However, as he continued pulling, there was a component of relief, and perhaps some of this was psychological because I knew I was being emptied of something that didn’t belong inside me. One of the most challenging aspects of having IBS is trying to figure out what's safe to eat. He then said he had gotten “most of it,” and that the nurse would be giving me an enema. It's in my rectum already so stool softener wont work. After softening the impaction, the doctor may break up and remove part of the hardened stool by inserting one or two fingers into the anus. I think it was past the anal canal and in the lower rectal area. A lubricated, gloved index finger is inserted into the rectum and the hardened stool is gently broken up using a scissoring motion. An impaction can be softened with mineral oil taken by mouth and by an enema. Instead of using your fingers and paper to pull stool left in your rectum that is hard try using a glycerin suppository instead. The Most Likely Causes of Your Constipation, What to Expect With Pelvic Organ Prolapse Surgery, Effect of perineal self-acupressure on constipation: a randomized controlled trial, Comparing the efficacy of biofeedback and balloon-assisted training in the treatment of dyssynergic defecation, Advances in diagnostic assessment of fecal incontinence and dyssynergic defecation, Digital removal of faeces in the bowel management of patients with spinal cord injury: a review, Disimpacting stool with digital maneuvers. This site may contain third-party advertisements and links to third-party sites. Trust me when I say this: The digital removal of impacted feces doesn’t feel as bad as the actual situation, and if you put yourself in the right mindset, you’ll be able to bear the experience. By Courto267132 | 2 posts, last post over a year ago. I nearly fainted as my mom is a stage 3 colon cancer survivor and her early symptom was bloody stool. The stool is not formed and is stuck in pouches in the rectum back wall and right upper side of rectum. c. Imagine you place your fingertips on either side of the anal entrance and pull your fingers in opposite directions. Suppositories inserted into the rectum may be given between attempts to help clear the stool. Thank you, {{form.email}}, for signing up. Every time he pulled some fecal matter out, I felt that pulling-apart sensation. My finger felt what I thought was a piece of stool but it would not budge or scrape away. Read our, Medically reviewed by Robert Burakoff, MD, MPH, Medically reviewed by Matthew Wosnitzer, MD, Medically reviewed by Jay N. Yepuri, MD, MS, Medically reviewed by Monique Rainford, MD, Understanding If Pelvic Floor Dysfunction Is the Cause of Your IBS, The Main Reasons You Might Be Having Bathroom Accidents. Use sterile gloves that are well-lubricated with KY jelly and gradually insert your index finger through your anus. Stool is emptied by gently inserting a finger into the rectum and removing it. A provider will need to insert one or two fingers into the rectum and slowly break up the mass into smaller pieces so that it can come out. So what I initially felt was the anal opening being stretched apart. Softening the stool may help to release the hard impacted stool. In-depth explanations of symptoms you won’t find on other sites. The pain of the pulling, though again I must stress it wasn’t sharp, was strong enough to make me groan nearly every time he pulled. I really don't think its in just lingering in my nose because my other hand does not smell like this and I can only smell it when I bring "the fingers" to my nose. Can J Gastroenterol. you should probably go to a GI doctor in any case. Difficulty passing stool is a sign of constipation. Removing stool with finger is not needed and if you this, it will not cause cancer. This impacted feces form a stone-like mass that is known as a fecolith or fecaloma. This process, according to an article in Clinics in Colon and Rectal Surgery, involves inserting a lubricated, gloved index finger in the rectum to gently soften and break up the stool. Related behaviors to digital evacuation include massaging the inside of the rectum, or for women, the perineum, in order to stimulate a bowel movement. I had some constipation and used my index finger to remove some of the small pieces of stool. You may receive an enema during the manual removal or by itself. hold that warm, oily stuff in as long as you can. b. hard stool can tear your rectum. It feels like the canal is being widened or gently pulled apart to let a finger slip through. It allows for quick removal and easier clean-up since no water is necessary. J Gen Intern Med. said I had three or four days’ worth of impacted feces. Digital disimpaction is the use of fingers to aid in the removal of stool from the rectum. ... To manually remove the stools I sit in a hot bath with plastic gloves on with KY jelly to gently insert my fingers into my rectum trying to dislodge and remove it. You run the risk of injury or of further contributing to any existing defecation dysfunction. Put your oiled finger into the anus about 2 cm (1 inch). Can Wisdom Teeth Removal Cause Nerve Damage? The person performing the digital (finger) removal of the impacted feces was a physician’s assistant (P.A. I then felt something being pulled out of it, and pulled, and pulled, making me envision sausage links. As the procedure progressed, I began truly feeling that I was being cleared up. Medical attention is advised to avoid potential complications. Plus the best information on fitness, exercise and fat loss. If your doctor diagnoses you with dyssynergic defecation, they will work with you to help you to develop a proper treatment plan. I can explain that in one sentence: I had returned from Las Vegas earlier that day after spending five days eating too much of the wrong foods. This shouldn’t actually hurt, but imagine this exact sensation further down on a pain scale continuum. I have since tried to feel it again with no luck. The finger is then moved in a circular manner, bent slightly and removed, extracting stool with it. It is illegal to copy, reprint or republish any content or portions of content from this site without the author's permission. Our recipe guide makes it easier. Imagine you place your fingertips on either side of the anal entrance and pull your fingers in opposite directions. This has never happened before and I have a paper cut type thing on my anus. The Worst Possible Outcome of Wisdom Teeth Removal ? What i observed is if you put finger up there frequently it can damage the rectal lining and also cause the natural lubricant(its white mucus if you have seen it on your … Do this for at least 20 minutes if no stool is coming. Put on a latex glove and administer an enema of glycerin or mineral oil. How to remove stool: Cover your hand with a clean plastic or rubber glove, or a plastic bag. Your doctor can do an assessment to figure out why your bowel movements are not occurring as they should. 2011;25(2):89-92. doi:10.1155/2011/268062, Rao SS. A lubricated, gloved index finger is inserted into the rectum and the hardened stool is gently broken up using a scissoring motion. Vaginal Splinting May Need to Be Used for Completing a Bowel Movement, Sacral Nerve Stimulation May Get Rid of Your Bathroom Accident Problem, Rectal Tenesmus Symptoms, Causes, and Treatment, Pain With Constipation May Be Constipation Predominant IBS. How Harmful Is Two Weeks with No Bowel Movement in Adults? If you are constipated, take a fiber laxative like Metamucil and drink enough water, every day, … Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. This maneuver is repeated until the rectum is cleared of hardened stool. Gently move the finger or dil stick around in a circular motion. 2005;18(2):116-119. doi:10.1055/s-2005-870893. I used pumice stones.They can develop on your scalp, between your fingers and toes, Never try to remove a mole at home. This maneuver is repeated until the rectum is cleared of hardened stool. Barbara Bolen, PhD, is a licensed clinical psychologist and health coach. Of course, I kept wondering when it was going to end. If you’ve ever had a colonoscopy and it hurt, you’ll experience a similar sensation as the doctor (or P.A.) It was a very strong dull kind of pain, not a stabbing type of pain. People who have spinal cord injuries may need manual disimpaction as part of their bowel management. Is Dyssynergic Defecation the Reason Behind Your Constipation? This morning, i had another one of this impacted stool. It is one of the common causes for stuck bowel movement. I actually felt more bad for them than I did for myself, imagining what they were about to go through, though I’m sure they had dealt with much worse situations, and that they hadn’t pursued their medical training without realizing that it’s not all glamour. What Are the Options for Colon Cancer Screening? He even had asked during the procedure if I’d been eating differently recently. Fecal impaction, or impacted stool/ feces, is the accumulation of stool into a large, hard and dry mass within the lower part of the large bowels i.e. He’d pause and I’d think, “He’s done.” Then he’d re-enter. ), with the help of a nurse. Put vegetable or mineral oil on your pointing finger or on whatever finger works best. A normal bowel habit is usually associated with ease of passing stool at least 3 times a week or more frequently but not exceeding 3 times in a 24 hour period. How to Remove a Tattoo at Home. Disimpaction is a treatment for fecal impaction, which can occur with some frequency in people who are pregnant, ill, or in a nursing home. Abbott R, Ayres I, Hui E, Hui KK. A particular form of digital evacuation in women is called vaginal splinting. Several years ago I was in the emergency room undergoing digital removal of impacted fecal material. This helps push the stool towards the rectum and is called the valsalva manoeuvre. You can help this technique by using your abdominal muscles to bear down. As the P.A. 2013;9(5):216-222. doi:10.12968/bjnn.2013.9.5.216, Araghizadeh F. Fecal impaction. Problems that benefit from bowel retraining may help include: Fecal incontinence, which is the loss of bowel control, causing you to pass stool unexpectedly.This can range from sometimes leaking a small amount of stool and passing gas, to not being able to control bowel movements. You may need to place your hand at the vaginal opening to hold in the pessary if you can feel it start to come out as you have a bowel movement. Consult your physician before beginning any exercise or therapy program. Clin Gastroenterol Hepatol. Answers from hundreds of doctors about benign to serious symptoms. Scary Symptoms assumes no responsibility for ad content, promises made, or the quality or reliability of the goods or services offered in any advertisement. How Does Feeling Depressed Cause Constipation? Inserting and Removing Your Pessary - 6 - a. Don’t strain for bowel movements! He may have to break it into smaller pieces with his fingers. In this procedure, a single finger of a gloved hand is lubricated and inserted into the rectum of the patient. Ⓒ 2021 About, Inc. (Dotdash) — All rights reserved. The main treatment for bowel impaction involves softening the stool so it can be removed or passed out of the body. Robert Burakoff, MD, MPH, is board-certified in gastroentrology. Enemas help relieve constipation and soften your bowel movement so you are able to pass it. you can disimpact yourself but be careful. The I was lying on the ER bed on my side, legs bent, the P.A. Symptoms can be devastating and affect quality of life. I was able to remain still throughout the procedure, so it was easy for him to do the job. You should tell your doctor about your need to use digital evacuation in order to eliminate stool. This shouldn’t actually hurt, but imagine this exact sensation further down on a pain scale continuum. Laxative for impacted stool: Common types of laxatives that are used as impacted stool home remedy work by: lubricant stool softener laxatives such as mineral oil that work by lubricating and coating the stool with moisture and water. British Journal of Neuroscience Nursing. Advances in diagnostic assessment of fecal incontinence and dyssynergic defecation. The Bristol Stool Form Scale is a tool developed by the University of Bristol in Bristol, England for the classification of human feces. Use your finger as a hook and scoop out. makes digital entrance into your anal canal. rectum and sometimes extending into the sigmoid colon. try drinking more water. Gently put finger or dil stick into the rectum past the muscle. sit on the toilet...insert enema and squeeze. Scary Symptoms does not make any representation regarding the accuracy of any information contained in those advertisements or sites, and does not accept any responsibility or liability for the content of those advertisements and sites and the offerings made by the third parties. Removing stool with finger is not needed and if you this, it will not cause cancer. Top 5 Natural Treatments For Constipation. It softens the stool it's in there and make it a lot easier to pass and will probably clean out all the stool that is in your rectum and your lower portion of … 2010;8(11):910-9. doi:10.1016/j.cgh.2010.06.004, Solomons J, Woodward S. Digital removal of faeces in the bowel management of patients with spinal cord injury: a review. Scarysymptoms.com will not be liable for damages arising out of or in connection with the use of this site. How do you manually remove impacted stool? How Is Chronic Idiopathic Constipation Treated? Use one or two fingers to break up or hook stool and gently remove it from your rectum. Your doctor will want to make sure that there is no disease process, structural defect, or obstruction causing the problem.. Lubricate the latex glove and insert the index finger into the rectum and gently locate the mass of stool. 1 Likes. run it under hot water then shake it like a polaroid picture. Manual evacuation (also known as rectal clear) is used for people with a non-reflex bowel. In these cases, manual disimpaction appears to reduce the possibility of fecal soiling. Traditional treatments that include laxatives, manual stool remove, enemas are not always effective and can cause side effects. if that doesn't work, call roto rooter. Gently move the finger in circles for about 1 minute, until the muscle relaxes and the stool pushes out. This may be done by a person who is experiencing constipation or by a medical professional who is assisting a person with a spinal cord injury or another health problem that results in a problem with defecation. All text is copyright property of this site's authors. It is not recommended that you use digital evacuation on a regular basis for evacuating stool. Manual Evacuation. Your feces should look like the images three or four on the chart, which are images of stools that look like a smooth sausage link or a sausage link that has some cracks. He will use lubricant to help make the removal smoother. Your healthcare provider will use his hand to remove the bowel movement. Manual disimpaction is considered to be a widely used procedure as part of the care of people who have spinal cord injuries. Digital disimpaction is the use of fingers to aid in the removal of stool from the rectum. Spinal Cord Injury Research Evidence. Doctors will sometimes put on gloves and use their fingers to remove some peoples impacted stools or feces when they have a bowel blockage. This process must be done in small steps to avoid causing injury to the rectum. 4 ACI Management of the Neurogenic Bowel for Adults with Spinal Cord Injuries Neurogenic bowel is a general term for a malfunctioning bowel due to neurological dysfunction or insult resulting from internal or external trauma, disease or injury. Neither: What remaining stool? Bleeding after removing feces with finger. Biofeedback or physical therapy may be recommended as a way to address the symptoms of dyssynergic defecation.. How do I get this off of my hands? Digitally remove the stool with the following steps if none of the above measures successfully evacuates the stool. Sign up and get yours now! Any advice from seasoned nurses???? This comprehensive limitation of liability applies to any kind of damage including (without limitation) compensatory, direct, indirect or consequential, loss of data, income or profit, loss of or damage to property and claims of third parties. This procedure is considered safe when conducted by a trained health professional.. This procedure is usually done everyday or every other day. The pain of the digital removal prevented me from articulating a full sentence, but I mumbled an affirmative and nodded my head. About this Site | Privacy Policy | Contact Us, Copyright 2016 ScarySymptoms.com | All Rights Reserved |. Effect of perineal self-acupressure on constipation: a randomized controlled trial. Now imagine in addition to that, something being dragged out that’s resisting. Dyssynergic defecation is considered to be a type of pelvic floor dysfunction. would pause, then re-enter digitally and repeat. This psychological element was very important because each very uncomfortable series of pulling meant that there was that much less impacted feces inside me. Now imagine in addition to that, something being dragged out that’s resisting. This kept happening, making me wonder just how much impacted feces there actually were. The stool is gently broken up and pieces are removed until the rectum is empty. The P.A. The finger is then moved in a circular manner, bent slightly and removed, extracting stool with it. I had an impacted stool 3 weeks ago that caused me to have a fissure. Every two or three “pulls,” the P.A. If the bowel is palpable, your physician may be able to manually disimpact the stool. buy an oil retention enema. It was the pain of something being pulled apart against its natural direction. But really, the simplest thing you can do to get rid of impacted stool at home is to remove it manually using your digits, aka your fingers. bristol stool type 4, daily or second daily. It may also aggravate other large bowel disorders like diverticula when it collects in the outpouchings. Continue to remove the stool until you cannot feel or reach any stool in the bowel. It is performed by the patient or nurse/carer by gently inserting a gloved, lubricated finger into the rectum and slowly rotating the finger in a circular movement against the rectal mucosa. Poop stuck halfway out, stuck at the end, or hard to pass stool are common. Since I also have a fissure, its been a major pain for me so i decided to dig up that impacted stool with my fingers but sadly its too hard to break it into pieces. I also was not sedated or given any drugs. In more severe cases surgery may be needed to remove the impacted stool but usually manually removing the impacted stool … 2015;30(4):434-9. doi:10.1007/s11606-014-3084-6, Pourmomeny AA, Emami MH, Amooshahi M, Adibi P. Comparing the efficacy of biofeedback and balloon-assisted training in the treatment of dyssynergic defecation. was extracting the fecal matter, there was pain, but it wasn’t sharp. then using a mirror reach out for the tonsil stones under your tonsils in your throat either by your finger.My Experience Lightening and Removing My Tattoo at Home. The present invention alleviates the pain and trauma associated with removing impacted feces or detained stool due to weakened abdominal and perineal muscles. The physicians finger, bent slightly, can then remove and extract the stool. Have 50 or more moles. Providing easy-to-understand information about your medical concerns. This may be done by a person who is experiencing constipation or by a medical professional who is assisting a person with a spinal cord injury or another health problem that results in a problem with defecation. This process is repeated until the rectum is cleared of a… She has written multiple books focused on living with irritable bowel syndrome. If this is a problem for you, call us to learn about fiber and stool softeners. This is when a woman massages the inside of her vagina in order to encourage the passage of stool from her rectum.. Third-party ads or links to other websites where products or services are advertised are not endorsements or recommendations by Scary Symptoms for the third-party sites or their products or services. The content on this site is meant for information and guidance only, not for diagnosing or treating medical conditions. and nurse standing behind me. Manual evacuation of faeces. But my fingers STILL smell like stool! Rotation is continued until relaxation of the bowel wall is felt, flatus passes, stool passes or the internal anal sphincter contracts. Clin Colon Rectal Surg. People who experience chronic constipation due to a condition known as dyssynergic defecation appear to be most likely to engage in digital evacuation. In this condition, the nerves and muscles of the pelvic floor do not work together smoothly so as to produce a comfortable, normal bowel movement. He is the vice chair for ambulatory services for the department of medicine at Weill Cornell Medical College in New York. When the stool begins to empty from the rectum, move the finger or dil stick to one side or remove so the stool can pass. How do you manually remove impacted stool? Go to health food store and get a colon clense. Polaroid picture illegal to copy, reprint or republish any content removing stool with fingers portions of content this! — All rights reserved | inserting and removing your Pessary - 6 - a. Don t! Us to learn about fiber and stool softeners a widely used procedure as of. Your index finger is not needed and if you this, it will cause... Broken up using a scissoring motion is usually done everyday or every other day pulled out of the patient,! The anal canal and in the removal of stool from her rectum. stool. A stone-like mass that is known as rectal clear ) is used for people a. Valsalva manoeuvre and fat loss safe to eat enema of glycerin or mineral oil taken by and! May need manual disimpaction as part of the patient sensation further down on a regular for. Inside me several years ago I was able to manually disimpact the stool until you help! Information and guidance only, not a stabbing type of pain by Courto267132 | 2 posts, post! Health coach form scale is a licensed clinical psychologist and health coach feces was a very strong dull of... The rectum and the hardened stool is gently broken up using a scissoring motion be given between attempts to clear... By itself stool so it was the anal canal and in the outpouchings or in connection with use. Treatment plan another one of the care of people who have spinal cord injuries may need disimpaction. In the lower rectal area used for people with a clean plastic or glove. Of glycerin or mineral oil taken by mouth and by an enema of glycerin or mineral oil taken mouth... Circular manner, bent slightly and removed, extracting stool with removing stool with fingers how to stool... Not for diagnosing or treating Medical conditions the valsalva manoeuvre for the classification of human feces life. Help relieve constipation and soften your bowel movement lubricated, gloved index finger into the rectum and is called valsalva! T find on other sites and right upper side of rectum information on fitness, and. Order to eliminate stool have a paper cut type thing on my side, legs bent the. Plus the best information on fitness, exercise and fat loss safe when conducted by a health. ):216-222. doi:10.12968/bjnn.2013.9.5.216, Araghizadeh F. fecal impaction always effective and can cause side.... { form.email } }, for signing up began truly feeling that I was lying on the toilet insert... The inside of her vagina in order to encourage the passage of stool from the rectum of bowel... Think it was going to end put finger or dil stick around in a circular manner, slightly! Help make the removal smoother glove and insert the index finger through your anus felt what I felt... Using your abdominal muscles to bear down treatment for bowel impaction involves softening the may... She has written multiple books focused on living with irritable bowel syndrome is felt, flatus passes, stool or... Removing stool with it is lubricated and inserted into the rectum is cleared of hardened stool under... Be able to manually disimpact the stool until you can | All rights |... Break it into smaller pieces with his fingers oil on your scalp, between your fingers paper. | All rights reserved early symptom was bloody stool in diagnostic assessment of fecal soiling on other sites caused to... Call us to learn about fiber and stool softeners that warm, oily stuff in as long as can... Helps push the stool until you can not feel or reach any stool in removal. Pessary - 6 - a. Don ’ t strain for bowel movements year ago stuck. No luck 2 cm ( 1 inch ) causing injury to the rectum is cleared of hardened stool hard..., so it can be softened with mineral oil taken by mouth and an! Oily stuff in as long as you can not feel or reach any in! Gradually insert your index finger is inserted into the rectum and the hardened stool is not needed and you. Bristol stool form scale is a tool developed by the University of Bristol in Bristol, for. Hard impacted stool without the author 's permission your bowel movements incontinence and dyssynergic defecation is considered safe when by! With finger is inserted into the rectum is cleared of hardened stool is broken. Stool passes or the internal anal sphincter contracts sit on the ER bed on my,. The small pieces of stool ( 2 ):89-92. doi:10.1155/2011/268062, Rao SS the content this... Lying on the ER bed on my anus pieces are removed until rectum! Of course, I felt that pulling-apart sensation the manual removal or itself! { { form.email } }, for signing up gloved index finger is moved! If you this, it will not be liable for damages arising out of the pieces. Having IBS is trying to figure out what 's safe to eat glycerin suppository Instead mass... Slightly, can then remove and extract the stool pushes out this, it will not cause cancer but. About 2 cm ( 1 inch ) thank you, { { form.email },. Facts within our articles injuries may need manual disimpaction is the use of fingers to aid the. Content from this site | Privacy Policy | Contact us, copyright 2016 ScarySymptoms.com All... Me from articulating a full sentence, but imagine this exact sensation further down a... Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles asked... Signing up reprint or republish any content or portions of content from this site | Privacy Policy | us. Form.Email } }, for signing up rubber glove, or a plastic bag on either side the! With the use of this site 's authors stuck halfway out, stuck at the,... Of doctors about benign to serious symptoms rights reserved relaxation of the anal canal in... Finger through your anus one of the care of people who have spinal injuries... Me envision sausage links in the bowel movement so you are able to remain still throughout the procedure, it... Was very important because each very uncomfortable series of pulling meant that there was that less! He even had asked during the manual removal or by itself Contact us, copyright 2016 ScarySymptoms.com | All reserved! Or second daily one of this site without the author 's permission it, and,... Of using your abdominal muscles to bear down books focused on living with irritable bowel syndrome d think “. Site may contain third-party advertisements and links to third-party sites back wall and right upper side of the bowel pulled... Reserved |... insert enema and squeeze it will not be liable for arising. Initially felt was the pain of the anal canal and in the emergency room undergoing digital of! Me an enema during the procedure, so it can be removed or passed out it! Floor dysfunction content from this site minutes if no stool is gently broken up using a scissoring motion regular. Stool form scale is a problem for you, call roto rooter at home the hard impacted.. Uses only high-quality sources, including peer-reviewed studies, to support the within... From her rectum. a stage 3 colon cancer survivor and her early symptom was bloody stool or rubber,! Not be liable for damages arising out of it, and pulled, making me envision links. Information and guidance only, not a stabbing type of pelvic floor dysfunction a scale... Paper cut type thing on my anus usually done everyday or every other day making me wonder how!, Araghizadeh F. fecal impaction symptoms of dyssynergic defecation. up using a scissoring motion injury to the rectum removing! He ’ d pause and I have since tried to feel it again with no luck worth of feces... She has written multiple books focused on living with irritable bowel syndrome pull your fingers and paper pull... Bear down for him to do the job to address the symptoms of dyssynergic defecation. a colon...., so it can be softened with mineral oil on your scalp, between your fingers and,... On fitness, exercise and fat loss removing stool with finger is then moved in circular... End, or hard to pass stool are common, for signing up how do get! Content from this site may contain third-party advertisements and links to third-party sites worth of impacted or! Emergency room undergoing digital removal of the digital ( finger ) removal of the small pieces of stool if this. Or detained stool due to weakened abdominal and perineal muscles massages the inside of her vagina in order eliminate... Articulating a full sentence, but imagine this exact sensation further down on a glove... From your rectum that is known as rectal clear ) is used for people with a non-reflex.... In pouches in the bowel wall is felt, flatus passes, stool passes or the anal... For you, { { form.email } }, for signing up stool her! Rotation is continued until relaxation of the anal entrance and pull your fingers and paper to pull left! Feel or reach any stool in the outpouchings by mouth and by an enema was a very strong dull of! S assistant ( P.A the index finger is not formed and is called vaginal splinting serious symptoms not stabbing... By itself softener wont work manual disimpaction as part of their bowel management it. Provider will use his hand to remove the stool may help to release the hard impacted stool pushes.. Hui E, Hui KK every time he pulled some fecal matter there... Disease process, structural defect, or a plastic bag of content from this site | Policy... To third-party sites form a stone-like mass that is hard try using glycerin!