Chapter 3. Defecation Procedures for Persons with Spinal Cord Injury Natural bowel movement is ideal. For persons with bowel disorders, the following procedures are considered depending on the degree of the spinal cord injury the most appropriate procedure for each individual should be chosen. 1. Procedures for Smooth Defecation i. Timing of defecation Trying to defecate at the same time each day helps in developing the habit of defecation. Defecation after meals maybe easier because of the accelerated intestinal movement at this time. When defecation after meals is not possible, for example, because of an individual’s work environment, it can be done in the morning or at night when there is enough time. If caregiver assistance is needed, defecation should be timed to when the caregiver is available to assist.