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Bowel dysfunction caused by a spinal cord injury will vary greatly depending on the severity and level of the spinal cord lesion. In complete spinal cord injury both sensory and motor functions are completely lost below the level of the lesion so there is a loss of voluntary control and loss of sensation of the need to defecate. [12]
Fecal impaction is a common result of neurogenic bowel dysfunction and causes immense discomfort and pain. Its treatment includes laxatives, enemas, and pulsed irrigation evacuation (PIE) as well as digital removal. It is not a condition that resolves without direct treatment.
For people who do not adequately respond to dietary fiber, osmotic laxatives such as polyethylene glycol, sorbitol, and lactulose can help avoid "cathartic colon" which has been associated with stimulant laxatives. [138] Lubiprostone is a gastrointestinal agent used for the treatment of constipation-predominant IBS. [139]
As such, pain associated with constipation (either chronic, or acute), penetrative anal intercourse, trauma (such as tears or fissures of the rectal sphincter or anal canal), side-effects of some medications (particularly opiates), or rectal foreign body insertion preclude this diagnosis. The pain episode subsides by itself as the spasm ...
Primary constipation is caused by disrupted regulation of neuromuscular function of in the colon and the rectum, and also disruption of brain–gut neuroenteric function. [21] Secondary constipation is caused by many other different factors such as diet, drugs, behavioral, endocrine, metabolic, neurological, and other disorders. [ 21 ]
While any type of severe abdominal pain needs immediate medical attention, these symptoms are the most commonly associated with appendicitis, according to Mayo Clinic. Pain that starts suddenly in ...
Opioid pain medication should be avoided as these medications can slow colonic motility and possibly worsen constipation. The key to management and prognosis is identifying the cause or causes of the underlying constipation. Patients should be encouraged to increase fiber, fluids, and fruits in their habits.
In medicine, the adjective spastic refers to an alteration in muscle tone affected by the medical condition spasticity, which is a well-known symptomatic phenomenon seen in patients with a wide range of central neurological disorders, including spinal cord injury, cerebral palsy (for example, spastic diplegia), stroke, amyotrophic lateral sclerosis (ALS), and multiple sclerosis (MS), [1] as ...
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