Surgery if there are signs of perforation, peritonitis, or stercoral colitis
Distal<unk> s - manual disimpaction and/or rectal suppositories or enemas
Proximal<unk> s typically respond better to oral laxatives
After initial disimpaction, address risk factors and initiate a maintenance bowel regimen
Fecal impaction
Behavioral-related
Rectal foreign body
Lack of exercise
Volvulus 
Diet-related
Volvulus
Clogged G-tube