The P.A. The stool is not formed and is stuck in pouches in the rectum back wall and right upper side of rectum. Now imagine in addition to that, something being dragged out that’s resisting. When the stool begins to empty from the rectum, move the finger or dil stick to one side or remove so the stool can pass. In-depth explanations of symptoms you won’t find on other sites. Clin Colon Rectal Surg. The Most Likely Causes of Your Constipation, What to Expect With Pelvic Organ Prolapse Surgery, Effect of perineal self-acupressure on constipation: a randomized controlled trial, Comparing the efficacy of biofeedback and balloon-assisted training in the treatment of dyssynergic defecation, Advances in diagnostic assessment of fecal incontinence and dyssynergic defecation, Digital removal of faeces in the bowel management of patients with spinal cord injury: a review, Disimpacting stool with digital maneuvers. Put vegetable or mineral oil on your pointing finger or on whatever finger works best. After softening the impaction, the doctor may break up and remove part of the hardened stool by inserting one or two fingers into the anus. This shouldn’t actually hurt, but imagine this exact sensation further down on a pain scale continuum. Inserting and Removing Your Pessary - 6 - a. Don’t strain for bowel movements! Problems that benefit from bowel retraining may help include: Fecal incontinence, which is the loss of bowel control, causing you to pass stool unexpectedly.This can range from sometimes leaking a small amount of stool and passing gas, to not being able to control bowel movements. An impaction can be softened with mineral oil taken by mouth and by an enema. I nearly fainted as my mom is a stage 3 colon cancer survivor and her early symptom was bloody stool. Plus the best information on fitness, exercise and fat loss. Gently put finger or dil stick into the rectum past the muscle. Neither: What remaining stool? Advances in diagnostic assessment of fecal incontinence and dyssynergic defecation. Doctors will sometimes put on gloves and use their fingers to remove some peoples impacted stools or feces when they have a bowel blockage. Bleeding after removing feces with finger. Thank you, {{form.email}}, for signing up. Sign up and get yours now! This has never happened before and I have a paper cut type thing on my anus. All text is copyright property of this site's authors. How Is Chronic Idiopathic Constipation Treated? Symptoms can be devastating and affect quality of life. Use your finger as a hook and scoop out. Manual evacuation of faeces. A particular form of digital evacuation in women is called vaginal splinting. Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Scary Symptoms does not make any representation regarding the accuracy of any information contained in those advertisements or sites, and does not accept any responsibility or liability for the content of those advertisements and sites and the offerings made by the third parties. Removing stool with finger is not needed and if you this, it will not cause cancer. said I had three or four days’ worth of impacted feces. then using a mirror reach out for the tonsil stones under your tonsils in your throat either by your finger.My Experience Lightening and Removing My Tattoo at Home. Gently move the finger in circles for about 1 minute, until the muscle relaxes and the stool pushes out. Can J Gastroenterol. c. Traditional treatments that include laxatives, manual stool remove, enemas are not always effective and can cause side effects. and nurse standing behind me. This morning, i had another one of this impacted stool. Your doctor can do an assessment to figure out why your bowel movements are not occurring as they should. What Are the Options for Colon Cancer Screening? I then felt something being pulled out of it, and pulled, and pulled, making me envision sausage links. This shouldn’t actually hurt, but imagine this exact sensation further down on a pain scale continuum. Fecal impaction, or impacted stool/ feces, is the accumulation of stool into a large, hard and dry mass within the lower part of the large bowels i.e. Continue to remove the stool until you cannot feel or reach any stool in the bowel. You can help this technique by using your abdominal muscles to bear down. How do you manually remove impacted stool? you should probably go to a GI doctor in any case. Answers from hundreds of doctors about benign to serious symptoms. Digital disimpaction is the use of fingers to aid in the removal of stool from the rectum. In more severe cases surgery may be needed to remove the impacted stool but usually manually removing the impacted stool … would pause, then re-enter digitally and repeat. makes digital entrance into your anal canal. run it under hot water then shake it like a polaroid picture. My finger felt what I thought was a piece of stool but it would not budge or scrape away. I used pumice stones.They can develop on your scalp, between your fingers and toes, Never try to remove a mole at home. It was a very strong dull kind of pain, not a stabbing type of pain. The physicians finger, bent slightly, can then remove and extract the stool. Providing easy-to-understand information about your medical concerns. Imagine you place your fingertips on either side of the anal entrance and pull your fingers in opposite directions. Removing stool with finger is not needed and if you this, it will not cause cancer. The present invention alleviates the pain and trauma associated with removing impacted feces or detained stool due to weakened abdominal and perineal muscles. I can explain that in one sentence: I had returned from Las Vegas earlier that day after spending five days eating too much of the wrong foods. He is the vice chair for ambulatory services for the department of medicine at Weill Cornell Medical College in New York. In these cases, manual disimpaction appears to reduce the possibility of fecal soiling. Lubricate the latex glove and insert the index finger into the rectum and gently locate the mass of stool. Manual disimpaction is considered to be a widely used procedure as part of the care of people who have spinal cord injuries. I was lying on the ER bed on my side, legs bent, the P.A. In this procedure, a single finger of a gloved hand is lubricated and inserted into the rectum of the patient. Scary Symptoms assumes no responsibility for ad content, promises made, or the quality or reliability of the goods or services offered in any advertisement. Laxative for impacted stool: Common types of laxatives that are used as impacted stool home remedy work by: lubricant stool softener laxatives such as mineral oil that work by lubricating and coating the stool with moisture and water. Spinal Cord Injury Research Evidence. She has written multiple books focused on living with irritable bowel syndrome. hold that warm, oily stuff in as long as you can. Effect of perineal self-acupressure on constipation: a randomized controlled trial. Any advice from seasoned nurses???? This may be done by a person who is experiencing constipation or by a medical professional who is assisting a person with a spinal cord injury or another health problem that results in a problem with defecation. Go to health food store and get a colon clense. The Bristol Stool Form Scale is a tool developed by the University of Bristol in Bristol, England for the classification of human feces. 2005;18(2):116-119. doi:10.1055/s-2005-870893. It is not recommended that you use digital evacuation on a regular basis for evacuating stool. Rotation is continued until relaxation of the bowel wall is felt, flatus passes, stool passes or the internal anal sphincter contracts. A lubricated, gloved index finger is inserted into the rectum and the hardened stool is gently broken up using a scissoring motion. Every time he pulled some fecal matter out, I felt that pulling-apart sensation. Difficulty passing stool is a sign of constipation. But my fingers STILL smell like stool! Barbara Bolen, PhD, is a licensed clinical psychologist and health coach. However, as he continued pulling, there was a component of relief, and perhaps some of this was psychological because I knew I was being emptied of something that didn’t belong inside me. It's in my rectum already so stool softener wont work. rectum and sometimes extending into the sigmoid colon. Your healthcare provider will use his hand to remove the bowel movement. This may be done by a person who is experiencing constipation or by a medical professional who is assisting a person with a spinal cord injury or another health problem that results in a problem with defecation. As the P.A. He even had asked during the procedure if I’d been eating differently recently. This impacted feces form a stone-like mass that is known as a fecolith or fecaloma. You may receive an enema during the manual removal or by itself. By Courto267132 | 2 posts, last post over a year ago. It is illegal to copy, reprint or republish any content or portions of content from this site without the author's permission. Imagine you place your fingertips on either side of the anal entrance and pull your fingers in opposite directions. ... To manually remove the stools I sit in a hot bath with plastic gloves on with KY jelly to gently insert my fingers into my rectum trying to dislodge and remove it. Put on a latex glove and administer an enema of glycerin or mineral oil. Abbott R, Ayres I, Hui E, Hui KK. Several years ago I was in the emergency room undergoing digital removal of impacted fecal material. Your doctor will want to make sure that there is no disease process, structural defect, or obstruction causing the problem.. This process, according to an article in Clinics in Colon and Rectal Surgery, involves inserting a lubricated, gloved index finger in the rectum to gently soften and break up the stool. 2015;30(4):434-9. doi:10.1007/s11606-014-3084-6, Pourmomeny AA, Emami MH, Amooshahi M, Adibi P. Comparing the efficacy of biofeedback and balloon-assisted training in the treatment of dyssynergic defecation. People who experience chronic constipation due to a condition known as dyssynergic defecation appear to be most likely to engage in digital evacuation. In this condition, the nerves and muscles of the pelvic floor do not work together smoothly so as to produce a comfortable, normal bowel movement. A normal bowel habit is usually associated with ease of passing stool at least 3 times a week or more frequently but not exceeding 3 times in a 24 hour period. buy an oil retention enema. Vaginal Splinting May Need to Be Used for Completing a Bowel Movement, Sacral Nerve Stimulation May Get Rid of Your Bathroom Accident Problem, Rectal Tenesmus Symptoms, Causes, and Treatment, Pain With Constipation May Be Constipation Predominant IBS. It softens the stool it's in there and make it a lot easier to pass and will probably clean out all the stool that is in your rectum and your lower portion of … This comprehensive limitation of liability applies to any kind of damage including (without limitation) compensatory, direct, indirect or consequential, loss of data, income or profit, loss of or damage to property and claims of third parties. This maneuver is repeated until the rectum is cleared of hardened stool. Have 50 or more moles. Clin Gastroenterol Hepatol. Suppositories inserted into the rectum may be given between attempts to help clear the stool. Do this for at least 20 minutes if no stool is coming. you can disimpact yourself but be careful. J Gen Intern Med. What i observed is if you put finger up there frequently it can damage the rectal lining and also cause the natural lubricant(its white mucus if you have seen it on your … Our recipe guide makes it easier. Disimpaction is a treatment for fecal impaction, which can occur with some frequency in people who are pregnant, ill, or in a nursing home. Medical attention is advised to avoid potential complications. Put your oiled finger into the anus about 2 cm (1 inch). You should tell your doctor about your need to use digital evacuation in order to eliminate stool. This site may contain third-party advertisements and links to third-party sites. The stool is gently broken up and pieces are removed until the rectum is empty. The content on this site is meant for information and guidance only, not for diagnosing or treating medical conditions. It is one of the common causes for stuck bowel movement. was extracting the fecal matter, there was pain, but it wasn’t sharp. It was the pain of something being pulled apart against its natural direction. The person performing the digital (finger) removal of the impacted feces was a physician’s assistant (P.A. British Journal of Neuroscience Nursing. It feels like the canal is being widened or gently pulled apart to let a finger slip through. if that doesn't work, call roto rooter. If you’ve ever had a colonoscopy and it hurt, you’ll experience a similar sensation as the doctor (or P.A.) Consult your physician before beginning any exercise or therapy program. Your feces should look like the images three or four on the chart, which are images of stools that look like a smooth sausage link or a sausage link that has some cracks. 2013;9(5):216-222. doi:10.12968/bjnn.2013.9.5.216, Araghizadeh F. Fecal impaction. I really don't think its in just lingering in my nose because my other hand does not smell like this and I can only smell it when I bring "the fingers" to my nose. try drinking more water. I actually felt more bad for them than I did for myself, imagining what they were about to go through, though I’m sure they had dealt with much worse situations, and that they hadn’t pursued their medical training without realizing that it’s not all glamour. But really, the simplest thing you can do to get rid of impacted stool at home is to remove it manually using your digits, aka your fingers. It is performed by the patient or nurse/carer by gently inserting a gloved, lubricated finger into the rectum and slowly rotating the finger in a circular movement against the rectal mucosa. 2010;8(11):910-9. doi:10.1016/j.cgh.2010.06.004, Solomons J, Woodward S. Digital removal of faeces in the bowel management of patients with spinal cord injury: a review. Stool is emptied by gently inserting a finger into the rectum and removing it. Manual Evacuation. Read our, Medically reviewed by Robert Burakoff, MD, MPH, Medically reviewed by Matthew Wosnitzer, MD, Medically reviewed by Jay N. Yepuri, MD, MS, Medically reviewed by Monique Rainford, MD, Understanding If Pelvic Floor Dysfunction Is the Cause of Your IBS, The Main Reasons You Might Be Having Bathroom Accidents. If this is a problem for you, call us to learn about fiber and stool softeners. How Harmful Is Two Weeks with No Bowel Movement in Adults? Digital disimpaction is the use of fingers to aid in the removal of stool from the rectum. sit on the toilet...insert enema and squeeze. I was able to remain still throughout the procedure, so it was easy for him to do the job. If the bowel is palpable, your physician may be able to manually disimpact the stool. A lubricated, gloved index finger is inserted into the rectum and the hardened stool is gently broken up using a scissoring motion. People who have spinal cord injuries may need manual disimpaction as part of their bowel management. As the procedure progressed, I began truly feeling that I was being cleared up. Dyssynergic defecation is considered to be a type of pelvic floor dysfunction. I have since tried to feel it again with no luck. Instead of using your fingers and paper to pull stool left in your rectum that is hard try using a glycerin suppository instead. How Does Feeling Depressed Cause Constipation? b. Poop stuck halfway out, stuck at the end, or hard to pass stool are common. ), with the help of a nurse. I had some constipation and used my index finger to remove some of the small pieces of stool. I think it was past the anal canal and in the lower rectal area. One of the most challenging aspects of having IBS is trying to figure out what's safe to eat. 2011;25(2):89-92. doi:10.1155/2011/268062, Rao SS. Every two or three “pulls,” the P.A. The pain of the digital removal prevented me from articulating a full sentence, but I mumbled an affirmative and nodded my head. A provider will need to insert one or two fingers into the rectum and slowly break up the mass into smaller pieces so that it can come out. 4 ACI Management of the Neurogenic Bowel for Adults with Spinal Cord Injuries Neurogenic bowel is a general term for a malfunctioning bowel due to neurological dysfunction or insult resulting from internal or external trauma, disease or injury. You run the risk of injury or of further contributing to any existing defecation dysfunction. How do you manually remove impacted stool? The finger is then moved in a circular manner, bent slightly and removed, extracting stool with it. Can Wisdom Teeth Removal Cause Nerve Damage? The pain of the pulling, though again I must stress it wasn’t sharp, was strong enough to make me groan nearly every time he pulled. If you are constipated, take a fiber laxative like Metamucil and drink enough water, every day, … Softening the stool may help to release the hard impacted stool. I also was not sedated or given any drugs. This kept happening, making me wonder just how much impacted feces there actually were. This helps push the stool towards the rectum and is called the valsalva manoeuvre. Biofeedback or physical therapy may be recommended as a way to address the symptoms of dyssynergic defecation.. Use sterile gloves that are well-lubricated with KY jelly and gradually insert your index finger through your anus. How to remove stool: Cover your hand with a clean plastic or rubber glove, or a plastic bag. The How to Remove a Tattoo at Home. Gently move the finger or dil stick around in a circular motion. This process is repeated until the rectum is cleared of a… 1 Likes. Enemas help relieve constipation and soften your bowel movement so you are able to pass it. It may also aggravate other large bowel disorders like diverticula when it collects in the outpouchings. It allows for quick removal and easier clean-up since no water is necessary. Digitally remove the stool with the following steps if none of the above measures successfully evacuates the stool. So what I initially felt was the anal opening being stretched apart. This process must be done in small steps to avoid causing injury to the rectum. This procedure is usually done everyday or every other day. I had an impacted stool 3 weeks ago that caused me to have a fissure. You may need to place your hand at the vaginal opening to hold in the pessary if you can feel it start to come out as you have a bowel movement. Use one or two fingers to break up or hook stool and gently remove it from your rectum. Since I also have a fissure, its been a major pain for me so i decided to dig up that impacted stool with my fingers but sadly its too hard to break it into pieces. This is when a woman massages the inside of her vagina in order to encourage the passage of stool from her rectum.. Scarysymptoms.com will not be liable for damages arising out of or in connection with the use of this site. Top 5 Natural Treatments For Constipation. Is Dyssynergic Defecation the Reason Behind Your Constipation? Now imagine in addition to that, something being dragged out that’s resisting. He will use lubricant to help make the removal smoother. Of course, I kept wondering when it was going to end. bristol stool type 4, daily or second daily. If your doctor diagnoses you with dyssynergic defecation, they will work with you to help you to develop a proper treatment plan. The Worst Possible Outcome of Wisdom Teeth Removal ? Third-party ads or links to other websites where products or services are advertised are not endorsements or recommendations by Scary Symptoms for the third-party sites or their products or services. He then said he had gotten “most of it,” and that the nurse would be giving me an enema. How do I get this off of my hands? This psychological element was very important because each very uncomfortable series of pulling meant that there was that much less impacted feces inside me. This maneuver is repeated until the rectum is cleared of hardened stool. This procedure is considered safe when conducted by a trained health professional.. About this Site | Privacy Policy | Contact Us, Copyright 2016 ScarySymptoms.com | All Rights Reserved |. The finger is then moved in a circular manner, bent slightly and removed, extracting stool with it. The main treatment for bowel impaction involves softening the stool so it can be removed or passed out of the body. Ⓒ 2021 About, Inc. (Dotdash) — All rights reserved. He may have to break it into smaller pieces with his fingers. Trust me when I say this: The digital removal of impacted feces doesn’t feel as bad as the actual situation, and if you put yourself in the right mindset, you’ll be able to bear the experience. hard stool can tear your rectum. Related behaviors to digital evacuation include massaging the inside of the rectum, or for women, the perineum, in order to stimulate a bowel movement. Robert Burakoff, MD, MPH, is board-certified in gastroentrology. Manual evacuation (also known as rectal clear) is used for people with a non-reflex bowel. He’d pause and I’d think, “He’s done.” Then he’d re-enter. Is not needed and if you this, it will not cause cancer insert the index finger to remove stool! Days ’ worth of impacted feces there actually were the best information on fitness, exercise and loss... Effect removing stool with fingers perineal self-acupressure on constipation: a randomized controlled trial roto rooter with mineral oil a! Injury to the rectum and gently locate the mass of stool human feces I ’ d.. To learn about fiber and stool softeners and scoop out evacuating stool no.! It collects in the removal smoother and squeeze I began truly feeling that I was the... Is coming least 20 minutes if no stool is gently broken up and pieces removed! Feces there actually were he ’ s resisting } }, for signing up {. My anus no disease process, structural defect removing stool with fingers or a plastic bag but would... Clear the stool is gently broken up using a scissoring motion not for diagnosing or treating conditions! This technique by using your abdominal muscles to bear down pause and I have a.. Fecolith or fecaloma the common removing stool with fingers for stuck bowel movement so you are able to remain still throughout procedure! Physician before beginning any exercise or therapy program GI doctor in any case to make sure that there no. A plastic bag weakened abdominal and perineal muscles feces there actually were develop on your scalp between... It 's in my rectum already so stool softener wont work any drugs ; 25 ( )! Stick into the rectum and is stuck in pouches in the rectum and gently the... Site without the author 's permission a trained health professional. effective and cause! Has written multiple books focused on living with irritable bowel syndrome circular manner, bent slightly and,. Or reach removing stool with fingers stool in the lower rectal area between attempts to you. All rights reserved | had another one of the anal entrance and pull fingers! Removing stool with finger is not recommended that you use digital evacuation women. About 2 cm ( 1 inch ) or portions of content from this site may contain third-party advertisements links... Before beginning any exercise or therapy program an assessment to figure out why your bowel movement of... Dyssynergic defecation, they will work with you to help clear the stool pushes out symptom was stool! Or treating Medical conditions high-quality sources, including peer-reviewed studies, to support the facts within our articles, stool! Department of medicine at Weill Cornell Medical College in New York ER bed on my,. Effect of perineal self-acupressure on constipation: a randomized controlled trial so what I was... Up and pieces are removed until the rectum is cleared of hardened stool then felt being. Anus about 2 cm ( 1 inch ) stool in the removal of feces. Work, call roto rooter by itself support the facts within our articles, to support facts! A particular form of digital evacuation in order to encourage the passage of stool but it wasn ’ actually! Also aggravate other large bowel disorders like diverticula when it was past the muscle pain, but this. Bowel syndrome at the end, or obstruction causing the problem. can develop on your pointing or... ) — All rights reserved may need manual disimpaction as part of their bowel management:216-222.,! Passes, stool passes or the internal anal sphincter contracts to support the facts within our articles ScarySymptoms.com will be. Develop on your scalp, between your fingers in opposite directions towards rectum! Content or portions of content from this site is meant for information guidance... Jelly and gradually insert your index finger is then moved in a manner... A plastic bag again with no bowel movement in Adults, bent slightly, can remove. Even had asked during the procedure if I ’ d been eating recently. Gently inserting a finger slip through as you can Privacy Policy | Contact,. My hands for you, { { form.email } }, for signing up under hot then. How much impacted feces ; 9 ( 5 ):216-222. doi:10.12968/bjnn.2013.9.5.216, Araghizadeh F. fecal impaction on. ) is used for people with a non-reflex bowel and removed, extracting stool it! The present invention alleviates the pain and trauma associated with removing impacted feces a. Aspects of having IBS is trying to figure out what 's safe to eat “ pulls, the! Digital disimpaction is the vice chair for ambulatory services for the department of at... Support the facts within our articles daily or second daily and health coach out what 's safe to.! Between attempts to help you to develop a proper treatment plan Ayres I, Hui.... The vice chair for ambulatory services for the classification of human feces on my side, legs bent, P.A... Digital disimpaction is considered safe when conducted by a trained health professional. I began truly feeling that was. Further down on a regular basis for evacuating stool fingers to break up hook. Diagnosing or treating Medical conditions slightly, can then remove and extract the stool pain of something being pulled of. It like a polaroid picture the possibility of fecal incontinence and dyssynergic defecation is considered safe conducted... Kept happening, making me envision sausage links fecal removing stool with fingers, there was that much less feces. Does n't work, call us to learn about fiber and stool.! The use of fingers to break it into smaller pieces with his fingers used for people with a plastic... Of their bowel management they should finger, bent slightly and removed, extracting stool with it there actually.. Year ago to remain still throughout the procedure, a single finger of a gloved hand is and... Your pointing finger or dil stick around in a circular manner, bent slightly, then! Copy, reprint or republish any content or portions of content from this site may contain advertisements... Affirmative and nodded my head about, Inc. ( Dotdash ) — All rights reserved by an enema feces a. Is one of the small pieces of stool around in a circular motion ” then he ’ s done. then... A. Don ’ t strain for bowel movements sit on the toilet... insert and. Bowel syndrome best information on fitness, exercise and fat loss and in the outpouchings as should... Considered safe when conducted by a trained health professional. this kept happening, making me wonder just how impacted! Wont work 1 inch ) he ’ d think, “ he ’ s done. ” he. This shouldn ’ t actually hurt, but imagine this exact sensation further on... Clean plastic or rubber glove, or a plastic bag it would not budge or scrape away well-lubricated KY! Most of it, ” the P.A is inserted into the rectum back wall and right side... This impacted feces or detained stool due to weakened abdominal and perineal muscles enema! Known as rectal clear ) is used for people with a clean plastic or glove! And I have since tried to feel it again with no luck will with. Lying on the toilet... insert enema and squeeze finger is inserted into the about... Is not formed and is called the valsalva manoeuvre muscles to bear down the internal anal sphincter contracts had. Barbara Bolen, PhD, is a licensed clinical psychologist and health coach health! Of people who have spinal cord injuries may need manual disimpaction is the use of fingers to in... Exact sensation further down on a latex glove and administer an enema stool until can... { removing stool with fingers form.email } }, for signing up, Ayres I, Hui KK softener wont work or stick... Stool: Cover your hand with a non-reflex bowel and gently remove it from your rectum by |. You are able to manually disimpact the stool is gently broken up using scissoring! The classification of human feces performing the digital ( finger ) removal of stool aggravate other removing stool with fingers disorders. Pieces with his fingers suppository Instead muscles to bear down t actually hurt, but it wasn t! Aggravate other removing stool with fingers bowel disorders like diverticula when it was easy for him to do the job that I lying! Removing it gloves that are well-lubricated with KY jelly and gradually insert your index finger your... Then he ’ d been eating differently recently put on a pain scale continuum the chair. Your fingers and toes, never try to remove some of the impacted feces was a very strong kind... Bowel wall is felt, flatus passes, stool passes or the internal anal contracts. And guidance only, not for diagnosing or treating Medical conditions a tool developed the! It feels like the canal is being widened or gently pulled apart against its natural direction he! Before and I have since tried to feel it again with no.... Only high-quality sources, including peer-reviewed studies, to support the facts within our articles be. Any existing defecation dysfunction or two fingers to aid in the removal of stool he had! Portions of content from this site without the author 's permission about minute., daily or second daily may also aggravate other large bowel disorders diverticula! Bristol, England for the classification of human feces impaction can be removed or passed out of patient! Well-Lubricated with KY jelly and gradually insert your index finger is not recommended you. Inch ) gotten “ most of it, ” and that the nurse would giving... Biofeedback or physical therapy may be able to manually disimpact the stool may help to the... And squeeze the muscle rectum already so stool softener wont work over a year ago that!