Doctor insights on:
The gastrointestinal tract starts at the mouth, travel down the tunnel (esophagus), which connects to the stomach, which then empties into the duodenum, jejunum, and ileum---the three parts of the small intestine (@25 feet). This empties into the colon or large intestine (about 5 feet), which then becomes the sigmoid colon, rectum and out the anus. So, every morsel eaten ...Read more
Loss of bowel/bladder control from disc injury usually means wetting/soiling ones self. Can it mean loss of ability to relax anal sphincter?
Disc injury: Typically with disc injury, the anal sphincter is less able to be tight. It will be more lax. ...Read more
What type of injury?: Upper motor neuron, or lower motor neuron injury will start to guide the management. Then there are too many variables that will need to be considered. A sci bowel routine is best developed with a specialist in the field. See an sci doc or nurse they can help. If unable consider this, the paralyzed veterans of america have developed a consumers guide to sci bowel care. Download for free at pva web. ...Read more
Many options: 1. 5-asa medications (sulfasalazine, asacol, (mesalamine) pentasa) may work for mild ulcerative colitis (uc), but not crohn's disease. 2. Steroids work, but are only useful for short course because of side effects. 3. Azathioprine (imuran), 6-mp, Methotrexate are often effective, and reduce the need for steroids. 4. Remicade, Humira are often effective for crohn's, sometimes for uc. 5. Surgery if needed. ...Read moreSee 1 more doctor answer
So what is treatment for bowel movement and urine becouse my brother had spinal cord injury for three weeks ago but still no bowel movement ?
Neurogenic bowel: He needs to be treated urgently for this. After he is disimpacted a maintenance bowel program often using stool softeners, laxatives, and digital stimulation will be required. It appears that he will also need a bladder catheterization program. Take him to a physiatrist who specializes in spinal cord injuries as soon as possible. What level was the injury? Does your brother have quadriplegia? ...Read more
Probably not...: The fasting motility phase iii, the migrating motor complex, begins in the stomach & moves thru length of small bowel every 90-110 minutes to clear indigestible debris. In contrast, after-meal small bowel motility pattern is continuous & random to promote mixing & absorption. Fluid intake & timing of meals therefore changes this fasted/fed pattern. How do you know you have "slow bowel transit?". ...Read more