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Description:Figure 2 Gaping anus two minutes after digital examination. Management consisted of simple symptomatic measures, including analgesics and antidiarrhoeal medications as required. Discussion—Bowel dysfunction is common in the general population but is especially common after spinal injury. Patients rated their bowel disability almost as troublesome as their loss of physical mobility, and worse than their urinary symptoms. Although these data refer to patients with permanent para- or quadriplegia, bowel dysfunction can also persist after partial or transient spinal lesions.