Other triggers

Trans-Anal Irrigation (TAI)

There are a variety of systems available to assist with irrigating the lower end of the bowel (descending colon).

Please seek advice from a health professional before using an irrigation system as there are precautions for use and require training prior to use.

Gastro–Colic Response

Gastro–Colic Response is an increase in muscular contractions (peristalsis) in the bowel are generated after filling the stomach with either food or warm fluids (usually strongest in the morning, and 20-30 minutes after eating)

Activity and exercise

Activity and exercise can stimulate peristalsis and is another incentive to keep as active as possible. Exercise can also help to manage pain and decrease the need for pain medication, many of which are known to cause constipation.

Optimal positioning

An optimal ano-rectal angle for emptying the rectum is to place the knees higher than the hips and elbows supported on knees by bending forward in the ‘thinker’s position’. This may be easier to achieve in someone who has good sitting balance. Skin also needs to be monitored as this position can cause shear over points of contact with the shower commode or toilet seat.

Straining

Often a lower motor neurone injury means the abdominal muscles are working and this can help with bowel emptying. However, caution should be taken with excessive straining as there may be nerve damage to the pelvic floor. The pelvic floor supports the internal organs, and straining may increase the risk of haemorrhoids, vaginal and/or rectal prolapse. Breathing exercises and correct positioning on the toilet (see information on other triggers) may help to improve emptying without straining.