changes help prevent fecal impaction?

Yes. Drinking plenty of water and eating a high-fiber diet of fruits, vegetables, and whole grains helps keep stools soft and prevents impaction.

Is fecal impaction a medical emergency?

It can be. Seek immediate care if you have severe pain, persistent vomiting, or cannot pass stool or gas.

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