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Common symptoms of fecal impaction. Common symptoms of fecal impaction include: 1  Abdominal pain or cramping. 2  Abdominal swelling, distension or bloating. 3  Back pain. 4  Blood-streaked stools. 5  Change in bowel habits. 6  Diarrhea (can be explosive). 7  Difficulty urinating. 8  Fecal incontinence (inability to control stools).
If your symptoms indicate you might have fecal impaction, your doctor can confirm the diagnosis by examining your abdomen and by checking for a mass of impacted feces during the digital rectal exam. You may need other tests, including blood tests, plain abdominal X-rays, a barium enema or sigmoidoscopy (in which a special instrument is used to view the lower colon).