Doctor insights on:
Bowel Management In Spinal Cord Injury
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
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
Neurogenic Bowel: Depends on the level of injury. Injury above the sacral segments causes: upper motor neuron bowel. This can lead to prolonged transit times in the colon, and severe constipation with accidents and incomplete emptying.Injury at/below this level ex.Conus or cauda equina injury can cause loss of rectal tone and frequent accidents. A bowel routine directed by a sci doc or nurse can help manage this. ...Read more
Depends on severity: However injury is usually permanent. Plenty of research into nerve repairs & some success in joining spinal nerves from above injury site to nerves below injury site. Time will tell but there are new advances all the time. Bowels can often be retrained with digital stimulation. Bladder control depends upon level of injury, dexterity, possible intermittent bladder self catheterization & meds. ...Read more
Some may not: Be able to control their bowels. Depending on the level of injury and whether it is a complete or incomplete injury, a spinal cord patient may or may not be able to control their bowels. Some will get on a strict bowel regimen to help and others may need other interventions. ...Read more
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
Paralysis and more: Symptoms of spinal cord injury include: partial or complete paralysis of muscles below the level of injury, loss of sensation below the injury level, and a change in function of the bowel and bladder. Most spinal cord injuries also result in spasticity of the muscles (unless the injury was low in the lumbar spine), accompanied by changes in blood pressure regulation and temperature regulation. ...Read moreSee 1 more doctor answer
Depends: This depends on the level of injury and the extent of damage to the spinal cord. One can be classified with a spinal cord injury with only minimal weakness. Many think spinal cord injury equals paralysis. This is not the case. Many will have varying level of weakness, sensory loss and even bowel or bladder incontinence. The major symptoms are often weakness and sensory loss. ...Read moreSee 1 more doctor answer
Spinal cord injury is a condition in which a person has damage to the nerves in his spinal cord (which is protected inside the spine from the brain to the tailbone). Injuries such as those from car accidents, climbing accidents, or gunshot wounds often cause paralysis (loss of use of legs, abdominal ...Read more
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