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    #16
    Originally posted by SCI-Nurse View Post
    Obstructive megacolon in SCI is not just caused by constipation. It is also associated with long term use of laxatives and stimulants for bowel management. It is caused by the colon trying to move stool out against a closed (spastic) anal sphincter when it is full. This fullness could be stool, or gas, but the ultimate results is a flabby, low muscle tone colon with it becoming more and more difficult to move stool through the gut.

    (KLD)
    So what are the solutions in treating a megacolon? Can it be reversed by better diet or anything?

    Or is it more severe like requiring cutting out the flabby colon or getting a colostomy to empty the bowel?

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      #17
      You can try using stronger and stronger stimulants and laxatives, but this risks accidents, and generally will only buy you a little time. A fairly high (transfers or ascending colon) colostomy is often the best solution.

      (KLD)
      The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

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