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What happens to your intestines when you don't poop?

When you can't get stool out of your body, it can start to stick together in your intestines. The hardened mass gets stuck and causes a blockage. The squeezing your colon normally uses to push stool out of your body can't move it because it's too large and hard. It can cause pain and vomiting.

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When you’re constipated, your body isn’t able to get rid of waste like it needs to. Having it every once in a while is common, but if you’re dealing with symptoms for more than 3 months, your constipation is chronic. And that raises your chance of having complications. The problems most often happen in the places where stool leaves your body. Hemorrhoids When you’re constipated, you’re more likely to push hard to try to go. That can make the veins around your rectum and anus swell. These swollen veins are called hemorrhoids, or piles. They’re like varicose veins around your anus. They can be external, which means they’re under the skin around the anus, or internal, which means they’re in the lining of your anus or rectum. Hemorrhoids can itch and be painful. They can cause bleeding when you have a bowel movement. You may see streaks of blood on your toilet paper when you wipe. Sometimes blood can pool inside a hemorrhoid, which can cause a painful, hard lump. You may also get skin tags, blood clots, or infections from your hemorrhoids. Anal Fissures Passing hard stools or straining to pass stools can tear the tissue around your anus. These tears are anal fissures. They cause itching, pain, and bleeding. Because the symptoms of anal fissures make going to the bathroom more difficult, they can make constipation worse. This happens often in children who hold in their stool out of fear of the pain. The tears are usually very small. But sometimes they can grow larger and affect the ring of muscle at the opening of your anus that keeps it closed. This kind of anal fissure is harder to heal. You may need medication or surgery to fix the problem. Once you’ve had an anal fissure, you’re more likely to get another one.

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What happens if stool stays in colon?

Untreated fecal impaction could have serious, life-threatening complications, including: A hole in your colon (bowel perforation). Bleeding (hemorrhage). Uncontrollable bowel movements (fecal incontinence).

Overview

What is fecal impaction?

Fecal impaction is the result of severe constipation, when you're unable to regularly pass poop (stool or feces) and it backs up inside your large intestine (colon). Fecal impaction can also be defined by your inability to sense and respond to the presence of stool in your rectum.

Who does fecal impaction affect?

Fecal impaction occurs in all age groups but is most common in:

The elderly.

Children.

People who have mobility issues.

People with neuropsychiatric disorders including Alzheimer’s disease, Parkinson’s disease and dementia.

What's the difference between fecal impaction and constipation?

Constipation is when it's difficult to poop. Constant and untreated constipation causes fecal impaction, when there's a buildup of poop that you're unable to naturally pass.

How common is fecal impaction?

Nearly half of all elderly people in nursing homes have fecal impaction. This is the result of decreased mobility, neurological disorders and/or a side effect from medications.

How does fecal impaction affect my body?

Fecal impaction causes discomfort in your body due to gastrointestinal pressure from waste buildup. Discomfort from the pressure includes:

Pain in your abdomen and/or lower back.

Feeling like your abdomen is swollen (bloated).

Having the need to poop but can’t.

Stomachache like you’re full and/or have a loss of appetite.

Lethargic or tired.

If left untreated, fecal impaction can cause ulcers, colitis or obstruction to your colon, which can be fatal.

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