Top Products for Bowel Management in Spinal Cord Injury

By Scihealthhub – March 6, 2025

In this guide, we’ll walk you through the top products designed to support bowel management for individuals living with spinal cord injury (SCI).

A spinal cord injury can disrupt the nerve signals responsible for controlling bowel function, leading to neurogenic bowel dysfunction (nerve-related bowel issues). This condition presents challenges such as constipation, fecal impaction, incontinence, irregular bowel movements, skin breakdown, and infections.

For this reason, effective bowel management is an essential part of daily life for individuals with spinal cord injuries. It not only enhances overall quality of life but also helps prevent complications associated with neurogenic bowel dysfunction.

From devices that stimulate bowel movements to products that ensure hygiene and convenience, numerous options are available to meet individual needs.

Regular use of these products and devices, as part of a structured bowel management program, can enhance independence, improve bowel regularity, and reduce the risk of complications associated with neurogenic bowel dysfunction.

Here are the top 10 products and tools that can help streamline bowel management for individuals with spinal cord injuries.

1. Digital Stimulation Devices

Digital stimulation helps trigger bowel movements by manually stimulating the rectal walls. Traditionally, digital stimulation is performed manually using a gloved, lubricated finger to gently stimulate the rectal wall, triggering bowel movement. However, specialized tools can make the process more effective, comfortable, and hygienic. They include:

Rectal Stimulators

Some individuals benefit from digital stimulation tools designed specifically for rectal use. These devices, which often feature ergonomic designs and vibration functions, help activate the rectal reflex more efficiently, reducing the need for manual digital stimulation with a gloved finger.

Enemeez Mini Enemas

These are small, easy-to-use enemas that provide lubrication and stool-softening effects. They contain a formulation that helps trigger bowel movements within minutes, making them useful for individuals who require quick relief. Unlike traditional large-volume enemas, Enemeez mini enemas are designed for minimal discomfort and easy administration.

2. Rectal Suppositories

Rectal suppositories are a common and effective product for bowel management in spinal cord injury. They help stimulate bowel movements by delivering medication or lubricants directly into the rectum, promoting stool evacuation.

These products offer a practical and relatively quick solution to managing neurogenic bowel dysfunction

Bisacodyl Suppositories

A stimulant laxative that works by irritating the bowel lining, triggering peristalsis (intestinal contractions).

Typically induces a bowel movement within 15–60 minutes.

Best used on a scheduled basis rather than daily to prevent dependency.

Glycerin Suppositories

Acts as a lubricant and stool softener, making it easier for stool to pass.

Works within 15–30 minutes and is generally gentler than stimulant laxatives.

Suitable for individuals who need a mild, non-irritating option.

3. Stool Softeners and Fiber Supplements

Maintaining soft stool consistency is essential for effective bowel evacuation, especially for individuals with spinal cord injury who may experience slow or incomplete bowel movements. Stool softeners and fiber supplements help regulate bowel function, making it easier to pass stool without excessive straining or discomfort.

Commonly recommended products include:

Docusate Sodium (Colace)

A stool softener that works by drawing water into the stool, making it softer and easier to pass.

Helps prevent hard, dry stools that can lead to constipation or impaction.

Works best when combined with adequate fluid intake.

Psyllium Fiber (Metamucil)

A bulk-forming fiber supplement that absorbs water, increasing stool volume and promoting regular bowel movements.

Helps with both constipation and loose stools by normalizing stool consistency.

Should be taken with plenty of water to prevent blockage.

Benefiber

A soluble fiber supplement that dissolves easily in food or drinks without altering taste or texture.

Supports digestive health and promotes softer, well-formed stools.

Can be a good option for individuals who struggle to get enough fiber from their diet.

4. Laxatives

They work by either stimulating bowel activity, drawing water into the intestines, or softening stool to ease evacuation. However, these products should be used with caution and under medical guidance to prevent dependence or bowel dysfunction.

Senna-Based Laxatives (e.g., Senokot)

A stimulant laxative that works by irritating the intestinal lining, triggering contractions that move stool through the bowel.

Typically induces a bowel movement within 6–12 hours.

Best taken before bedtime to promote a morning bowel movement.

Prolonged use may lead to dependency, so it should be used occasionally or as part of a structured bowel program.

Polyethylene Glycol (MiraLAX)

An osmotic laxative that draws water into the colon, softening stool and making it easier to pass.

Works gently and effectively without causing cramping.

Safe for long-term use and suitable for individuals who need consistent relief from constipation.

Must be taken with plenty of fluids to ensure effectiveness.

Lactulose

A prescription osmotic laxative that works similarly to MiraLAX by drawing water into the bowel.

Often used for chronic constipation and can take 24–48 hours to produce results.

May cause bloating or gas in some individuals.

Suitable for long-term use under medical supervision.

5. Irrigation Systems

Bowel irrigation systems are highly effective for individuals with chronic constipation or neurogenic bowel dysfunction following spinal cord injury. These systems work by introducing water into the rectum via a catheter, stimulating bowel contractions and promoting complete stool evacuation. Regular use can help establish a predictable bowel routine, reduce constipation, prevent fecal incontinence and reduce the time and effort required for bowel management.

Peristeen Plus Transanal Irrigation System

A compact, easy-to-use system designed for regular bowel management.

Works by instilling warm water (not cold or hot water) into the rectum, triggering peristalsis (intestinal contractions) to empty the bowel.

Navina Smart Irrigation System

Features a user-friendly interface with digital controls, allowing users to customize water volume and pressure for a more personalized experience.

Offers both manual and electronic pump options for better control.

Can be used independently or with caregiver assistance.

6. Abdominal Massagers and Stimulators

These products promote natural bowel movements by stimulating the abdominal muscles, thereby enhancing intestinal contractions and stool movement.

Abdominal massagers and electrical stimulators provide a non-invasive, pain-free approach to bowel management and help reduce reliance on laxatives and suppositories.

They are often used in combination with other bowel management strategies, such as fiber supplements and irrigation systems, for optimal results.

Abdominal Massage Belts

Designed to apply gentle pressure and rhythmic vibrations to the abdomen, helping move stool through the intestines.

Can be used before or during bowel routines to reduce the need for excessive straining.

Some belts offer heat therapy, which may further relax muscles and improve bowel motility.

Transcutaneous Electrical Nerve Stimulation (TENS) Devices

Uses mild electrical impulses to stimulate nerves and muscles in the abdominal region, promoting peristalsis.

Can be placed on the lower abdomen or lower back to target nerve pathways involved in digestion.

Provides additional benefits like helping to reduce bloating and discomfort associated with neurogenic bowel dysfunction.

7. Bedside Commode Chairs and Toileting Aids

These essential toileting aids make the process safer, more accessible, comfortable, hygienic, and less physically demanding, reducing the risk of falls and strain.

Bedside Commode Chairs

Adjustable, portable, and easy to use, these chairs allow for convenient toileting without the need to transfer to a standard toilet.

Some models include padded seats, armrests, and splash guards for added comfort and cleanliness.

Raised Toilet Seats with Arms

Elevates the toilet seat height, reducing the strain on the legs and lower body when sitting down or standing up.

Built-in armrests provide extra stability and support for safer transfers.

Some models come with locking mechanisms to ensure a secure fit on the toilet bowl.

Toilet Aids for Hygiene

Long-reach toilet tissue aids assist individuals with limited hand dexterity or reach in maintaining personal hygiene.

Bidet attachments and portable bidets provide a gentle and effective cleaning option, reducing the need for manual wiping.

Self-wiping wands are designed for ease of use, improving independence in toileting.

8. Protective Products for Incontinence

Managing accidental bowel leakage is vital for maintaining hygiene, preventing skin complications, and ensuring comfort. Several protective products are available to help individuals with spinal cord injury manage incontinence effectively.

Adult Diapers and Briefs

Absorbent and discreet options like Depend, TENA, and Tranquility help contain leaks, keeping clothing and bedding dry. Some have odor control features and moisture-wicking layers for added comfort.

Absorbent Pads and Liners

For those with occasional leakage rather than full incontinence, disposable or reusable absorbent pads provide a less bulky alternative to diapers. They can be worn inside regular underwear or specialized mesh briefs for added security.

Skin Barriers and Protective Creams

Frequent exposure to moisture can lead to skin irritation, rashes, and pressure sores. Barrier creams like Calmoseptine, Cavilon, and Desitin create a protective layer on the skin, preventing irritation from prolonged contact with stool and urine. Zinc oxide-based creams and petroleum jelly also provide a moisture barrier.

Odor Control Products

Chronic incontinence can lead to persistent odors, affecting confidence and comfort in social settings. Odor-neutralizing sprays, activated charcoal deodorants, and scented disposal bags help keep the environment fresh. Internal deodorizing tablets like Devrom (bismuth subgallate) may also reduce stool odor.

9. Dietary Products

A well-balanced diet plays an important role in maintaining bowel health and preventing complications like constipation or diarrhea in individuals with spinal cord injury. Supplementing with digestive-friendly products can support gut function and promote regularity.

Probiotics

Live beneficial bacteria help maintain a healthy gut microbiome, improving digestion and stool consistency. Options like Align, Culturelle, Florastor and Floranorm support gut health and may reduce bloating, gas, and irregular bowel movements. Fermented foods like yogurt, kefir, and sauerkraut also provide natural sources of probiotics.

Prebiotic Supplements

Prebiotics act as food for probiotics, encouraging the growth of beneficial gut bacteria. Inulin, psyllium husk, and fructooligosaccharides (FOS) are common prebiotics that help soften stool and improve bowel regularity. Some fiber supplements, such as Benefiber, also contain prebiotics.

Hydration Solutions

Proper hydration is essential for maintaining soft stool consistency and preventing constipation. Oral Rehydration Salts (ORS), electrolyte drinks (like Pedialyte or Hydralyte), and coconut water help replenish fluids and electrolytes, particularly for individuals who experience frequent diarrhea or dehydration.

Stool-Softening Nutrients

Some dietary products, such as prune juice, flaxseed, chia seeds, and magnesium supplements, help soften stools naturally and prevent straining during bowel movements.

10. Mobile Apps and Digital Tools

In today’s digital age, mobile apps and other digital tools have become valuable aids for individuals managing bowel care after spinal cord injury. These tools help with tracking, reminders, and decision-making, leading to a more consistent and efficient bowel management routine.

Bowel Diary Apps

Bowel diary apps allow users to:

• Log stool consistency, frequency, and timing.
• Record fiber and fluid intake to correlate with bowel movement regularity.
• Identify triggers that may cause constipation or diarrhea.
• Generate reports that can be shared with healthcare providers for better treatment planning.

Popular apps like Poop Tracker offer customizable tracking features for people with different bowel conditions.

Reminder Systems

Consistency is key in bowel management, and forgetting a scheduled routine can lead to discomfort or complications. Reminder systems help users stay on track by:

• Sending alerts for digital stimulation, suppository use, or enema administration.
• Notifying caregivers or family members when assistance is needed.
• Integrating with smartwatches or assistive devices for hands-free reminders.
• Apps like Medisafe or even built-in phone alarms can be programmed for daily bowel care routines.

Smart Health Integration

Some digital tools sync with wearable devices or smart home assistants, making bowel management even more seamless. Features may include:

• Voice-controlled reminders using Alexa or Google Assistant.
• Smart hydration trackers like Water Reminder remind users to drink enough water.
• Data syncing with health records to track progress over time.

Final Thoughts

Neurogenic bowel dysfunction is a challenging complication of spinal cord injury, often leading to issues like constipation, fecal impaction, incontinence, and irregular bowel movements. However, with the right tools and products integrated into a consistent bowel care routine, individuals can effectively manage these challenges, improve their comfort, and enhance their overall quality of life.