The geriatric implications of fecal impaction

Area of Science:

• Geriatrics
• Gastroenterology
• Internal Medicine

Background:

• Fecal impactions are a significant health concern in debilitated elderly individuals.
• These impactions can lead to life-threatening events and are often underdiagnosed.
• The elderly population has reduced organ reserve, making them susceptible to complications from acute illness.

Observation:

• Atypical presentations of fecal impactions are not well-recognized.
• Symptoms may manifest as circulatory, cardiac, or respiratory issues, rather than gastrointestinal signs.
• The true incidence, morbidity, and mortality rates in the elderly remain largely unknown.

Findings:

• Fecal impactions can disrupt the delicate homeostasis in debilitated elderly patients.
• Delayed or missed diagnosis can lead to progressive symptoms and potentially fatal outcomes.
• This review covers causes, mechanisms, diagnosis, and management strategies for fecal impactions in the elderly.

Implications:

• Highlights the need for increased awareness of non-gastrointestinal symptoms of fecal impaction in the elderly.
• Emphasizes the importance of prompt diagnosis and intervention to improve patient outcomes.
• Provides a comprehensive overview for clinicians managing fecal impactions in geriatric patients.