Bowel & Bladder
The Bowel: the digestive system
After a spinal cord injury, the connection between your brain and body can be disrupted, which often leads to changes in bowel control. We understand that confronting these changes can be both challenging and emotional. Over time, you’ll gain the insights and practical skills needed to restore control and enhance your independence.
After a spinal cord injury, the digestive system works differently. The changes depend on the level of the injury and its severity. Here are some things that can happen:
- Movement of food through the large intestine may be slower.
- The person with SCI may not feel the need to have a bowel movement.
- They may be unable to control the voluntary muscles that contract or relax the anal sphincter.
- They may not be able to bear down with the abdominal muscles to help evacuate the stool.
The result is that bowel movements require more time and planning. The risk of accidents is increased.
Terms you may here:
Reflex bowel: This refers to a bowel movement being triggered any time the rectum is full, without a sensation of fullness and not knowing when it might occur. This could happen frequently throughout the day.
Flaccid bowel: The nerves involved with a bowel function are damaged, which means that you are not able to have a bowel movement even when the bowel is full. This often results in constipation.
You will need an individualized protocol to address and overcome the particular bladder and bowel issues you face. Work with your health team to understand your situation and determine what’s right for you. They will provide you with detailed information and guidance.
We’re here to help when you need it. Our Peer Support Program is a great resource.
Looking for support in this area? Connect with the SCIO Service Navigation coordinator in your area.
