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Gastrointestinal complications in stroke survivors
J A Otegbayo1, O A Talabi, A Akere
1Department of Medicine, University of Ibadan/University College Hospital, Ibadan, Nigeria. otegbayoa@comui.edu.ng
Tropical Gastroenterology : Official Journal of the Digestive Diseases Foundation
|February 22, 2007
Summary
Stroke survivors frequently experience gastrointestinal issues like constipation and dysphagia, impacting their quality of life. Early intervention with feeding and bowel care is recommended for these patients.
Area of Science:
- Neurology
- Gastroenterology
- Quality of Life Studies
Background:
- Gastrointestinal (GI) problems are common in stroke survivors, potentially diminishing their quality of life.
- Understanding the prevalence and types of GI symptoms post-stroke is crucial for effective management.
Purpose of the Study:
- To identify and analyze the gastrointestinal problems experienced by stroke survivors.
- To correlate GI symptoms with stroke type and location, and patient demographics.
Main Methods:
- A prospective study evaluating 54 stroke survivors and 46 controls over 18 months.
- Assessment of common GI symptoms including vomiting, dysphagia, constipation, masticatory difficulties, and sialorrhea.
- Comparison of GI symptom frequency between stroke patients and controls, and across different stroke characteristics.
Main Results:
- Constipation (25.9%) and masticatory difficulty (20.4%) were the most prevalent GI symptoms in stroke survivors.
- Other significant symptoms included incomplete bowel evacuation, fecal incontinence, sialorrhea, and dysphagia.
- Ischemic stroke was associated with a higher incidence of constipation and incomplete bowel evacuation; no significant differences were found based on sex or stroke site.
Conclusions:
- Stroke survivors commonly suffer from various gastrointestinal issues, notably constipation and masticatory difficulties.
- Targeted feeding and bowel care protocols should be implemented for stroke patients to mitigate these GI complications.
- Addressing GI problems is essential for improving the overall well-being and quality of life for stroke survivors.
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