Bowel care for individuals with spinal cord injury: comparison of four approaches.
The efficacies of four bowel care regimens (bisacodyl suppositories, glycerin suppositories, mineral oil enemas and docusate sodium mini-enemas) were compared in seven subjects with traumatic spinal cord injury. Efficacy was assessed in terms of colonic transit time, bowel evacuation time and subjective responses to a questionnaire. Both docusate sodium mini-enemas and mineral oil enemas decreased total and left-sided colonic transit time. However, docusate sodium mini-enemas were superior to mineral oil enemas in terms of the decrease in bowel evacuation time and symptom reduction. Results in this small group of subjects suggest that docusate sodium mini-enemas may have advantages in the management of bowel evacuation in individuals with spinal cord injury.
Amir
I
I
Gastroenterology Section, Bronx VA Medical Center, NY 10468, USA.
Sharma
R
R
Bauman
W A
WA
Korsten
M A
MA
D000328:Adult; D000368:Aged; D001726:Bisacodyl / Q000008:administration & dosage / Q000627:therapeutic use; D002400:Cathartics / Q000008:administration & dosage* / Q000627:therapeutic use; D003106:Colon / Q000187:drug effects / Q000503:physiopathology; D003672:Defecation / Q000187:drug effects; D004143:Dioctyl Sulfosuccinic Acid / Q000009:adverse effects / Q000627:therapeutic use; D004733:Enema; D005767:Gastrointestinal Diseases / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy*; D005772:Gastrointestinal Transit / Q000187:drug effects; D005990:Glycerol / Q000008:administration & dosage / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008875:Middle Aged; D008899:Mineral Oil / Q000008:administration & dosage / Q000627:therapeutic use; D013119:Spinal Cord Injuries / Q000150:complications*; D013488:Suppositories; D011795:Surveys and Questionnaires; D013997:Time Factors
D002400:Cathartics; D013488:Suppositories; D004143:Dioctyl Sulfosuccinic Acid; D001726:Bisacodyl; D008899:Mineral Oil; D005990:Glycerol