Bowel Management



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Medication
Stimulant Laxatives These are taken orally and increase bowel contractions and we often use these in the initial stages of the bowel programme.

Senna two tablets on alternate days or 10 mls of syrup

Bisacodyl: 10mgs on alternate days (two tablets. You should take these drugs eight to ten hours before you want to empty your bowels.
Docusate Sodium 100mgs up to 500mgs each day in divided doses.



Faecal Softeners or Bulk Formers
Taken orally these are substances which are undigested and absorb fluid thereby increasing bulk and making the faeces soft. For example

Lactulose 10 -15mls once or twice each day.

Fybogel one sachet everyday Bran

Benefibre
Suppositories or Micro-Enemas
These are inserted into the rectum and stimulate the reflex action of the bowel. For example

Bisacodyl irritant)

Glycerine lubricant)

Microlax enema (softener)

N.B. You should not use large volume enemas regularly as they overstretch the bowel,


Managing your bowels
The science bit
Upper motor neuron or reflex bowel
Lower motor neuron or flaccid hypotonic bowel
Coffee, tea, cocoa or soft drinks
Other factors
Performing bowel care
Manual evacuation
Osmotic laxatives
Complications
Flatulence



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