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Bowel Management

Bowel Management. The digestive system. mouth. oesophagus. stomach. bowel. Sigmoid colon. Rectum. back passage. Why do you need to look after your bowel after Spinal Cord Injury?. The feelings from your bowel may have changed Your control of your bowel may have changed

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Bowel Management

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  1. Bowel Management

  2. The digestive system mouth oesophagus stomach bowel Sigmoid colon Rectum back passage

  3. Why do you need to look after your bowel after Spinal Cord Injury? The feelings from your bowel may have changed Your control of your bowel may have changed The movement of stool (poo) through your bowel may have slowed down Why learn about bowel care? • To stay in control of your bowel and avoid accidents • So that you can empty your bowels regularly and at a time • that suits you • So you don’t spend too long on the toilet • To avoid constipation and Autonomic Dysreflexia • To keep healthy

  4. What can you do to help look after your bowel? Empty your bowel at the same time every day or every other day Have meals regularly through the day Drink a lot, especially water Eat 5 portions a day of fruit or vegetables and 2 portions of whole grain foods (for example: weetabix, brown bread, brown rice or pasta, mangos and dried apricots) Have a hot drink 20 minutes before you start your bowel routine

  5. Laxatives – medicines which help the bowel to work You may be given one or more of these to help you empty your bowel Movicol is a powder that you mix with water Senokot is a tablet that you take 8 to 12 hours before you want to empty your bowel Fybogel is a powder that you mix with water or fruit juice

  6. Suppositories are made of glycerin and are inserted into your back passage. Suppositories melt and lubricate your bowel which makes it easier to empty.

  7. When it is time to empty your bowel: Collect plastic gloves, Aquajel and place them by the toilet Sit comfortably on the toilet and relax Put on a plastic glove and squeeze a little Aquajel onto your finger Put 2 suppositories into your back passage as you were shown by your nurse Massage your tummy After a few minutes you can gently rub your back passage You may need to empty your bowel with your finger. Your nurse can show you how to do this.

  8. Different types of stool (poo) type 1 Separate hard lumps Sausage shaped but lumpy type 2 Like a sausage but with cracks in the surface type 3 Like a snake, smooth and soft type 4 Soft blobs type 5 Mushy type 6 Entirely liquid type 7

  9. Ask for help if the following problems occur: • constipation - your stool (poo) is hard and dry • diarrhoea - your stool (poo) is runny or liquid • bowel accidents • bloated and painful stomach • increased spasm • Autonomic Dysreflexia • leaking urine • bleeding from your back passage

  10. Who can help you? Your carer Telephone number: Your nurse Telephone number: Your GP Telephone number: Spinal Outpatient Team Telephone number: 01296 315828 or 01296 315829

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