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STROKE-BOWEL DYSFUNCTION

Neurology

STROKE-BOWEL DYSFUNCTION

1. Incidence of bowel incontinence in stroke patients 31%.

2. Patient unable to inhibit urge to defecate => incontinence.

3. Incontinence usually resolves within the first 2 weeks; persistence may reflect severe brain damage.

4. Decrease in bowel continence may be associated with infection, inability to transfer to toilet or to manage clothing, and communication impairment/inability to express toileting needs.

5. Incontinence management: treat underlying causes (e.g., bowel infection, diarrhea), timed-toileting schedule, training in toilet transfer and communication skills.

6. Constipation management: adequate fluid intake/hydration, diet modification (e.g., increase dietary fiber), bowel management (stool softeners, stool stimulants, suppositories), allow commode/bathroom privileges.


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REFERENCES

1. Wilkinson, I. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press.
2. Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
3. Image: no reference available.

Ⓒ A. Manickam 2018

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