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you need to see a doctor and have a manual disimpaction done.
No one likes to do this but it must be done
Finger inserted into the rectum to remove stool
I have a different answer.
CT scan shows no blockage.
Irrigation of the bowel, if done by a skilled person, would have negated the idea of blockage in the rectum.
You need to see a gastroenterologist at this point.
If you have been using laxatives, then this can be an effect of long term laxity use.
If you have never had a colonoscopy, this needs to be arranged. CT can does not necessarily pick up polyps or other lesions.
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A CT and bowel irrigation wouldn't rule out an impaction. You need the rectum examined
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