Facing ER for Constipation: What to Expect and Why It's Important

Constipation is a common digestive issue that can be uncomfortable and worrying. If you've been constipated for two weeks, you might be considering visiting an Emergency Room (ER). This article will guide you through what to expect during an ER visit for constipation, from the initial consultation to possible treatments and referrals. Remember, this article is not a replacement for professional medical advice, and any medical concerns should be addressed by a licensed healthcare provider in your area.

What You Can Expect During an ER Visit for Constipation

Before you go, it's helpful to understand what to expect during your ER visit. Here's a breakdown of the process:

1. Initial Questions and Examination

The ER team will start by asking you numerous questions about your symptoms, including how long you have been constipated, what you have eaten, and any changes in your routine or diet. They will also conduct an initial physical examination.

2. Rectal Exam

You might be asked to undress and put on a gown. The doctor will perform a rectal exam, which is a common and necessary step to diagnose constipation. During this exam:

You may be asked to lie on your back with your knees drawn up to your chest or to kneel on all fours. Your head may be lowered to the table for better access. The doctor will inspect the exterior of your anus and then gently insert a gloved, lubricated finger into your rectum. The finger will be rotated to feel for any blockages or abnormalities.

3. Imaging Tests

Based on the findings from the physical examination, the ER doctor may order imaging tests. This could include:

Abdominal X-ray: To check for blockages or other issues. CT Scan: For a more detailed view, especially if there are concerns about complications.

4. Treatments

Once the diagnosis is made, your treatment options will depend on the severity and cause of your constipation:

Oral Laxatives: These are often used first to help pass stool by softening it. Enemas: If oral laxatives do not work, an enema may be used to flush out the stool. Manual Removal: In severe cases, a healthcare provider may manually remove the stool. Surgical Intervention: This is rarely necessary but may be required if there are complications.

5. Follow-Up Care

Once the immediate issue is addressed, you will likely be referred to a specialist, such as a gastroenterologist, for ongoing care and management of your bowel health.

Confidentiality and Professionalism

Rest assured that all information shared with healthcare providers is kept confidential. ER staff are professionals and are legally bound to protect your personal and sensitive health information.

Seeking Help for Constipation

When people talk about constipation, they might be referring to:

Your stools may be harder than usual. You might be passing them less often. Or you might have not passed any stools for several days.

If you are experiencing constipation, it's important to consult your primary care provider:

They can examine your abdomen, groin, and perform a rectal exam. If necessary, they can prescribe laxatives, suppositories, or enemas.

However, if you have severe pain, vomiting, or are unable to pass gas, you should seek immediate attention at the ER.

Long-Term Management

It's crucial to address any persistent changes in your bowel habits. If you notice a significant and prolonged change in your bowel movements, consult a healthcare provider, especially if you experience other symptoms such as weight loss or anemia.

In very rare cases, persistent changes in bowel habits can be indicative of diseases such as bowel cancer. Your doctor may consider referring you for further tests, such as a colonoscopy or a CT colonogram, to rule out these conditions.

Remember, this article is for informational purposes only. If you are concerned about your bowel health, please seek advice from a licensed healthcare provider in your area.