How to Treat Faecal Impaction?

Things to note:

Dietary advice preferably by dietician.
Dietary measures i.e. balanced diet with unprocessed foods, e.g. cereals, legumes, fruit and vegetables.
Correct dehydration. Ensure adequate fluid intake.
Wheat bran: introduce slowly and take with sufficient fluid.
Side-effects include: bloating, cramps and flatulence.
Manual removal of impacted stools.
Encourage regular bowel habits.
Physical exercise.

Medical Treatment:
Osmotic laxatives

Stimulant laxatives
For short term use only, except in the elderly where long-term treatment may be indicated:

Sennosides A and B, oral, 7.5-15 mg at night 2-3 times a week for up to 4 weeks.

Polyethylene glycol-based purges
For acute bowel preparation or for chronic constipation on specialist advice.
Saline or phosphate enemas