Neurogenic Bowel Dysfunction Questions & Answers

Updated: Mar 25, 2019
  • Author: Juan L Poggio, MD, MS, FACS, FASCRS; Chief Editor: Elizabeth A Moberg-Wolff, MD  more...
  • Print
Questions & Answers

Overview

What is neurogenic bowel dysfunction (NBD)?

What is the anatomy of the colon relevant to neurogenic bowel dysfunction (NBD)?

What is the anatomy of the intrinsic nervous system relevant to neurogenic bowel dysfunction (NBD)?

What is the anatomy of the extrinsic nervous supply relevant to neurogenic bowel dysfunction (NBD)?

What is the physiology of normal bowel function relevant to neurogenic bowel dysfunction (NBD)?

What is the pathophysiology of neurogenic bowel dysfunction (NBD) caused by SCI, MS, and MMC?

What is the pathophysiology of neurogenic bowel dysfunction (NBD) caused by Parkinson disease?

What is the pathophysiology of neurogenic bowel dysfunction (NBD) caused by brain lesions?

What is the pathophysiology of neurogenic bowel dysfunction (NBD) caused by diabetes mellitus?

What is the prevalence of neurogenic bowel dysfunction (NBD)?

What is the prognosis of neurogenic bowel dysfunction (NBD)?

What is included in patient education about neurogenic bowel dysfunction (NBD)?

Presentation

What is included in the clinical history of neurogenic bowel dysfunction (NBD)?

What is the focus of the initial assessment for neurogenic bowel dysfunction (NBD)?

What are the signs and symptoms of neurogenic bowel dysfunction (NBD)?

What is included in the physical exam to evaluate neurogenic bowel dysfunction (NBD)?

What are the possible complications of neurogenic bowel dysfunction (NBD)?

DDX

Which conditions are included in the differential diagnoses of neurogenic bowel dysfunction (NBD)?

What are the differential diagnoses for Neurogenic Bowel Dysfunction?

Workup

Which tests are performed in the basic workup of neurogenic bowel dysfunction (NBD)?

How is incontinence and evacuation assessed in the workup of neurogenic bowel dysfunction (NBD)?

What is the role of anorectal manometry in the workup of neurogenic bowel dysfunction (NBD)?

What is the role of endoanal ultrasonography in the workup of neurogenic bowel dysfunction (NBD)?

What is the role of defecating proctography in the workup of neurogenic bowel dysfunction (NBD)?

What is the role of electromyography in the workup of neurogenic bowel dysfunction (NBD)?

How is rectal sensory function assessed in the workup of neurogenic bowel dysfunction (NBD)?

What is the role of endoscopy in the workup of neurogenic bowel dysfunction (NBD)?

Treatment

How is neurogenic bowel dysfunction (NBD) treated?

Which conservative measures are used in the treatment of neurogenic bowel dysfunction (NBD)?

What is the role of medications in the treatment of neurogenic bowel dysfunction (NBD)?

How is the defecation reflex triggered in the treatment of neurogenic bowel dysfunction (NBD)?

What is the role of biofeedback and behavioral training in the treatment of neurogenic bowel dysfunction (NBD)?

What is the role of transanal irrigation (TAI) in the treatment of neurogenic bowel dysfunction (NBD)?

What is the role of surgery in the treatment of neurogenic bowel dysfunction (NBD)?

What is the role of physical therapy in the treatment of neurogenic bowel dysfunction (NBD)?

What is the role of occupational therapy in the treatment of neurogenic bowel dysfunction (NBD)?

What is included in monitoring and long-term follow-up of neurogenic bowel dysfunction (NBD)?

Medications

Which medications are used in the treatment of neurogenic bowel dysfunction (NBD)?

Which medications in the drug class Opioid antagonist are used in the treatment of Neurogenic Bowel Dysfunction?

Which medications in the drug class Osmotic agents are used in the treatment of Neurogenic Bowel Dysfunction?

Which medications in the drug class Stool softeners are used in the treatment of Neurogenic Bowel Dysfunction?

Which medications in the drug class Bulking agents are used in the treatment of Neurogenic Bowel Dysfunction?

Which medications in the drug class Hyperosmolar agents are used in the treatment of Neurogenic Bowel Dysfunction?

Which medications in the drug class Colonic stimulants are used in the treatment of Neurogenic Bowel Dysfunction?