Rectal examination reveals dry faecal balls, large colon impaction and distented loops of small intestine. Gut sounds are reduced or absent due to gastrointenstinal atony. Passage of a stomach tube often results in gastric reflux of up to 20L. | Rectal examination reveals dry faecal balls, large colon impaction and distented loops of small intestine. Gut sounds are reduced or absent due to gastrointenstinal atony. Passage of a stomach tube often results in gastric reflux of up to 20L. |