A large proportion of patients with central nervous system (CNS) dysfunction experience frequent bowel symptoms that are physically, socially, and emotionally devastating. Hence the practical management of neurogenic bowel dysfunction needs a systematic approach to address this complex pathophysiology. This article provides some of the practical recommendations mentioned in the scientific report of International Consultations on Incontinence (ICI). Spinal cord injury (SCI), Parkinson's disease, and multiple sclerosis (MS) are some of the debilitating central nervous system (CNS) dysfunction complications.
Effect of CNS dysfunction with respect to bowel dysfunction is relatively less studied but it is prevalent in most of the neurologic conditions. Almost all patients (95%) with chronic SCI report of experiencing constipation and fecal incontinence. Diagnosis Current assessment includes…
