Bladder and bowel problems
Many people with MS are constantly on the lookout for a toilet, as the muscles controlling the bladder and the bowels can be affected. Bowel problems are less evident and generally involve constipation due to lack of exercise in later stages of the condition, but bladder disturbance is common in MS and leads to involuntary loss of urine. Some people are also unable to empty their bladders completely.
Managing bladder and bowel problems
When incontinence or incomplete emptying problems occur, your doctor will firstly rule out bladder infections which would need to be treated separately if necessary.
Symptoms can be effectively alleviated, but treatment has to be based on individual needs. Bladder and pelvic floor training are helpful steps to control bladder function. Drug therapy is often used to treat urgency.
In mild cases, drinking habits can be changed and alcoholic beverages and caffeinated drinks such as coffee should be avoided. Bowel problems that may occur in the later stages of the condition often can easily be alleviated with a change of nutrition. The diet should be high in fibres and low in fat and contain enough fluid. Laxatives such as lactulose may also be tried. Mineral oil may be advisable. Regular exercise is also recommended for bowel problems.
You should NOT follow any special diet without prior consultation of your treating neurologist.
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