scholarly journals Neurogenic bowel dysfunction in patients with spinal cord injury, myelomeningocele, multiple sclerosis and Parkinson’s disease

2011 ◽  
Vol 17 (46) ◽  
pp. 5035 ◽  
Author(s):  
Richard A Awad
2021 ◽  
Vol 10 (4) ◽  
pp. 882 ◽  
Author(s):  
Jeffery S Johns ◽  
Klaus Krogh ◽  
Karen Ethans ◽  
Joanne Chi ◽  
Matthew Querée ◽  
...  

Neurogenic bowel dysfunction (NBD) is a common problem for people with spinal cord injury (SCI) and multiple sclerosis (MS), which seriously impacts quality of life. Pharmacological management is an important component of conservative bowel management. The objective of this study was to first assemble a list of pharmacological agents (medications and medicated suppositories) used in current practice. Second, we systematically examined the current literature on pharmacological agents to manage neurogenic bowel dysfunction of individuals specifically with SCI or MS. We searched Medline, EMBASE and CINAHL databases up to June 2020. We used the GRADE System to provide a systematic approach for evaluating the evidence. Twenty-eight studies were included in the review. We found a stark discrepancy between the large number of agents currently prescribed and a very limited amount of literature. While there was a small amount of literature in SCI, there was little to no literature available for MS. There was low-quality evidence supporting rectal medications, which are a key component of conservative bowel care in SCI. Based on the findings of the literature and the clinical experience of the authors, we have provided clinical insights on proposed treatments and medications in the form of three case study examples on patients with SCI or MS.


Author(s):  
Jennie Burch ◽  
Brigitte Collins

The bowel care chapter explores two commonly encountered issues that are both explored in depth: these are constipation and incontinence. Both conditions are examined in respect of treatment options that include conservative treatment, treatment with diet, and medication. These conditions can be compared to how defaecation works in health. Additionally there is an in-depth discussion on neurogenic bowel dysfunction related to spinal cord injury, spina bifida, multiple sclerosis, cerebrovascular accident, and Parkinson’s disease. There are many therapies that can be used that have not been explored in other chapters and these will be encompassed within this chapter. Treatment can include manual evacuation for constipation or other therapies such as biofeedback to potentially treat constipation or evacuation disorders. Succinct explanation of gastrointestinal emergencies within this chapter can be used within clinical practice by the nurse.


2009 ◽  
Vol 41 (1) ◽  
pp. 41-47 ◽  
Author(s):  
PY Tsai ◽  
CP Wang ◽  
FY Chiu ◽  
YA Tsai ◽  
YC Chang ◽  
...  

Spinal Cord ◽  
2017 ◽  
Vol 55 (12) ◽  
pp. 1084-1087 ◽  
Author(s):  
D Erdem ◽  
D Hava ◽  
P Keskinoğlu ◽  
Ç Bircan ◽  
Ö Peker ◽  
...  

Spinal Cord ◽  
2010 ◽  
Vol 48 (7) ◽  
pp. 554-559 ◽  
Author(s):  
C-W Liu ◽  
C-C Huang ◽  
C-H Chen ◽  
Y-H Yang ◽  
T-W Chen ◽  
...  

2015 ◽  
Vol 10 (7) ◽  
pp. 1153 ◽  
Author(s):  
Zuhal Ozisler ◽  
Kurtulus Koklu ◽  
Sumru Ozel ◽  
Sibel Unsal-Delialioglu

Sign in / Sign up

Export Citation Format

Share Document