Bowel Management Table 1 Clinical Presentations in Bowel Functions Following SCI (Singal et al. 2006)

Submitted by admin on Wed, 05/19/2010 - 16:36

	Upper Motor Neuron lesion	Lower Motor Neuron lesion
Level	>T10 vertebral or T12 spinal segment	<T10 vertebral or T12 spinal segment
Time from cecum to anus	â†‘	â†‘
Motility of left colon	â†“	â†“
External anal sphincter	Spastic paralysis	Flaccid paralysis
Sympathetic output	Absent with lesions > T6 spinal segment	Retained
Symptoms	Constipation Difficulty with evacuation Incontinence	Constipation Difficulty with evacuation Incontinence
Fecal impaction	Proximal colon	Rectal
Autonomic dysreflexia	Common	Rare
Reflex defecation	Present	Not known