Fecal impaction mortality rates
Why most people are caught off-guard by sudden emergencies
Fecal impactions are unlike other disorders where the symptoms slowly grow worse over time, the problem becomes increasingly noticeable and the condition gives you a chance to fix the situation before it gets critical.
Instead, most people with fecal impactions that suddenly end up in hospitals from life-threatening complications feel perfectly fine up until those last few moments.
The silent nature of fecal impactions means that you could be sitting at home one day, barely feeling like anything is off and suddenly, within a matter of hours, need emergency surgery to save your life from a perforated colon.
Have a look at these alarming statistics:
Once the colon gets perforated the mortality rate goes up to 33%
If you’ve been hospitalized before, this mortality rate climbs to 54% for the next hospitalization
If the infection from a perforation spreads beyond the colon, the mortality rate skyrockets to 70%
You’d imagine that all these people who die would certainly know that they were on the verge of a fatal colon perforation. Surely, they must have felt unbearable pain or some other obvious symptom to have ended up in this grave condition
But that’s not the case at all.
Even at this advanced stage, the patient can be asymptomatic and show no clear defining signs that something has gone seriously wrong with their gut. In fact, research shows that 1 out of 5 patients actually have normal bowel movements before they end up in the ER from fecal impaction emergencies.
And perforations are just one among many other equally dangerous complications of fecal impactions, including bladder damage, kidney damage, colon ulcerations, diverticulitis, etc.
So, how can so many people be caught off-guard by their fecal impaction?
There are 2 main reasons…
Relying on your symptoms is the worst way to tell how close you are to a catastrophe
Most people that end up in emergency rooms wrongly assume that they are not in any immediate danger because their symptoms are either absent, mild or vague. This illustrates how deceivingly silent and misleading the damage from fecal impactions truly is.
Far too often, the sufferer expects that if something serious suddenly were to happen to their colon, there would be a clear sign alerting them of an emergency.
For example, it is suggested that the most common indicator of a fecal impaction is abdominal pain. So, you might wait for severe pain in your abdomen before deciding to go to a doctor.
However, research indicates that more than half of all fecal impaction patients don’t even experience this apparently defining symptom.
Or, you might assume that if you don’t have chronic constipation problems, you don’t have to worry about a fecal impaction
But did you know that 31% of patients don’t report any chronic constipation before their fecal impaction incident?
The truth is, if you suspect that you currently have a fecal impaction or have had it in the past, relying on your symptoms is the worst way to tell how serious the condition of your colon is.
A single episode of a fecal impaction is enough to establish that your colon has already experienced significant damage and this damage will continue relentlessly whether you feel it or not
In fact, even after your impacted stool is removed, the breakdown of your gut will likely persist and the cycle of damage will go on.
The tissue destruction of fecal impactions is so incessant and happens so silently that you could be at the brink of a near-fatal perforation and not know it. Impactions can go so unnoticed that 7% of impactions are diagnosed after the person has already died and the problem is only discovered upon an autopsy.
Patients are often misdiagnosed or incorrectly treated by their doctors
Not only are fecal impactions unpredictable and their damage often unnoticeable, they have the capacity to even mislead medical experts.
Take for instance something called paradoxical diarrhea. On its surface, this symptom seems to defy logic…
When a fecal impaction case is at its worst, the sufferer is likely to suffer from diarrhea (the stool pushes so hard against your gut that the inner lining secretes mucus, which then acts like a lubricant and lets liquid stool escape past the hard mass).
Now imagine a doctor being confronted with a patient that has recurrent diarrhea. His first instinct would be to prescribe an anti-diarrheal agent, which will further slowdown the digestive tract, make the stool even harder and worsen your overall problem.
A similar issue can happen if a patient complains of not being able to pass stool. Doctors often recommend laxatives to patients presenting such a symptom. However, research shows that laxative use in severely impacted patients can actually increase the chances of deadly perforations.
These unintended consequences are called Iatrogenic effects where the physician inadvertently makes a situation worse and they are very common with fecal impactions.
These mistakes are not just limited to misdiagnosing the problem.
Even at the advanced stages of a colon perforation where the patient needs immediate life-saving surgery, treatment mistakes are common.
Research has now revealed that prior to surgery, doctors are only right 11% of the time when estimating the extent of an infection along the colon.
That’s why the mortality rate for colon ruptures is so high even after the patient has had a colon resection.
These issues aren’t a reflection of doctors’ lack of ability to diagnose or treat the problem. It is simply proof that fecal impactions are really that notorious for going unnoticed until calamity strikes.
properly diagnosed
damage inside you
that something is wrong
In other words, the absolute best way to avoid sudden, unpredictable complications from fecal impactions is to
rely on medical tests and not symptoms.
Let’s see how getting tested can lower your risk of mortality and what exact tests you should get…