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Neurogenic Bowel Rehabilitation

Management of bowel dysfunction after nerve damage.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Fizik Tedavi ve Rehabilitasyon department. Book Appointment →

What is Neurogenic Bowel Rehabilitation?

Neurogenic bowel is the impairment of defecation control as a result of damage to the central nervous system or peripheral nerves. Constipation, fecal incontinence, and prolonged time spent during defecation are common problems.

There are two main types: upper motor neuron type (reflexive - spastic bowel, SCI above T12) and lower motor neuron type (areflexive - flaccid bowel, cauda equina or conus medullaris lesion). Each type requires a different therapeutic approach.

Goals: regular and predictable defecation, prevention of constipation and fecal impaction, prevention of incontinence, avoidance of autonomic dysreflexia, and ensuring patient independence.

Symptoms

Chronic constipation
Fecal incontinence
Prolonged time during defecation
Lack of complete evacuation sensation
Abdominal bloating and discomfort
Autonomic dysreflexia triggered by defecation

Risk Factors

Spinal cord injury (SCI)
Spina bifida
Multiple sclerosis
Stroke
Parkinson's disease
Diabetic autonomic neuropathy

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • For bowel program planning after SCI
  • In chronic constipation
  • When fecal incontinence affects social life
  • Autonomic dysreflexia triggered by defecation
  • On suspicion of bowel obstruction

Treatment Methods

01
Individualized bowel program
02
High-fiber diet and fluid intake
03
Encouragement of physical activity
04
Suppositories and mini-enemas
05
Digital stimulation technique
06
Reflex defecation training (UMN type)
07
Manual evacuation (LMN type)
08
Transanal irrigation systems

Which Department to Visit?

You can visit our Fizik Tedavi ve Rehabilitasyon department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Fizik Tedavi ve Rehabilitasyon Department

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.