7. Distended Abdomen: A Telltale Bulge
One of the most visible symptoms of fecal impaction in children is a distended or protruding abdomen. Unlike regular bloating, this is a more pronounced, persistent bulge, particularly in the lower abdomen. The reason? Accumulated stool that doesn’t find its way out, causing the abdomen to extend outward.
What’s fascinating is the solidity of this distension. If caregivers were to gently press the abdomen, they might notice a firmness, contrasting the usual softness. This is the impacted stool, creating a palpable mass within.
This physical change can affect a child’s posture. They might lean back slightly to compensate for the forward bulge or even adopt a peculiar walk. Simple acts like bending to pick something up or lying flat on their stomach can become uncomfortable.
It’s not just about the physical discomfort. The visible change can make children self-conscious, especially if comments or questions arise from their peers. The psychological impact of looking different can be as challenging as the physical symptom itself.
Interestingly, while the distended abdomen is a clear sign, it’s one that can be mistakenly attributed to weight gain or poor posture. Observing this symptom in conjunction with others can provide clarity on the actual underlying issue. (7)
