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Bowel program post-op baclofen pump

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  • Bowel program post-op baclofen pump

    I've got progressive MS and have been working on establishing a bowel program since July with mixed success. I've been "manually removing", including up thru the upper interior muscle for 15 years. I'm very concerned about ANY leaning and twisting - even to digi stim or remove from lower rectum as I'm getting a baclofen pump implanted in November. I see there are digi stim devices which could alleviate that part of the bending, but still not the actual removal. I'm obviously very concerned about post-op, tho I guess some laxatives would be needed anyway due to painkillers? But I'm even concerned long-term about dislodging or kinking the catheter and winding up back in the OR. Any advice at all for a brand or type of digi stim device, but also is there any other way to get the poop OUT after it moves down? Suppositories don't do it.

  • #2
    What suppositories have you tried? If you have used a regular bisacodyl suppository like Ducolax, it may not have worked because it is vegetable oil based and takes a while to melt. Magic Bullet (https://conceptsinconfidence.com/) bisacodyl suppositories are water based and melt quickly to help stimulate peristalsis. Another alternative is Enemeez (http://www.enemeez.com/), mini enemas.

    I've used Magic Bullets for many years and find they aren't working as well for me as they once did. I've tried Enemeez (about a 6 week trial) and they didn't work at all for me. That said, many members here use the Enemeez and think they work better than anything they've ever tried. I don't know if Concepts in Confidence offers free samples, but Enemeez does offer free samples of Enemeez and Enemeez Plus (with lidocaine).

    All the best,
    GJ

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    • #3
      We have our patients refrain from lifting over 5 -10 pounds, bending at the waist, twisting -especially away from the side( usually in right lower quadrant of abdomen- the pump is on as the catheter threads to the spine and can be dislodged.
      This surgery is like any major abdominal surgery and precautions should be for at least 3 to 6 weeks.
      a digistimmer and suppository inserter recommended. do you have someone to assist you especially the first 2-4 weeks? I would recommend. Enemeez works well on most people but it is a small - 5 cc- tube that you have to squeeze. I know some have put in a syringe and rigged something easier.
      CWO
      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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