Management for large bowel dysmotility in systemic sclerosis

In systemic sclerosis, large bowel symptoms of constipation or incontinence can be difficult to manage; advice from an incontinence therapist may be useful in refractory cases.

Regular use of laxatives or enemas may be necessary for constipation; see Functional constipation for recommendations.

Management for faecal incontinence depends on the aetiology; see Management of faecal incontinence in adults for advice. In severe cases, biofeedback techniques, anal plugs or sacral nerve stimulation may be helpful; seek gastroenterological advice.

Rectal prolapse may require surgical repair.