NEUROGENIC BOWEL-LONG TERM MANAGEMENT

SUMMARY

1. Padded upright commode preferred to side-lying position. If performed lying down, best to be left side lying. Equipment to facilitate good posture and positioning during bowel movement.

2. Maintain adequate fluid intake (2 to 3 L/day).

3. Diet: moderate fibre intake (approximately 20 grams/day).

4. Institute a bowel program.

5. Adequate physical activity.

6. Utilize reflexes: gastrocolic (after food) and anorectal reflex (manual).

7. Patient and family education.

Reference(s)

Cifu, D.X. (2020). Braddom’s physical medicine and rehabilitation. Elsevier. Get it on Amazon.
Cuccurullo, S. (2019). Physical medicine and rehabilitation board review. New York: Demosmedical. Get it on Amazon.
O’Young, B., Young, M.A. and Stiens, S.A. (2008). Physical Medicine and Rehabilitation Secrets. Mosby. Get it on Amazon.