A bowel or fecal impaction occurs with the feces hardens inside the intestines and gets stuck in the bowel. The impaction forms because the muscles that control the bowel are not able to effectively push the feces through the intestines. Depending on the size, and whether it completely blocks the bowel, an impaction may cause constipation or watery stools. You may also experience cramping and bloating, rectal bleeding and lower back pain. Individuals who spend a lot of time sitting or lying down, as is often the case with patients recovering from surgery, are at greater risk for bowel impaction.
Step 1
Stay well hydrated to keep the feces moist. Drink at least one 8-oz. glass of water or juice per hour. Avoid caffeinated beverages, which have diuretic properties and can dehydrate you.
Step 2
Eat high-fiber foods, such as leafy greens, whole grains and fiber-enriched breads. The fiber will help the bowel muscles move feces through the bowel. Fiber also helps the feces retain moisture.
Step 3
Take a fiber supplement to help regulate bowel function. Follow the manufacturer's instructions for dosing.
Step 4
Defecate when you feel the urge. If you hold it until later, that increases your risk for impaction because the body will reabsorb the water in the stool.
Step 5
Get up and move around as much as possible if your doctor allows it. Walk to the bathroom instead of using a bed pan or walk into the hallway and back once every hour. If you cannot walk around, do leg raises or light crunches to contract the abdominal muscles.
Tips and Warnings
- Contact your physician if you do not have a bowel movement for more than 36 hours.
Things You'll Need
- Water or juice
- High-fiber foods
- Fiber supplements


