Constipation and faecal impaction
An impacted bowel presses on the urethra and/or bladder and stretches the pelvic floor. This can result in difficulties emptying the bladder and can cause retention of urine. If a catheter is in situ, the impacted bowel can also block the catheter.
The residual urine caused by the obstruction is then prone to infection.
Soiling/faecal leakage, as can occur when severe constipation leads to overflow leakage, is another cause of a urinary tract infection (UTI) due to the faecal contamination.
Clinical practice notes - proactive care:
Discuss what ‘constipation’ and ‘faecal impaction’ is
Discuss the causes of constipation
Support the person to identify if they are at risk of constipation
Support the person to plan lifestyle changes to help prevent constipation
This condition will be explored further in Week 4: Bowel function and dysfunction.
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