Source: Evaluation and Treatment of Constipation and Fecal Impaction in Adults (Mayo Clinic Proceedings, 1998) - an article intended for doctors, but simple to read and informative for anyone.Īs suggested in the question, constipation and diarrhea may sometimes only appear to be simultaneous, but in fact, they are alternating - in this case, the problem is not in fecal impaction. Instrinsic neurological intestinal problems: slow transit constipation, anismus.Structural abnormalities of the colon, for example, in diverticulitis, Crohn's disease or colon cancer.Diseases: diabetes mellitus, Parkinson's disease, multiple sclerosis, spinal injury, Hirschsprung's disease. Constipation-predominant irritable bowel syndrome.Medications: certain antidepressants, antihistamines, antacids, opiates and iron supplements.voluntary or involuntary fecal soiling in toilet trained children. Later, when the new liquid feces reaches the hard fecal mass, it passes around it and (because the colon has been irritated for some time due to impaction) is quickly excreted as diarrhea.Ĭauses of chronic constipation that can lead to fecal impaction: Language Label Description Also known as English: encopresis. It also offers suggestions for how to prevent paradoxical diarrhea. This article looks at paradoxical diarrhea, its causes, and treatment. It happens when watery stool leaks out around hard stool in the rectum. This is called paradoxical diarrhea or overflow diarrhea. ( MedicineNet)įirst, severe constipation (fecal impaction) with formation of a hard fecal mass develops in the rectum or higher in the colon. It is possible to have diarrhea and constipation at the same time. Diarrhea caused by an infection usually begins 12 hours to four days after exposure and resolves within three to seven days. Sometimes, the cause of diarrhea is not known. Diarrhea can be caused by infections or other factors. Liquid stool leaks around theįecal mass, imitating incontinence. Acute diarrhea is defined as three or more loose or watery stools per day. Paradoxical diarrhea or overflow incontinence may occur is a a person Yes, constipation and diarrhea can occur simultaneously - the situation is called paradoxical or overflow diarrhea.
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