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My dad is completely unable to pass solid stools in any form. So it backs up and comes out all at once after several days. It’s AWFUL. He cannot control himself at all, he just tried to use his urinal and had an accident on the floor. Does anyone else have this problem? Does anyone have any recommendations? My mom is in MAJOR denial about dad’s condition and I’m trying to get him into a nursing home because his condition has deteriorated so badly it’s become impossible for her to be his caregiver. She even refuses to take him to the neurologist. He has hospice come in to do his care a few days a week but he really needs a higher level of care. I’m at my wits end.
He has been eating 2 Activia everyday and he has seen a digestive specialist. I think he is too weak to pass his solid stools. He had an episode last summer and I took him to the emergency room. They had to give him 3 enemas he was so backed up. I am afraid he´s going to get an intestinal blockage
I recommend taking a look at his diet. What is he eating and how much fluid intake. I ensure my father consumes over 6 cups of flavored water with a bit of honey or juice (he’s probably ~135 lbs), I give him fruits daily, and pitted prunes daily (~4 prunes). We stop the prunes when his stool is too loose. Overall my father is quite healthy though.
Do you think your father might be getting not enough fiber or too much?
If your dad were continent with his bowels, would you still feel that he needs a higher level of care?
Get him to his primary to help distinguish whether the incontinence is a bowel issue or due to dementia.
It is confusing to read about stool backing up but also coming out in the form of diarrhea. Usually stool is too hard when it backs up but as someone else said, sometimes loose stool makes its way around the hard stool. That is easy to diagnose with imaging. Has he had imaging or colonoscopy or endoscopy or barium tests?
My mother had fecal incontinence. She had diverticulitis, and was on stool softeners to make sure the stool got past the narrow place in the colon, that resulted from the diverticulitis. She tended to "go" in small amounts all day- kind of the opposite of your Dad! There was poop in her clothing, bed and bathroom.
She did get a bowel obstruction and was in the hospital for a few weeks, then had a colostomy and went to rehab. The colostomy was done in a minimally invasive way with a "bandaid" incision. She is 92 and made it through fine.
If your father had diahhrea it would be a priority to check for C Diff or other infections, including parasites. But it sounds like that isn't the issue-? Did the GI doc think it was neurological? (I know spinal issues can cause trouble moving bowels.)
With the colostomy, my mother returned to assisted living and did not need a nursing home. These days the bags are disposable and click on so it is pretty easy.
If he does end up having an obstruction or if the GI doc finds a cause that would suggest a colostomy, just want to give you a positive view of them and let you know a nursing home is not needed solely for fecal incontinences, most likely.
If the GI doctor wasn't helpful find a better one! Sometimes a teaching hospital is best. We switched GI docs and it made a HUGE difference. We found one who had an interest in geriatrics and palliative approaches and not only was the correct diagnosis made, but this doc minimized my mother's suffering while addressing the problem.