Coprostasis is not really a disease. On the contrary, it presents as a symptom a serious disturbance of the final digestion and thus a serious health problem. The chair present in the rectum is not transported further in affected patients and accumulates above all in the last area of the rectum, the rectum.
It follows a steady dehydration of the chair, which causes the feces thickening and solidifies. The result is dehydrated, hardened Kotballen, medically also called Skybala. These bound blobs gradually close the intestines and cause the affected person to empty his intestine only fragmentarily.
If the droppings, similar to a graft, sets completely, defecation is no longer possible even under pressure. The dehydration of the intestinal contents is continued and it comes to the formation of fecal stones. These stone-like structures consist of solid and heavily thickened chair. They are surrounded by a layer of mucus and dried-up stool remnants.
A coprostase usually develops out of chronic constipation. The civilization disease constipation, commonly known as constipation, has a variety of causes. For the most part, a low-fiber, dry diet and a simultaneous lack of exercise (even with bed rest and immobilization) trigger the constipation. In addition, intestinal diseases such as abscesses, adhesions, hemorrhoids or even tumors can be reason for constipation.
But also nerve diseases, such as Parkinson's or multiple sclerosis, muscle diseases and hormone fluctuations in pregnancy are possible as a cause for constipation. Ultimately, even side effects of drugs should not be underestimated. Among other things, antidepressants, opiates and antiepileptics lead repeatedly to unwanted constipation.
In older patients, the cause of a coprostase is often in too low a fluid intake. In addition, with increasing age, the rectal muscles relax and the intestinal peristalsis is often disturbed. In addition, coprostasis may also arise due to an acquired or congenital megacolon (colon enlargement) and after an intestinal obstruction.
Coprostasis is generally associated with severe pain in the lower abdomen. They usually occur on the right side and strengthen as soon as there is a defecation reflex. Especially in the seated position, bugs and fecal stones cause pain in this voiding defecation reflex. In general, those affected additionally complain of pronounced meteorism.
This accumulation of intestinal gases ensures intensive and thus unpleasant flatulence. On the other hand, nausea and vomiting associated with coprostasis are less common. In connection with the right-sided pain, however, these are often the reason for a confusion with appendicitis (appendicitis). A corresponding clarification with a specialist should be made.
Special caution is advised if it comes to a fake diarrhea, in which large intestine secretions get past the Kotstauung out. They may be followed by fecal incontinence, which may prevent the stool from being retained and arbitrary defecation.
A diagnosis can only be made through a specialist. This can feel the hardened Kotballen and fecal stones in the best case already by the exposed abdominal wall, which are hereafter called Koprom or Sterkorom. On the other hand, only an X-ray of the abdominal region provides a clear finding.
Coprostasis can cause significant complications. The stasis of the feces in the intestine is a risk of intestinal infection, also a so-called Durchdurchungsperitonitis can occur. First, however, there is diarrhea and nausea, often accompanied by constipation and other intestinal complaints.
In the further course, an untreated coprostase can cause an intestinal obstruction, which is often life-threatening for the patient. In less severe cases, the coprostase leads to urinary incontinence and later to fecal incontinence. In the advanced stage, coprostase often causes severe intoxication and intestinal infections.
This initially causes circulation problems, later life-threatening organ disorders and other complications occur. These include: proctalgia, bowel movement and appendectomy, depending on the underlying condition and the time of treatment. Kotstow also increases the risk of feces, which prevent complete emptying of the intestine and thereby promote a variety of gastrointestinal diseases such as infections and constipation.
If the coprostasis is treated early, long-term complications usually remain. Laxative preparations can lead to short-term deficiency symptoms, dehydration and physical fatigue, while surgical procedures involve the risk of injuries to the intestine.
In case of severe discomfort in the lower abdomen, even if it occurs on the right side, most people think of a harmless symptomatology, which may be associated with a certain temporary problem of constipation. But these complaints are usually not a harmless abdominal pain and should therefore be discussed at least with a doctor who can then determine the possibly required further examinations after a first diagnosis. If then all-clear can be given, there is at least a reassuring clarity.
If the pain occurs particularly when sitting or if pronounced meteorism (accumulation of intestinal gases) is noticed, a specialist should be consulted immediately so that a differentiated diagnosis can be made on the basis of special bowel examinations. The frequent parallel flatulence underpins the urgency of a medical consultation.
As with appendicitis (appendicitis), right lower abdominal complaints may cause vomiting and nausea. A precise demarcation between the coprostasis and an appendicitis is to be made immediately by a specialist.
If large intestine secretions escape to the outside or if there is even a fecal incontinence, the hurry is urgent for a doctor's visit.
The treatment of a coprostase should be left to the specialist. Self-administration with laxatives or home remedies is discouraged in the most severe form of constipation, as it may result in intestinal obstruction (medical ileus), intestinal infection, peritonitis and autointoxication. Autointoxication is a poisoning condition that results from bacterial penetration.
Intestinal decay substances enter the bloodstream and cause fever, headache, fatigue and weakening of the immune system. Especially the elderly, children and persons with a weakened immune system should therefore seek immediate help with a coprostase.
The treatment of the coprostase takes place depending on the severity and condition of the patient. Mild cases are treated with enemas and a controlled intake of laxatives. Common are an oral dose of a PEG solution and a subsequent orthograde intestinal lavage.
In more severe cases, digital chair clearing takes place. Here, the feces is removed manually by the specialist and then performed a cleaning enema. A chair clearing is usually painful for the person concerned. Surgical intervention and the use of painkillers are only used in exceptional cases.
To prevent the coprostase from becoming chronic, it is necessary to stop the formation of faeces after complete emptying of the intestine and to regulate stool consistency. For children, chair training has proven to be useful.
In most cases coprostasis causes severe pain in the lower part of the abdomen. The pain is usually amplified when sitting. In addition to the pain, the patient also accumulates intestinal gases, which can lead to unpleasant pressure feelings in the abdomen and to unpleasant odors.
The coprostase can be diagnosed relatively well by a doctor with the help of an X-ray. Besides, the doctor can feel the presence of droppings also by hand. If the symptom is not treated, it can lead to a life-threatening intestinal obstruction. This can also lead to incontinence in the worst case. In addition, there are several infections and inflammation in the intestine, which lead to severe pain.
The treatment takes place in most cases by medication. If started early, there are no further complaints or complications. Only in severe cases, an operation is necessary, in which a purge of the intestine is made. However, the coprostase may appear again after the treatment and is thus not completely excluded.
Otherwise, adequate hydration and a high fiber diet of cereals, vegetables and legumes are among the most common preventive measures. Active exercise and weight reduction in case of obesity also promote bowel movement.
In case of susceptibility to constipation and coprostasis, however, mild intestinal flushing is recommended. They loosen hardened areas and keep the intestinal walls supple. For children and patients with circulatory problems, it is advisable to consult your GP before using it. A permanent intake of laxatives is strongly discouraged. Despite apparent success, laxatives can promote a coprostasis.
In the case of a coprostase, the person concerned usually has only very few or no special measures for follow-up care. The disease must be detected and treated very quickly in the first place. Of course, the reason for the coprostase should also be avoided, the disease may have different causes.
It must therefore also be a causal treatment, so that the disease can be completely cured. Most sufferers are dependent on the use of laxatives. It is important to ensure a correct dosage, so it does not come to poisoning. However, if the symptoms do not subside with the conservative methods, a doctor must be consulted again to prevent complete obstruction of the intestine.
In some cases, surgery is necessary to alleviate the symptoms. After such an intervention bed rest is to be kept in any case. It should also be taken only light food, so as not to burden the intestine. The food can then be normalized over time. It may be possible for the coprostase to lead to a reduced life expectancy of the person concerned.
Against the stagnation of the faeces in the colon, there are good self-treatment options. In principle, however, it should be noted that the therapy should be under the supervision of a specialist. The uncontrolled use of household and laxatives can lead to more serious illnesses such as a closure or infection of the intestine, peritonitis or intoxication by invading bacteria.
Coprostasis sufferers should increasingly consume liquid foods and fiber-rich foods such as cereals, vegetables and legumes. Laxative foods such as sauerkraut, pineapple and sour milk are also recommended. In the acute case, it helps to drink a lot of water. Also, taking a tablespoon of olive oil before breakfast increases the lubricity of hard stools considerably.
Lots of exercise keeps the intestine active, strengthens the rectal muscles and prevents the formation of droppings or feces. Daily abdominal massages are also an option as it improves the shape, location and tension of the digestive system muscles. For coprostase susceptibility regular mild intestinal flushing is recommended. This will release hardened areas and keep the intestinal walls supple. Under no circumstances should laxatives be used permanently. Although these preparations often provide relief for a short time, they do increase the effect of coprostasis in the long term. Under certain circumstances, these funds even cause a Kotstauung even out.