Digital Decompression and Its Realization

Digital de-impactation is the manual removal of stool from the rectum using the fingers. This can be done by people who are constipated or by a medical professional to help people with fecal impaction or a condition that prevents bowel movements, such as spinal cord injury.

For this procedure, one finger of the gloved hand is lubricated and inserted into the rectum. Stools are gently broken and removed until the rectum is cleared. Digital de-impactation can be done alone or in conjunction with rectal irrigation (flushing).

This article looks at the various reasons why digital de-clogging may be required and the risks that may be involved with this manual procedure.

also known as

Digital de-shock can also be called:

  • Digital Removal of Feces (DRF)
  • Stress reduction stool with digital operation
  • digital evacuation
  • Manual decompression
  • Manual elimination

Causes of digital interference

The use of finger unblocking to treat constipation is not recommended unless the condition cannot be relieved by other means, or a person has a medical condition that seriously interferes with bowel movements.

Here are three reasons why you might need to digitally remove the impact:

fecal impaction

Fecal impaction is a solid stool that gets “stuck” in the rectum, usually as a result of chronic constipation. In addition to pain and bloating, fecal impaction can cause overflowing diarrhea as fluid builds up after the blockage.If left untreated, it can lead to ulcers, bleeding and even tissue necrosis (die).

Causes and risk factors for fecal impaction include:

  • lack of physical activity
  • chronic or severe dehydration
  • not eating enough fiber
  • holding back bowel movements
  • Opioid use
  • barium enema
  • foreign body obstruction
  • enlarged prostate
  • pregnant
  • Traction (especially if obese)
  • Celiac disease
  • Irritable Bowel Syndrome (IBS)
  • Inflammatory Bowel Disease (IBD)
  • Hypothyroidism

All of these conditions can lead to severe constipation by altering the consistency of the stool and/or the normal contractions of the bowel.

Uncoordinated bowel movements

People who experience chronic constipation due to a condition called Uncoordinated bowel movements Most likely digital evacuation will be required.

A bowel movement disorder occurs when the nerves and muscles of the pelvic floor do not work smoothly together to produce a normal bowel movement. Essentially, the organs that promote bowel movements are “out of sync”.

is also called dissimilarity, Uncoordinated defecation is considered a type of pelvic floor dysfunction. Since defecation requires voluntary contraction of the anal sphincter muscles, this condition usually results from the inability to control these muscles voluntarily.

Reasons include:

  • Anal canal deformity
  • Parkinson’s Disease
  • rectocele (when the vagina swells into the rectum)
  • Rectal prolapse (protrusion of the rectum beyond the anal canal)
  • rectal ulcer

Biofeedback and physical therapy can also be recommended as a means of relaxation and better focus on anal sphincter control.

Spinal cord injury

People with spinal cord injury may require digital deimpactation as part of routine bowel management. Manual de-impactation is considered the standard of care for severely injured patients.

Motor vehicle accidents and serious falls are the most common causes of spinal cord injuries, but they can also be the result of degenerative spinal disease or spinal tumors. Loss of bowel function may be temporary or permanent.

Because people with spinal cord injuries often lose sensation around the anus and rectum, digital deimpactation should be performed by a healthcare professional (or a caregiver trained in surgery) to avoid injury.


Finger unblocking can be used to clear stool in people with fecal impaction, spinal cord injury, or uncoordinated bowel movements, in which the muscles and nerves that help regulate bowel movements are damaged.

Risks and Precautions

Regular use of digital evacuation is not recommended. You risk injuries, including anal fissures or rectal perforations, as well as hemorrhoids and infections. If the anal sphincter is damaged, it can also make the condition worse.

In rare cases, fatal cardiac arrhythmias (arrhythmias) are known to occur, most commonly in chronically ill older adults.

Your healthcare provider can perform an evaluation to determine the cause of your irregular bowel movements. They will want to identify the root cause — whether it’s a disease, a structural defect or a blockage — in order to find appropriate short- and long-term solutions.


While useful, digital blockade should not be used on a regular basis as it can make your condition worse. It can also cause rectal bleeding, hemorrhoids, infections, anal fissures, and rectal perforations.


Digital de-impactation is the removal of stool from the rectum using gloved fingers. It is used when a person is unable to have a bowel movement due to severe constipation, fecal impaction, incoordination of bowel movements, and spinal cord injury.

Digital deimpactation can be performed by constipated patients, healthcare providers, or paramedics trained in surgery. It is sometimes used with a rectal rinse to gently clean out the bowel.

When all other reasonable options have failed, digital elimination is considered a short-term solution. Frequent use of finger extractions can worsen hemorrhoids, anal fissures, rectal perforations, infections, and bowel problems.

Frequently Asked Questions

  • When is digital subtraction needed?

    When laxatives or enemas fail to resolve fecal impaction, digital deimpactation is often used. This includes people who are unable to defecate due to spinal cord injury, dehydrated older adults, obese people in traction, and people who have suffered impaction from barium enemas.

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  • Are there alternatives to digital removal of effects?

    A special form of female digital evacuation is called a vaginal splint. This includes massaging the inside of the vagina to facilitate passage of stool from the rectum. It may also help massage the inside of the rectum or perineum to stimulate bowel movements.

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  • What other methods are available to treat fecal impaction?

    Before digital impaction was considered, healthcare providers often treated fecal impaction with enemas, osmotic laxatives, and polyethylene glycols. Pulse Irrigation Evacuation (PIE) is another method in which a person lies in bed while pulsing water gently breaks down and expel stool. Severe cases may require surgery.

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