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H
E
A
L
T
H
Y
E
A
T
I
N
G
Healthy nutrition
is important for
bowel regularity
Problems occur
When stool is
TOO hard
Or
TOO soft
Hard Stool
Constipation
Constipation
In addition to diet, what other factors
could cause you to be constipated?
– Narcotic pain medications
– Lack...
Constipation
What do you do if you are constipated?
– Drink more water
– Eat fiber
– Take a stool softener
– Drink a hot b...
Constipation
Rectal bleeding
Rectal bleeding
What could cause rectal bleeding?
–Hard stool
–Hemorrhoids
–Long finger nails
–Doing digital stimulation t...
Rectal bleeding
You might see
1.Red blood on glove, toilet tissue
2.Large amounts of blood on
glove, in toilet or bed
3.Da...
Blood on glove, tissue
Hemorrhoids
Hard stool
No enough lubrication during
bowel program
Long fingernails
Overly aggressiv...
Blood on glove, tissue
What you should do?
Be gentle
Use lots of lubrication
Keep fingernails short
Rectal bleeding
Large amounts of bright red
blood on glove or in toilet
Bleeding in lower GI tract
Dark blood in stool
Ble...
Your stool could be
TOO HARD
but
it also could be
TOO SOFT
Soft Stool?Eat
Insoluble
fiber Meds to
Consider
Diarrhea
Soft stool doesn’t lead to diarrhea
Diarrhea
What could cause your diarrhea?
• Certain foods – get to know your trigger foods
• Alcohol
• Certain medications
...
Diarrhea
What do you do if you have
diarrhea?
– Hold your bowel program for 24
hours after last episode of diarrhea
– Adju...
Diarrhea
What should I eat/drink?
BRAT diet – bananas, rice,
applesauce, toast
Diarrhea
What should I eat/drink?
–Low fiber foods- white breads, pastas, or
rice, cooked/canned fruits or vegetables
with...
Where do I start?
• Begin performing your bowel
program when medically able
• Have your primary
caregiver begin
practicing...
Where do I start?
Stay Hydrated
• About 64 ounces per day
– Five to six 12-ounce bottles
– Eight 8-ounce glasses
Where do I start?
Regular physical activity
“GET MOVING”
Where do I start?
• Pay attention to the food you eat
– eat healthy - make good choices
Where do I start?
• Deal with problems quickly to
prevent more severe
problems (such as impactions,
dehydration, rectal bl...
When to call the
doctor?
– No stool for >5 days
– Dark stool
– Diarrhea lasts more than 24 hours
– Large amounts bright re...
Eat Healthy
Live Healthy
Be Healthy
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Introduction to Nutrition

This presentation provides an introduction to good nutrition for people with spinal cord injury.

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Introduction to Nutrition

  1. 1. H E A L T H Y E A T I N G
  2. 2. Healthy nutrition is important for bowel regularity
  3. 3. Problems occur When stool is TOO hard Or TOO soft
  4. 4. Hard Stool Constipation
  5. 5. Constipation In addition to diet, what other factors could cause you to be constipated? – Narcotic pain medications – Lack of exercise – Incorrectly performing or skipping bowel programs
  6. 6. Constipation What do you do if you are constipated? – Drink more water – Eat fiber – Take a stool softener – Drink a hot beverage 30 minutes before your bowel program
  7. 7. Constipation Rectal bleeding
  8. 8. Rectal bleeding What could cause rectal bleeding? –Hard stool –Hemorrhoids –Long finger nails –Doing digital stimulation too aggressively
  9. 9. Rectal bleeding You might see 1.Red blood on glove, toilet tissue 2.Large amounts of blood on glove, in toilet or bed 3.Dark colored blood in stool
  10. 10. Blood on glove, tissue Hemorrhoids Hard stool No enough lubrication during bowel program Long fingernails Overly aggressive Dil
  11. 11. Blood on glove, tissue What you should do? Be gentle Use lots of lubrication Keep fingernails short
  12. 12. Rectal bleeding Large amounts of bright red blood on glove or in toilet Bleeding in lower GI tract Dark blood in stool Bleeding in upper GI tract
  13. 13. Your stool could be TOO HARD but it also could be TOO SOFT
  14. 14. Soft Stool?Eat Insoluble fiber Meds to Consider
  15. 15. Diarrhea Soft stool doesn’t lead to diarrhea
  16. 16. Diarrhea What could cause your diarrhea? • Certain foods – get to know your trigger foods • Alcohol • Certain medications • Stress • Illness
  17. 17. Diarrhea What do you do if you have diarrhea? – Hold your bowel program for 24 hours after last episode of diarrhea – Adjust bowel medications – Over-the-Counter anti-diarrheal medication
  18. 18. Diarrhea What should I eat/drink? BRAT diet – bananas, rice, applesauce, toast
  19. 19. Diarrhea What should I eat/drink? –Low fiber foods- white breads, pastas, or rice, cooked/canned fruits or vegetables without seeds/skins –Tender/soft cooked meats –Foods with reduced fats and sugar –8-10 cups of hydrating fluid Eat a small meal/snack every 3-4 hours
  20. 20. Where do I start? • Begin performing your bowel program when medically able • Have your primary caregiver begin practicing as soon as possible
  21. 21. Where do I start? Stay Hydrated • About 64 ounces per day – Five to six 12-ounce bottles – Eight 8-ounce glasses
  22. 22. Where do I start? Regular physical activity “GET MOVING”
  23. 23. Where do I start? • Pay attention to the food you eat – eat healthy - make good choices
  24. 24. Where do I start? • Deal with problems quickly to prevent more severe problems (such as impactions, dehydration, rectal bleeding and skin issues)
  25. 25. When to call the doctor? – No stool for >5 days – Dark stool – Diarrhea lasts more than 24 hours – Large amounts bright red blood » Only reason to go to ER
  26. 26. Eat Healthy Live Healthy Be Healthy

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