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Management of the neurogenic bowel using durolax solution
The Medical Journal of Australia
|April 21, 1979
Summary
This bowel care regimen uses Durolax solution (bisacodyl) and a stool softener twice weekly for effective bowel management in spinal cord injury patients. The simple, well-tolerated method promotes regular bowel evacuation within 30 minutes.
Area of Science:
- Neuroscience
- Gastroenterology
- Rehabilitation Medicine
Background:
- Effective bowel management is crucial for individuals with spinal cord injuries (SCI).
- Chronic constipation and fecal incontinence are common complications in SCI patients.
- Established bowel care routines are essential for patient quality of life and preventing secondary complications.
Purpose of the Study:
- To describe a simple and effective bowel care regimen.
- To present a long-term, successful protocol used in a specialized unit.
Main Methods:
- A twice-weekly bowel care regimen was implemented.
- Durolax solution (bisacodyl 10 mg/5 mL propylene glycol) was administered rectally via catheter and syringe.
- A fecal softener was administered 24 hours prior to Durolax administration.
Main Results:
- Evacuation typically occurred within 30 minutes following Durolax administration.
- The frequency of evacuation tended to increase with continued adherence to the regimen.
- The procedure was well-tolerated by patients, with no reported serious adverse events.
Conclusions:
- The described bowel care regimen is simple, effective, and well-tolerated.
- This protocol offers a reliable solution for bowel management in SCI patients.
- Long-term use demonstrates the sustainability and safety of this approach.