It is the accumulation of feces in the rectum or colon, forming a compact mass that can obstruct the intestine.
It is due to the slowing of intestinal transit produced by age, physical inactivity, the ingestion of foods rich in fiber and dehydration. Medications such as opioids may promote it.
The most frequent symptoms include hard and scanty stools, pain and abdominal fullness.
Diagnosis is clinical by questioning and physical examination, although plain radiology or CT may be necessary in more doubtful cases.
Initially, treatment should be conservative with digestive rest, laxatives and enemas. If the fecaloma persists, digital or endoscopic removal may be necessary. The most severe cases may require surgery to avoid occlusion with intestinal perforation. For its prevention, it is essential to have a correct daily intake of water and fiber in the daily diet, as well as regular physical exercise.
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