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Fecal Impaction Treatment by Dr. Rishi Chadha

Fecal impaction is a complication in which the hardened stool is obstructed within the colon or rectum which causes pain, bloating and complications. Dr. Rishi Chadha of the GastroDoxs in Houston has specialized in treatment and diagnosis-by changing diets and medication to elaborate surgery, restoring comfort and bowel work.

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Texas Medical Board
Harris County Medical Society
American College of Gastroenterology
American Society for Gastrointestinal Endoscopy
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Houston Methodist leading Medicine
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Rishi Chadha

About the Expert

Dr. Rishi Chadha, MD is a board‑certified gastroenterologist who specializes in preventive gastroenterology, colorectal cancer screening, and minimally invasive endoscopic procedures. He completed his fellowship at Sunrise Health GME in Las Vegas and previously trained in internal medicine at St. Vincent’s Medical Center in Connecticut.

What Is Fecal Impaction?

Fecal impaction is the obstruction of a large and firm lump of stool in the rectum or the lower colon and cannot be discharged normally. The obstruction may only allow liquid stool to go around the obstruction similar to the case of diarrhea unlike when the constipation is normal. Early diagnosis and treatment are required so as to avoid complications.

Common Causes and Risk Factors

  • Poor intake of fruits, vegetables, whole grains (low fiber food)
  • Not drinking enough fluids
  • Chronic use of analgesics or certain antacids.
  • Low mobility after operation or disease.
  • Bowel control spinal cord and nerve diseases.
  • Old age resulted in weakness of bowel muscles.

Signs and Symptoms

  • Abdominal pain or bloating
  • Difficulties with stepping or gas.
  • The watery stool is bleeding around the blockage.
  • Increasing body temperature, nausea, or infection.
  • Liporexia or irritability.

How Dr. Rishi Diagnoses Fecal Impaction?

Dr. Rishi Chadha uses a step-by-step approach:

Medical History and Physical Exam

He reviews your whole health history, drugs, nutrition and hydration habits and performs a physical exam-including a digital rectal exam-to determine affected stool.

Imaging Studies

  • Abdominal X-ray: This is used to see the stool load and the location where the blockage is located with ensuring that it is not due to the colon.
  • Ultrasound: It is a test of the consistency of stools and it also rules out other issues in the abdomen.

Endoscopic and Functional Tests (if needed)

  • Colonoscopy: the colon itself is inspected directly in case of massive or impactful obstructions.
  • Anorectal Manometry: Examines the strength of the rectal and anal muscles and nerve activity.
Rishi Chadha
Treatment

Our Houston team offers a full range of care for fecal impaction.

1. Lifestyle and Diet Changes

  • Increase consumption of fruits, vegetables and whole grains.
  • Drink 6-8 glasses of water daily
  • Create a habit of going to the bathroom.
  • Be on the move or walk where you can.

2. Medications

  • Stool softeners (e.g., docusate)
  • Laxatives (e.g. polyethylene glycol)
  • Glycerin/bisacodyl suppositories.
  • Enemas (not unless prescribed by a doctor)

3. Advanced Procedures

  • Manual stool removal with sedation assistance.
  • Endoscopic large blockages are to be removed.
  • To manage muscle problems, biofeedback.
Rishi Chadha

About the Author

Dr. Rishi Chadha, MD is a board‑certified gastroenterologist who specializes in preventive gastroenterology, colorectal cancer screening, and minimally invasive endoscopic procedures. He completed his fellowship at Sunrise Health GME in Las Vegas and previously trained in internal medicine at St. Vincent’s Medical Center in Connecticut.

Frequently Asked Questions

What is the distinction between constipation and fecal impaction?

Constipation involves the occurrence of hard or infrequent bowel movement. Fecal impaction refers to the complete blockage of bowel at the rectum or colon that requires medical attention.

What causes fecal impaction?

The most prevalent of them are a low-fiber diet, dehydration, prolonged use of painkillers or antacids, postoperative or post-illness inactivity, nerve problems, and bowel muscles due to aging.

What are the main symptoms?

The chief presentations of the disease include pains or bloat in the belly region, constipation, or gas and difficulty in passing feces or gas, bloody diarrhea around the obstruction, anorexia and a few cases of fever and nausea.

How is it diagnosed?

Dr. Chadha collects a medical history, participates in physical and digital rectal examination, and may order the imaging tests, which may be an X-ray of the abdomen or ultrasound. Such anorectal manometry and colonoscopy are infrequently used.

What is the fecal impaction ICD-10 code?

ICD-10-CM fecal impaction 56.41.

Can I treat it at home?

Milder forms of the same can be managed through a high fiber diet, consumption of additional water and through limited over-the-counter laxatives. Before going on home treatment, it is always best to consult your doctor.

When is it an emergency?

Visit the emergency department in case of intensive pain in the abdomen, persistent vomiting, elevated temperature, and infection.

How can I prevent it?

Prevent impaction by eating lots of fiber food, vegetables and whole grains, drinking lots of water, and engaging in activities.

Are the laxatives taken at a long-term basis?

There are those laxatives that are safe in the hands of a doctor but when taken too much they may lead to dependence or even worsen the conditions. Follow medical advice.

When should I see Dr. Chadha?

When the lifestyle changes and all the home remedies do not apply and your symptoms are more severe, you should go to the appointment with Dr. Rishi Chadha as soon as possible.

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