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Bowel Dysfunction in Spinal-Cord-Injury Patients
Lancet 347:1651-1653, Glickman,S.&Kamm,M.A., 1996
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Article Abstract
Nausea,diarrhoea,constipation,and faecal incontinence were all much more common(p<0.0001)after SCI.95%of patients required at least one therapeutic method to initiate defaecation.Half the patients became dependent on others for toileting.49%took more than 30 min to complete their toilet procedure.Bowel function was a source of distress in 54%of patients and this was significantly(p=0.005)associated with the time required for bowel management and frequency of incontinence(p=0.001).There was a highly significant correlation between the HADS scores and the time taken for bowel management.On a scale of 0(for no perceived problem)to 10(maximum perceived problem),patients rated their loss of mobility as a mean of 6.8 (SD 3.3)and their bowel management as 5.1(SD 3.6).Bowel function is a major physical and psychological problem in SCI patients.
 
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constipation
incontinence,fecal
spinal cord,injury of
spinal cord,injury,complications with
spinal cord,injury,management of
spine,injury of
treatment of neurologic disorder

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