Post by Lαrα on Sept 18, 2013 9:32:08 GMT -8
Bowel function as we age
Bowel function is already problematic for the person with a Spinal Cord Injury but age affects function also. Food is not digested as effectively and does not move along the bowels as easy.
This can cause more constipation and hard stools, incontinence also becomes another issue with age.
Hemorrhoids can develop.
Help improve bowel function
Consider a daily or every two day bowel routine.
Exercise or stay active as much as possible
Eat a healthy diet that is adequate and ensure that fluid intakes sufficient also.
A colostomy may be considered if the constipation or incontinence becomes a problem.
Take advantage of cancer screening programs that are available. People with SCI are not more susceptible to bowel cancer than any other person but the lack of sensation can cause some early signs to not be noticed.
The Urinary System
The urinary system develops changes naturally with aging, this is the same for individuals with SCI or not.
As we age the bladder tends to not hold as much this can lead to additional catheterizing or visits to the loo
In women the urethral opening weakens causing further leaking
Increase in UTI's after the age of 60
Increase in residue after voiding, especially for men who have the onset of prostate disease
Decline in kidney function from 40 years and over
The SCI population is already prone to UTI infections and kidney stones therefor the risk of kidney dysfunction increases.
How can we take care of our urinary system?
Signs and symptoms of urinary tract infection may change from the usual symptoms as you age. Your main symptom could be confusion and lethargy rather than the typical urinary changes.
Regular cystoscopy to screen for bladder cancer is recommended for people who have used a chronic indwelling Foley catheter for more than eight to 10 years. In fact if you catheterise in any way you should ask for this procedure to be carried out.
In this procedure, a urologist puts a small tube with a camera through the urethra into the bladder to inspect the surface of the bladder for any suspicious lesions.
Evaluate your bladder program annually to minimize the frequency of urinary tract infections. If you are having too many UTI's, you may need to change your method of catheterization or look at your routine. Ensure that your routine is super hygenic!
Make an appointment and discuss with your urologist.
Drink plenty of water..lemon water is also good...pro briotic drinks help and try cranberry tablets
Only rarely should antibiotics be used prophylactically (used to prevent infection) to prevent the onset of infections, since it may contribute to the creation of more resistant bacterial organisms...if you suffer from regular infections then your Urologist can advice if this is an option for you or not,
Be vigilant about avoiding overfilling of a leg bag that might cause distention of the bladder and transmit urine back up to the kidneys.
Women should use the smallest possible catheter size and try to avoid increasing the size of the catheter to prevent more and more urethral incompetence.
Stop or avoid smoking!
Yearly upper urinary tract screening for stones and upper tract deterioration. This involves ultrasound or a CT scan of the kidney and lab tests to assess kidney function.
Information sourced from....here