---
title: What You Need to Know about Neurogenic Bladder and Bowel
description: Neurogenic bladder and bowel dysfunctions affect tens of thousands of people living with spinal cord injuries in the United States. Here’s what you need to know about neurogenic bowel and bladder conditions.
image: https://www.spinalcord.com/hubfs/Neurogenic-bladder-bowel-blog2.jpeg
---

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# What You Need to Know about Neurogenic Bladder and Bowel

 Author: [Spinal Cord Team](https://www.spinalcord.com/meet-our-authors)

 Publish Date: December 07, 2020

Neurogenic bladder and bowel are highly common conditions that can result in people of all ages who have sustained traumatic [spinal cord injuries](https://www.spinalcord.com/spinal-cord-injury) (SCIs) or other neurological damage. These conditions are issues that many spinal cord injury survivors experience but are too embarrassed to talk about with family members or their doctors.

If we’re describing you, we want you to know that **you’re not alone** and that you have no reason to feel embarrassed about neurogenic bladder and bowel issues. In fact, the [National Spinal Cord Injury Statistical Center](https://www.nscisc.uab.edu/public_pages/FactsFiguresArchives/Facts%20and%20Figures%20-%202018.pdf) (NSCISC) estimates that there are about 17,700 new SCI cases each year (not including people who died of their initial injuries). Of those, [research shows](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4467746/):

> *“More than 80% of these individuals exhibit at least some degree of bladder dysfunction... In a large cohort study of patients with neurogenic bladder, 40% attended a urology clinic visit over 1 year, 33% were hospitalized, and 15% were in a nursing home. UTIs were responsible for more than 20% of all 1-year hospitalizations.*

The [spinal cord](https://www.spinalcord.com/what-is-the-spinal-cord), which consists of 31 nerve bundles rather than one literal “cord,” serves as your body’s information superhighway and is responsible for transmitting messages between the brain and the rest of the body. However, if you have suffered an injury that [partially damaged](https://www.spinalcord.com/incomplete-spinal-cord-injury) or [completely severed](https://www.spinalcord.com/complete-spinal-cord-injury) your spinal cord (known as incomplete and complete spinal cord injuries), it can affect your ability to control a variety of systems and muscle functions, including bladder and bowel control.

## **What is Neurogenic Bladder?**

Neurogenic bladder is a spastic or flaccid dysfunction that affects part of the urinary system, which consists of the kidneys, ureters, bladder, and urethra. This condition results from neurological damage caused by your spinal cord injury that prevents messages from being transmitted between the brain and bladder. The voiding function of the bladder, which is responsible for storing and excreting the liquid waste (urine) that is created by your kidneys, is controlled by the body’s nervous system.

An average bladder will need to empty [four to eight times per day](https://www.medscape.com/answers/453539-45920/how-often-is-the-urinary-bladder-voided). However, for people with spinal cord injuries, bladder control is impeded because of the nerve damage. They may only be able to urine in little spurts or not at all.

### **Symptoms of Neurogenic Bladder**

The symptoms and secondary conditions that result from this condition can vary from person to person depending on the damage their spinal cord has sustained. Some of these conditions may include:

- Incontinence
- Bladder Pressure
- Bladder or Kidney Stones
- Diminished Quality of Life
- Inability to Fully Empty the Bladder
- Renal Impairment
- Urinary Tract Infection (UTI)

## **What is Neurogenic Bowel?**

Neurogenic bowel is much like neurogenic bladder in that it is a spastic or flaccid condition that stems from neurological damage. However, this condition affects your upper and/or lower gastrointestinal (GI) tract instead of your bladder and results in loss of normal bowel function.

### **Symptoms of Neurogenic Bowel**

Neurogenic bladder frequently results in one or more conditions, including:

- Abdominal Pain or Distention
- Constipation or Diarrhea
- Loss of Bowel Control (Otherwise Known as Bowel Incontinence)
- Bowel Irregularity or Frequency Issues
- Lack of bowel movements
- Autonomic Dysreflexia (in SCI Patients with T6 or Higher Injures)

## **How to Treat Neurogenic Bladder and Bowel Conditions**

The treatment for neurogenic bladder and bowel depend on certain factors, which will be discussed below. However, there is no “cure” for the condition. People who are living with the neurogenic bladder and bowel typically learn to incorporate [bladder management](https://www.spinalcord.com/blog/the-best-bladder-management-options-for-people-with-paralysis) and bowel management programs into their daily lives.

According to the [Urology Care Foundation](http://www.urologyhealth.org/patient-magazine/magazine-archives/2014/spring-2014/when-nerve-damage-causes-bladder-problems-neurogenic-bladder), the treatment for neurogenic bladder that your physician chooses will depend on a variety of factors, including:

- “your age, overall health, and medical history
- the cause of the nerve damage
- the types of symptoms
- the severity of symptoms
- your tolerance for certain medications, procedures or therapies
- their expectations for the course of the condition”

Some of the treatment options for neurogenic bladder include prescription medications, continuous or [clean intermittent catheterization](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4467746/) (CIC), and surgery. The treatment options for neurogenic bladder, on the other hand, include prescription medications, surgery, and anal irrigation.

To learn more about neurogenic bladder and bowel, as well as other bladder, bowel, and sexual function related issues after a spinal cord injury, be sure to check out our newest resource. This helpful guide also will provide you with information about how you may be able to recover funds to cover the cost of your medical bills, lost income and more if your injuries were the results of another person’s actions or inactions.

Click on the link below to download our free guide.

[![BladderBowelSexualFunctions_CTA](https://no-cache.hubspot.com/cta/default/575040/e0f6ce52-5cde-4e6d-9773-d03b397c6c40.png)](https://cta-redirect.hubspot.com/cta/redirect/575040/e0f6ce52-5cde-4e6d-9773-d03b397c6c40)

 

**Topics:** Spinal Cord Injury, Health & Exercise

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{
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  "articleBody" : "The spinal cord is a vital part of the human body. As the vehicle responsible for carrying messages from the brain to the rest of the body and back again, even the smallest interference can be detrimental. Following a traumatic <A href=\"/spinal-cord-injury\" rel=\"noopener\" target=\"_blank\"><SPAN style=\"font-weight: 400;\">spinal cord injury</SPAN></A>, this bundle of nerves can become bruised, also known as <A href=\"//www.spinalcord.com/blog/contusion-vs.-concussion-understanding-the-difference\">a contusion.</A> Because of the nature of the nervous system, any interference can constitute a serious spinal contusion, but these facts will help you dissect all of the information from the medical professionals.</P>\n\n<H2><STRONG>What Is a Spinal Contusion?</STRONG></H2>\n<IMG src=\"https://www.spinalcord.com/hs-fs/hubfs/Blog-Images/Signs-of-a-spinal-contusion-title-image-min.jpg?width=300&amp;name=Signs-of-a-spinal-contusion-title-image-min.jpg\" alt=\"Signs-of-a-spinal-contusion-title-image\" width=\"300\" style=\"width: 300px; float: right; margin: 0px 0px 10px 10px;\" srcset=\"https://www.spinalcord.com/hs-fs/hubfs/Blog-Images/Signs-of-a-spinal-contusion-title-image-min.jpg?width=150&amp;name=Signs-of-a-spinal-contusion-title-image-min.jpg 150w, https://www.spinalcord.com/hs-fs/hubfs/Blog-Images/Signs-of-a-spinal-contusion-title-image-min.jpg?width=300&amp;name=Signs-of-a-spinal-contusion-title-image-min.jpg 300w, https://www.spinalcord.com/hs-fs/hubfs/Blog-Images/Signs-of-a-spinal-contusion-title-image-min.jpg?width=450&amp;name=Signs-of-a-spinal-contusion-title-image-min.jpg 450w, https://www.spinalcord.com/hs-fs/hubfs/Blog-Images/Signs-of-a-spinal-contusion-title-image-min.jpg?width=600&amp;name=Signs-of-a-spinal-contusion-title-image-min.jpg 600w, https://www.spinalcord.com/hs-fs/hubfs/Blog-Images/Signs-of-a-spinal-contusion-title-image-min.jpg?width=750&amp;name=Signs-of-a-spinal-contusion-title-image-min.jpg 750w, https://www.spinalcord.com/hs-fs/hubfs/Blog-Images/Signs-of-a-spinal-contusion-title-image-min.jpg?width=900&amp;name=Signs-of-a-spinal-contusion-title-image-min.jpg 900w\" sizes=\"(max-width: 300px) 100vw, 300px\"/>\n<P>Much like any other bruise, a contusion can cause bleeding from local blood vessels and inflammation which, rather<I><SPAN style=\"font-weight: 400;\"> unlike</SPAN></I> bruises on other parts of the body, can have serious negative impacts on the spinal cord itself. Because the<A href=\"/blog/contusion-vs.-concussion-understanding-the-difference\" rel=\"noopener\" target=\"_blank\"> “blood must clot to stop the bleeding”</A>a bruise results from contusions also increase cardiovascular risks.</P>\n<P>For example, the swelling a contusion can cause will often disrupt nerve impulses that travel from the brain to the body through the spinal cord, and the severity of this will depend upon the level of injury. Unlike a concussion, a contusion would not cause unconsciousness or a ‘blackout’, but instead cause the patient to feel a numbness or tingling in the extremities.</P>\n<P>A contusion can cause spinal compression, which happens when there is pressure on the spinal cord. This can go on to cause an array of <A href=\"http://www.hopkinsmedicine.org/healthlibrary/conditions/nervous_system_disorders/spinal_cord_compression_134,13/\" rel=\"noopener\" target=\"_blank\">physical symptoms</A> such as loss of sensation in the feet, inability to use the hands and loss of sexual ability. It must be noted that not all contusions cause spinal compression, and not all spinal compression is caused by a contusion, although they do often connect this way.</P>\n<H2><STRONG>Warning Signs of a Serious Spinal Contusion to Watch For</STRONG></H2>\n<P>Firstly, doctors will try and establish what area or limb the injury has affected. Spinal contusions most often “affect the upper extremities bilaterally and also sometimes involve the lower extremities,” <A href=\"http://www.healio.com/orthopedics/journals/ortho/2012-1-35-1/%7B7b1ed5f6-d6ca-435e-b69a-dba8a6d7c3c0%7D/spinal-cord-contusions\" rel=\"noopener\" target=\"_blank\">according to Dr. Wong</A>, an orthopedic physician.</P>\n<P>Symptoms include “numbness, tingling, [or] electric shock-like sensations and burning in the extremities,” <A href=\"http://www.aans.org/patient%20information/conditions%20and%20treatments/spinal%20cord%20injury.aspx\">(American Association of Neurological Surgeons, 2016)</A>. Generally falling into the category of “spinal trauma” there are many symptoms which are similar to other forms of spinal trauma and spinal cord injury. Below are some symptoms of spinal trauma:</P>\n<UL>\n<LI>Spinal shock — or the &quot;loss of feeling or movement below site of injury&quot; <A href=\"http://www.columbianeurosurgery.org/conditions/spinal-trauma/\" rel=\"noopener\" target=\"_blank\"><I>(Columbia University Medical Centre, 2016) </I></A>that can last between hours and weeks</LI>\n<LI>Loss of bladder or bowel function</LI>\n<LI>Difficulty breathing</LI>\n<LI>Muscle spasticity</LI>\n<LI>Difficulty understanding speech</LI>\n<LI>Problems with attention</LI>\n<LI>Memory challenges</LI>\n<LI>Heart rate and blood pressure problems</LI>\n</UL>\n<P>Unfortunately, it is sometimes challenging to identify which symptoms are due to a spinal contusion, and which ones are the result of a spinal cord injury directly. It can sometimes require a few days or weeks for the body to recover from spinal trauma and reveal if any permanent damage is left from the accident that caused the SCI.</P>\n<P>Understanding what a contusion is, and how it can come into play following a spinal cord injury is important in order to clearly appreciate your injury, understand your diagnoses, and work toward treatment and a prognosis. Doctors can sometimes use jargon that’s difficult to understand, so the more you can educate yourself about your condition, the more control you can have in your recovery and treatment.</P>\n<P>If you still have questions about the details of the spinal cord and how it may be affected from your injury, please contact us or download our <A href=\"/the-simplified-guide-to-understanding-a-spinal-cord-injury\" rel=\"noopener\" target=\"_blank\">guide to understanding a spinal cord injury</A>.",
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"description":"The spinal cord is a vital part of the human body. As the vehicle responsible for carrying messages from the brain to the rest of the body and back again, even the smallest interference can be detrimental. Following a traumatic spinal cord injury, this bundle of nerves can become bruised, also known as a contusion. Because of the nature of the nervous system, any interference can constitute a serious spinal contusion, but these facts will help you dissect all of the information from the medical professionals.

What Is a Spinal Contusion?
Signs-of-a-spinal-contusion-title-image
Much like any other bruise, a contusion can cause bleeding from local blood vessels and inflammation which, rather unlike bruises on other parts of the body, can have serious negative impacts on the spinal cord itself. Because the “blood must clot to stop the bleeding”a bruise results from contusions also increase cardiovascular risks.

For example, the swelling a contusion can cause will often disrupt nerve impulses that travel from the brain to the body through the spinal cord, and the severity of this will depend upon the level of injury. Unlike a concussion, a contusion would not cause unconsciousness or a ‘blackout’, but instead cause the patient to feel a numbness or tingling in the extremities.

A contusion can cause spinal compression, which happens when there is pressure on the spinal cord. This can go on to cause an array of physical symptoms such as loss of sensation in the feet, inability to use the hands and loss of sexual ability. It must be noted that not all contusions cause spinal compression, and not all spinal compression is caused by a contusion, although they do often connect this way.

Warning Signs of a Serious Spinal Contusion to Watch For
Firstly, doctors will try and establish what area or limb the injury has affected. Spinal contusions most often “affect the upper extremities bilaterally and also sometimes involve the lower extremities,” according to Dr. Wong, an orthopedic physician.

Symptoms include “numbness, tingling, [or] electric shock-like sensations and burning in the extremities,” (American Association of Neurological Surgeons, 2016). Generally falling into the category of “spinal trauma” there are many symptoms which are similar to other forms of spinal trauma and spinal cord injury. Below are some symptoms of spinal trauma:

Spinal shock — or the loss of feeling or movement below site of injury (Columbia University Medical Centre, 2016) that can last between hours and weeks
Loss of bladder or bowel function
Difficulty breathing
Muscle spasticity
Difficulty understanding speech
Problems with attention
Memory challenges
Heart rate and blood pressure problems
Unfortunately, it is sometimes challenging to identify which symptoms are due to a spinal contusion, and which ones are the result of a spinal cord injury directly. It can sometimes require a few days or weeks for the body to recover from spinal trauma and reveal if any permanent damage is left from the accident that caused the SCI.

Understanding what a contusion is, and how it can come into play following a spinal cord injury is important in order to clearly appreciate your injury, understand your diagnoses, and work toward treatment and a prognosis. Doctors can sometimes use jargon that’s difficult to understand, so the more you can educate yourself about your condition, the more control you can have in your recovery and treatment.

If you still have questions about the details of the spinal cord and how it may be affected from your injury, please contact us or download our guide to understanding a spinal cord injury.",
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