However the common pathway seems to be one of painful passing and subsequent holding on with delayed emptying. On Many factors lead to the cycle of painful passing and holding on and subsequent painful passing. Subsequently large stools can be passed. There develops lesser and later recognition of stool in the rectum, with experiencing urgency to pass once a stool is felt. Abdominal x-ray is frequently required.
Management can take quite a substantial amount of time from several months up to a year.
Education program Very important aspect of the management. It involves education of normal function, demystification of symptoms, advice about management strategies, diet and toiletting routines. Follow Up Close follow up is important as well as a good close and trusting relationship with therapists. Medical Management Clear out the build up Accumulated hard masses must be passed. This requires laxatives although suppositories and enemas are sometimes required.