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La impactación fecal se forma cuando las heces permanecen demasiado tiempo en el colon o el recto, perdiendo progresivamente agua y volviéndose duras, secas y voluminosas. Esto suele ocurrir en el contexto de estreñimiento crónico, retención voluntaria (frecuente en niños), baja ingesta de fibra o líquidos, o alteraciones de la motilidad intestinal. Con el tiempo, el bolo fecal se compacta tanto que no puede expulsarse de manera espontánea, generando dolor, distensión abdominal e incluso escapes
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