LAWRENCE S. MILLER, M.D.
To the editor: The commentary by Dr. Dworken in the April issue (1) on the abstract by Glick and colleagues (2) suggests that there may be a place for the use of myogenic stimulants such as neostigmine in the management of severe constipation in patients with thoracic spinal cord injury. I want to bring to your attention that the management of severe constipation in such patients with neostigmine is known in the rehabilitation field. In fact, an article published in 1975 (3) on the management of acute abdominal problems and spinal cord injury (which is used as a major reference
MILLER LS. Neostigmine for Severe Constipation with Spinal Cord Lesions. Ann Intern Med. ;101:279. doi: 10.7326/0003-4819-101-2-279_1
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Published: Ann Intern Med. 1984;101(2):279.
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