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Heart rate mildly elevated during painful episodes but often normal
Heart rate mildly elevated during painful episodes but often normal
Colic signs typically well controlled with analgesics but become increasingly more severe and refractory if impaction not resolved
Colic signs typically well controlled with analgesics but become increasingly more severe and refractory if impaction not resolved
==Diagnosis==
==Diagnosis==
===Rectal examination===
===Rectal examination===
Firm mass in large colon but may underestimate extent of impaction because much of colon out of reach (83)
Adjacent colon may be distended if impaction has resulted in complete obstruction
==Treatment==
==Treatment==
===Medical===
===Medical===