‘Full of shit’or more politically and scientifically correct’ fecal impaction’ 

The patient may not know but this condition can easily be a battleground between nurses and doctors .

As a geriatrician I like to use the gentlest treatment possible which is some times soap suds enema until clear or even tap water enema however they require repeated administration and very gentle hands. In addition I like to add oral miralax.

 Surprisingly , a lot of nurses don’t have time for this . They prefer stronger drugs. The message here is to stay the course even when you are getting pages every fifteen minutes asking you to go the other way. As long as the patient tolerates it continue to ‘do no harm’


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