Evaluation and Treatment of Neurogenic Bowel Dysfunction – A Review

Abstract

Neurogenic bowel dysfunction is a severely troubling entity for patients with neurological disease or injury. The complex symptom cluster presents a challenge, not only for the patients but also for the treating clinician. Without intervention, patients are bound to have a reduced quality of life, and experience social impacts and secondary complications that come along with it. A careful initial assessment provides an idea of symptom severity and is crucial for successful rehabilitation. The mainstay of treatment remains a conservative approach of managing faecal incontinence or optimising the mechanics of defecation to improve patient’s quality of life. This article attempts to provide a comprehensive review of existing literature on pathophysiology, assessment and management of neurogenic bowel dysfunction.

Overview On Neurogenic Bowel Dysfunction in Pediatrics

“…The backbone of treatment remnants a traditional method of management fecal incontinence or enhancing the mechanics of defecation using laxatives and irrigation approaches. When successful, this approach progresses both evacuation and incontinence symptoms, with related developments in quality of life and independence 11,12 . Even though bowel dysfunction is a communal occurrence, to date there have been moderately few studies addressing bowel management.…”