Transverse Myelitis and Incontinence: Understanding the Connection
Transverse Myelitis (TM) Awareness Day is observed on 9th June 2022 to raise awareness about this rare neurological condition and its associated complications, such as incontinence.
What is Transverse Myelitis (TM)?
Transverse Myelitis (TM) is a rare neurological disorder caused by inflammation of the spinal cord. It often results in sudden symptoms such as muscle weakness, pain, and bladder dysfunction, significantly impacting daily life.
Transverse Myelitis and Incontinence: How Are They Related?
The last two nerves of the spinal cord control the bladder and bowel. Any inflammation or swelling above this region can affect the bowel, causing a loss of sensation in the rectum or loss of control over the anal sphincter. This often leads to constipation or incontinence.
Key Functions of the Bowel
The bowel has two primary functions:
- Digesting food and absorbing nutrients into the bloodstream.
- Eliminating waste products at appropriate times.
The digestive system runs from the mouth to the anus and includes the oesophagus, stomach, and both small and large intestines (also known as the bowel). The large bowel ends in a section known as the rectum, where faeces are stored before elimination. Nerve endings in the rectum send signals to the brain, alerting you to the need to empty your bowels.
How Incontinence Occurs
In cases of sensory loss in the rectal area, individuals may not feel the urge to empty their bowels, leading to constipation. Over time, faeces hardens, creating more complications. Weakness in the anal sphincter or pelvic floor muscles can exacerbate the issue. In severe cases, watery diarrhoea can bypass hardened faeces, while the hard stools remain in the rectum.
Self-Care Tips for Managing Bowel Health
To maintain bowel health and reduce the risk of constipation or incontinence, consider the following:
- Eat Regularly: Regular meals help stimulate the bowel. Ensure you drink 6-8 glasses of water daily. Juice, cordial, skimmed milk, and decaffeinated tea or coffee are also acceptable.
- Increase Fibre Intake: Eating enough fibre can help move the contents of the bowel along, reducing the risk of constipation.
- Establish a Routine: Aim to visit the toilet about 30 minutes after breakfast when the urge to empty the bowels is strongest.
- Exercise Regularly: Physical activities, like a 15-minute daily walk, can strengthen the muscles involved in bowel contractions.
- Correct Toilet Position: Sitting with your knees higher than your hips (use a small stool for support) can help ease bowel movements.
Management Options for Transverse Myelitis and Incontinence
If you're experiencing bowel incontinence due to Transverse Myelitis, it’s important to consult your GP. They can recommend a treatment plan, which may include:
- Medications such as Antimuscarinics, which help calm the bladder and give you more time to reach the toilet.
- Continence products, like urinary sheaths for men and continence pads for managing anal leakage, which are available at pharmacies, supermarkets, and online stores.
Conclusion:
While Transverse Myelitis can lead to challenging symptoms such as incontinence, there are various strategies and products available to help manage these issues. Always seek advice from a healthcare professional to develop the most effective treatment plan for you.
Feel free to explore our full range of incontinence solutions here!
Bladder and bowel incontinence may be caused by conditions which can be treated medically. Please consult your physician for medical advice and guidance.
Resources:
%20Awareness%20Day%20is%20observed%20on%209th%20June%202022%20to%20raise%20awareness%20about%20this%20rare%20neurological%20condition%20and%20its%20associated%20complications,%20such%20as%20incontinence.%0AWhat%20is%20Transve...){kind=link}