Bowel care at home: a guide for families and carers

People living with spinal cord injury, multiple sclerosis, reduced mobility or some medications can find bowel movements hard to manage. A planned routine helps prevent constipation, accidents, skin breakdown and avoidable hospital admissions.

• A regular time of day, often after a meal when the bowel is naturally more active.
• Fluids, fibre and movement suited to the person's needs.
• Prescribed medications or aids, used as directed by the doctor.
• Nurse-delivered care where needed, following a written plan.
• A simple bowel chart to track patterns and spot changes early.

• No bowel movement for longer than usual, or hard, painful stools.
• Frequent accidents or leakage.
• Bloating, nausea, tummy pain or reduced appetite.
• Red or broken skin around the bottom.

Sudden changes, blood in the stool or severe pain need prompt medical advice.

A registered nurse can review the current routine, deliver care in the home, train family and support workers, and write a plan others can follow consistently. See our bowel care service or book a continence assessment.