M - BOWEL
Providers can use rectal medications for bowel management. (PVA-NBD 2020, p.453; Level B)
A polyethylene glycol (PEG)-based bisacodyl suppository is recommended over a hydrogenated vegetable oil-based bisacodyl suppository. (PVA-NBD 2020, p.453; Level B)
Docusate mini enemas are recommended over glycerin, mineral oil, or vegetable oil-based bisacodyl suppositories. (PVA-NBD 2020, p.453; Level B)
The routine use of enema formulations such as sodium phosphate (Phospho-Soda), soapsuds, or milk and molasses are not recommended; however, in select individuals, intermittent use for constipation may be helpful. (PVA-NBD 2020, p.453; Level C)
Transanal irrigation is recommended in individuals with neurogenic bowel dysfunction who have insufficient results with BBM. (PVA-NBD 2020, p.454; Level A)
Pulsed irrigation evacuation (PIE) in a hospital/clinic setting can be used to relieve fecal impaction. (PVA-NBD 2020, p.454; Level B)