Holy hell, I’ve seen a lot of jaw dropping impactions in my decades of veterans imaging but this is insanity nightmare fuel.
Use laxatives when you do opioids, especially heavy usage. Or you die. Simple.
Well, there was that Japanese woman that cured her back pain with a huge dildo: Source
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Wow, they already released Carter's cause of death and leaked a pic? How crass.
Reminds me of a story a friend once told me about an ex of theirs's whose recreational substance choices left them so painfully constipated that at one point they attempted to use an apple core to "loosen it, break it up, and get some out".