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SCI-Nurse
SCI-Nurse
Super Moderator
Joined: 07-24-2001
Location: USA
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  • SCI-Nurse
    replied to Spasms?
    in Care
    Spasticity (abnormally high muscle tone) and spasms (involuntary movements) are two aspects of SCI/D that are seen in most people except those with very low cord injuries or with some spinal cord diseases such as spinal stroke, transverse myelitis, or polio.

    Most people do not have serious...
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  • SCI-Nurse
    replied to 1 year post injury.
    Welcome to CareCure! Please join in discussions here, post questions, and tell us a little more about you. You have friends here who will understand.

    (KLD)
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  • SCI-Nurse
    replied to Bladder Spasticity
    in Care
    Have you had urodynamics in the last few months? You should be having this done every 2 years or so if things are stable, but more often if there are problems such as you are reporting. Your bladder can change over time.

    Ditropan is the most commonly used anticholenergic, but not the only...
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  • SCI-Nurse
    replied to Shrinking Penis
    in Care
    Penile retraction is a common problem in men who are obese. Viagra would not be a option. It would have to be taken an hour before each catheterization, and it should not be taken more than once daily. Cialis might be helpful, but you still have to work at getting the erection...it does not just spring...
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  • SCI-Nurse
    replied to Good showed / commode chair
    This is designed to be used on a square shower/commode chair. Commode is a common short-hand term for a shower/commode chair. There is a different one designed for use with a regular toilet seat, which might fit your seat better. You can talk to the people at Roho about which might fit your chair better....
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    Last edited by SCI-Nurse; Today, 03:18 PM.

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  • SCI-Nurse
    replied to Quad suppository in commode?
    in Care
    Rule of thumb with bowel care is to make no more than 1 change every 7 days. I would recommend trying first to go without the Miralax for at least 7 days. If you are doing OK, then reduce the amount of senna to 1 capsule for 7 days, and see how that goes. Continue this method of making one change per...
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  • SCI-Nurse
    replied to Good showed / commode chair
    This Roho Commode Seat Cushion can be applied and left on the commode. Remove for cleaning as needed:

    http://permobilus.com/product/rohosh...mmode-cushion/

    (KLD)
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  • SCI-Nurse
    replied to Quad suppository in commode?
    in Care
    • Increase dietary fiber. You should have at least 30 gm. daily.
    • Increase water intake; minimum should be 2 liters daily, but 3 is better.
    • If stool is hard in spite of this, take Colace (DSS) up to 1000mg. daily.
    • Do you stand? If so, use of a standing frame can increase bowel motility.

    ...
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  • SCI-Nurse
    replied to Peristeen??
    in Care
    Looks like it. With the Peristeen, generally you do not have to hold the speculum in place, the balloon holds it inside the rectum and prevents the water from coming out until you deflate the balloon. I am not sure where this device above is available in the USA.

    (KLD)...
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  • SCI-Nurse
    replied to Quad suppository in commode?
    in Care
    Any routine use of a stimulant or osmotic laxative can increase your risk over time of developing obstructive megacolon. It is best to reserve these to only occasional use for constipation, and not take daily.

    (KLD)
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  • SCI-Nurse
    replied to Good showed / commode chair
    Have you tried a Roho commode cushion on your ActiveAid commode??

    (KLD)
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  • Have you recently been evaluated for a syrinx? They can be associated with both an increase and decrease in spasticity. Have you see your physiatrist directly regarding this issue? Your NP may not be the most expert on this issue.

    (KLD)
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  • SCI-Nurse
    replied to Bowel issue
    in Care
    I could be hemorrhoids, although they usually bleed. I also could be a fissure. Did your GP do a rectascope exam or just a manual exam? I would recommend you see a colorectal surgeon specialist to have a good rectoscope exam, and perhaps a sigmoidoscopy. Does it help to apply lidocaine ointment or something...
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  • Do a search for "bed reading pillows" and you will find many options. Some are even inflatable, which would make it easier to carry with you for travel. Here is an example:

    https://www.amazon.com/HOMCA-Reading.../dp/B07KQ47DXH

    (KLD)
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    • Maintain a closed system for indwelling catheters.
    • Secure the catheter to prevent inadvertent dislodgement or pistoning in/out of the urethra or stoma.
    • Assure no dependent loops in drainage tubing in bed or wheelchair.
    • Clean catheter and surrounding skin daily with antiseptic wipes or soap
    ...
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  • As above. We did all that in the 1970s and early 1980s but abandoned it when the studies showed it to be ineffective.

    (KLD)...
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  • SCI-Nurse
    replied to Small heel abrasion
    in Care
    Is this the back of the heel or the sole of the foot?

    I would recommend to use some triple antibiotic ointment (Bacitracin is a brand name,generic is fine too. OTC at your local pharmacy) and cover with an occlusive bandage. Healing will be faster if it is kept moist (not wet) and covered....
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  • SCI-Nurse
    replied to Urethera foleys, UTIs and instillations
    in Care
    Another thought is trying the Rusch Belly Bag:
    https://www.allegromedical.com/cathe...c-p193132.html

    (KLD)
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  • As above. It probably won't hurt you, but it is doubtful it will help either. Science has moved forward in the last 40 years!

    (KLD)...
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  • While this may seem to be working for you, the use of urinary antiseptics to prevent or treat UTIs in people with SCI/D has been shown in several studies to be no more effective than placebo. The same goes for the use of cranberry capsules or juice.

    In addition, if you are using an indwelling...
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