Causes of Neurogenic Bowel
Damage or dysfunction of the nerves that control bowel function causes neurogenic bowel.
-
Disruption of nerve signals between the brain and bowel caused by spinal cord injury.
-
An autoimmune disorder that affects nerve function is multiple sclerosis.
-
A birth defect that affects the development of the spinal cord.
-
A stroke affects the nerves controlling bowel movements.
-
Bowel function is affected by diabetes due to nerve damage (neuropathy).
-
Parkinson's disease is a neurological disorder that affects muscle control, including bowel movements.
Symptoms of Neurogenic Bowel
The severity and type of nerve damage determine the symptoms, which may include:
-
Having difficulty passing stools due to reduced muscle tone or coordination.
-
An involuntary bowel movement or difficulty controlling stool is called incontinence.
-
A feeling that the bowels haven't been emptied completely after a bowel movement.
-
Constipation or muscle spasms can cause abdominal pain or discomfort.
-
Urgency in bowel movements: Sudden urge to poop.
Diagnosis of Neurogenic Bowel
Diagnosis involves:
-
A review of symptoms and assessment of neurological function is part of the medical history and physical examination.
-
Anorectal testing: Measures rectal sensation, muscle tone, and reflexes.
-
A spinal cord or brain abnormality can be evaluated with an MRI or CT scan.
-
In manometry, muscle function is assessed by measuring pressure in the rectum.
Treatment of Neurogenic Bowel
Managing bowel function and preventing complications are the goals of treatment:
-
Modifications to the diet include a high-fiber diet and adequate fluid intake.
-
Planned toileting routines and techniques (e.g., suppositories or digital stimulation).
-
Constipation can be relieved with laxatives or stool softeners.
-
Muscle control and coordination are improved through biofeedback.
-
When conservative measures fail (e.g., colostomy or artificial sphincter), surgery may be necessary.
Prevention of Neurogenic Bowel
Managing underlying conditions and maintaining bowel health are the primary preventive measures:
-
Monitoring and managing chronic conditions such as diabetes and multiple sclerosis with regular medical follow-ups.
-
Maintain a healthy lifestyle by exercising regularly and eating a balanced diet.
-
Constipation should be treated promptly to avoid complications such as fecal impaction.
It covers the causes, symptoms, diagnosis, treatment options, and prevention strategies for neurogenic bowel.
