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Features of intestinal obstruction may include;
- Constipation, even without passing of flatus,
- Pain in abdomen,
- Distension of abdomen,
- Pain on pressure over abdomen,
- Rigidity of abdominal musculature,
- Retention of urine and some other features elicited by the physician.
When she was examined clinically there was gaseous distention of abdomen, retention of urine, no fever; but on digital rectal examination a large hard and scabelous fecal mass was felt occluding the rectum.
She was asked to go for defecation and manual removal of hard fecal mass that gave her instant relief.
That is why the peers in medical science always emphasize on digital rectal examination of a patient, many times which is very conveniently avoided by many clinicians.