Spinal Cord Injury

SCI: Fiber (2003)

Diagnosis
What is the recommended fluid intake for bowel and bladder management? (SCI 2003)
- Conclusion
  The amount of fluid needed to promote optimal stool consistency must be balanced with the amount needed for bladder management. Fluid intake in the range of 2000-3000 ml/day is recommended.
- Evidence Summary: Fluid for Bowel and Bladder Management in SCI patients (2003)
What level of fiber is recommended to manage neurogenic bowel; and how should it be introduced? (SCI 2003)
- Conclusion
  Following determination of the individual’s current fiber intake and is effect on consistency of stool and frequency of evacuation, the diet of individuals with SCI should include at least 15 grams of fiber daily from a variety of dietary sources. Further increase in fiber should be done gradually, with symptoms of intolerance monitored and reduction of fiber if they occur.
- Grade: III
  - Grade I means there is Good/Strong evidence supporting the statement;
  - Grade II is Fair;
  - Grade III is Limited/Weak;
  - Grade IV is Expert Opinion Only;
  - Grade V is Not Assignable.
  - High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
  - Moderate (B) means we are moderately confident in the effect estimate;
  - Low (C) means our confidence in the effect estimate is limited;
  - Very Low (D) means we have very little confidence in the effect estimate.
  - Ungraded means a grade is not assignable.
- Evidence Summary: Fiber and Neurogenic Bowel (2003)