DIGITAL STIMULATION

METHODS FOR EMPTYING THE BOWEL:

 
Each person's bowel program should be individualized to fit his/her own needs. The type of disease or nerve damage (for example, uper or lower motor neuron) should be taken into account as well as other factors. Components of a bowel program can include any combination if the following.
 
MANUAL REMOVAL:
 Physical removal of the stool from the rectum, this can be combined with a bearing down technique called a valsalva maneuver
(Avoid this technique if you have a heart condition.)
 
 
DIGITAL STIMULATION:
Circular motion with the index finger in the rectum, which causes the anal sphincter to relax. 
 
SUPPOSITORY:
Dulcolax (stimulates the nerve ending in the rectum,causing a contraction of the bowel) or glycerine (draws water into the stool to stimulate evacuation.)
 
MINI ENEMA:
Softens, lubricate and draws water into the stool to stimulate evacuation.
 
 THE BOWEL PROGRAM:
Most people perform their bowel program at a time of the day that fits in with their prior bowel habits and current lifestyle.
The program usually begins with insertion of either a suppository or a mini-enema, followed by a waiting period of approximately 15-20 minutes to allow the stimulant to work. This part of the program should preferably, be done on the commode or toilet seat.
 
After the waiting period, digital stimulation is done every 10-15 minutes until the rectum is empty. In order to avoid damage to the delicate rectal tissue, no more than four digital stimulations should be perforned in any one session. Those with a flaccid bowel frequently omit the suppository or mini-enema and start their bowel program with digital stimulation or manual.
Removal in most bowel programs require 30-60 minutes to complete.
 
 
 
Bowel programs vary from person to person according to their individual preferences and needs. Some people use only half of a suppository, some require two suppositories, and some use no suppository or mini-enema at all.
Some choose to do the entire program in bed, while others sit on the toilet from the beginning. Some find that the program works better if they can  drink a warm beverage while it is in progress, others find that this is not helpful. Most importantly is what works best for you!
 
 
                                                                      FACTORS THAT CAN AFFECT SUCCESS:
Any one of the factors listed below, or a combination of facors, can affect the success of a bowel program. Changine one factor may produce results almost immediately or it may take several days to see the results.
Changing more then one factor at a time makes it difficult to determaine the effects of individual factors, and may increase the time it takes to develop a stable bowel program.
 
Bowel programs vary from person to person according to their individual preferences and needs. Some people use only half of a suppository, some require two suppositories, and some use no suppository or mini-enema at all.
Some choose to do the entire program in bed, while others sit on the toilet from the beginning. Some find that the program works better if they can  drink a warm beverage while it is in progress, others find that this is not helpful. Most importantly is what works best for you!
 
 
 
 
  • PREVIOUS BOWEL HISTORY; What have your bowel habits been in the past?
  • TIMING; Do you do your bowel program in the morning or evening? At the same time everyday? After a meal or warm beverage?what is the interval between programs> half a day, one day or two days? (you should do a bowel program at least every 2-3days to reduce your risk of constipation, impaction and colon cancer.
  • PRIVACY AND COMFORT; Does someone else share your bathroom? Do you have enough time to complete your program?
  • EMOTIONAL STRESS Has your appetite been affected? Are you able to relax?
  • POSITIONING; Where do you do your program? Commode chair, raised toilet seat, on the toilet, or in bed>? It will probably work better when you are sitting up because of gravity.
  • FLUIDS; How much and what type of fluids you drink? (Prune or orange juice stimulates bowel.)
  • FOODS How much fiber or bulk (such as fruits, vegetables, beans, whole grain breads & cereals) do you eat? Some foods (such as dairy products, white patatoes, white breads and bananas) can contribute to constipation, while others (such as excess amounts of fruits , caffeine, or spicy foods) may soften stool to cause diarrhea.
  • ILLNESS; a case of the flue, a cold or an intestinal infection may affect your bowel program while ill. (Even if your digestive systme is not directly affected, your eating habits, fluid intake or mobility may change, which can alter your bowel program.)
  • WEATHER; Hot weather increases the evaporation of body fluids, which can lead to dehydration and constipation.
  • ETERNAL MASSAGE; Massaging the lower abdomen in a circular, clockwise motion from right to left increases bowel activity.
  • VALSALVA; (Bearing down) This technique is not recommended for patients with Cardiac Problems.
  • ASSISTIVE/ADAPTIVE DEVICES; Devices such as a suppository inserter, finger extention or digital stimulator may be required to assist you in establishing a successful bowel program.
                                                                                                                                                                                               
                                                                     WHAT TO AVOID:                                                                                                 
 
  •  REGULAR USE OF STIMULANT LAXATIVES; These include bisacodyl (Dulcolax) tablets, phenolphthalein (exlax) cascara, senna and magnesium citrate. Laxative used on a regular basis will cause your bowels to become dependent on them. When this happens the bowel will not work well without the laxative, and eventually the "lazy bowel" that results will require more and stronger laxatives to work at all. An occasional small dose of a mild laxative such as Milk of Magnesia or herbal laxative, can be used to treat constipation if other measures have not worked. ( I recommend that you use no more than three doses per month.)
 
  • ENEMAS; Any full-sized enema (such as Fleet's soap suds or tap water) is too irritating to the bowel to be used on a regular basis and will cause the same problem with dependence as a stimulant laxative. A "mini-enema" Which has only a few drops of liquid stool softner, does not fall into this category and can be used regularly. Occasionally your health care provider may prescribe a full size enema as a preparation for a medical procedure or for treatment of severe constipation.
 
 
  •   RUSHING; The more tense you are, the more difficult it will be for you to empty your bowels. A hurried program will increase the likelihood of an unplanned bowel movement later in the day.
 
  •  LONG FINGERNAILS; They can damage the rectal tissue and cause bleeding even through a glove.
 
                                                                                                                                                                                                    
 
                                                             WHAT TO DO IF.......                                                                                                       
STOOL IS TOO HARD (constipation); Do your bowel program on a daily basis until constipation resolves. Add or increase the dose of a stool softner (such as Doss or Colace).
 Add or increase the dose of Psyllium Hydromucilloid (such as metamucil or citrucel). Increase your fluid intake (This is essential if you are increasing psylium). Increase your activity level and your intake of dietary fiber. Avoid foods that can harden your stool, such as bananas and cheese.
 

 

 
 

    

 
 
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