Constipation in patients with spinal cord compression or injury

Patients with spinal cord compression or injury may lose the sensation of rectal fullness, which is the normal stimulus to initiate defecation. Regular bowel movements are achieved by taking advantage of surviving reflexes—the gastrocolic reflex and the reflex arc between local anal stimulation and rectal contraction. Patients are usually encouraged to attempt defecation after a meal, at which time a stimulant laxative suppository or enema may also be inserted. Use:

Most patients with spinal cord compression or injury should continue to take regular oral laxatives in addition to the above bowel care regimen.