Multiple Sclerosis and Bowel Problems

If you have multiple sclerosis (MS), your bathroom habits may not be what they used to be. You might have bowel movements a lot more, not as much, or it may be harder to go. Talk to your doctor about these troubles. They can suggest ways to make things regular. But there are also simple ways to adjust your habits to make bathroom visits more predictable.



Bowel Problems You Might Have With Multiple Sclerosis

Constipation. It’s very common for people with MS. The disease can interrupt the messages nerves send to and from the brain that signal that it’s time for a bowel movement. MS can also keep pelvic floor muscles from relaxing, which helps your body get rid of stool. Also, it can stop the natural increase in activity of your colon after you eat.

Outside of MS, a poor diet (including not getting enough fiber), too little exercise, and depression all affect the digestive system. Medications and supplements also can cause constipation.

Loss of bowel control. This problem means you may not be able to reach the bathroom fast enough. The most common causes include long-lasting constipation, severe diarrhea, stress, hemorrhoids, nerve or muscle damage, and using laxatives too much.

Diarrhea . It usually happens because of allergies or sensitivity to spicy foods or dairy products, bad water or food, a change in activity level, or an infection. Diarrhea can also signal another problem. If it you have it often or all the time, see your doctor. In some cases, they may tell you to see a doctor who specializes in treating bowel problems, called a gastroenterologist.



How to Get Bowel Movements Back to Normal

  • Drink more fluids. Make sure you get enough water every day. You might be tempted to cut back on it if your MS gives you bladder problems. But that makes constipation worse. Make your first beverage of the day something hot, such as hot water or apple cider, or drink 1/2 to 1 cup of prune juice in the morning to get things moving.
  • Get more fiber. The best way is to eat plenty of fresh fruits and vegetables and whole-grain breads and cereals. Add 2 to 4 tablespoons of unprocessed wheat bran to hot or cold cereal or casseroles, or mix it with applesauce, pancake batter, pudding, muffin batter, milkshakes, or cookie dough. Be sure to drink plenty of liquids, which help the bran work inside you. Your doctor may also recommend that you take a fiber supplement.
  • Stick to a schedule. Set a regular time when you’ll go to the bathroom. Try going right after meals since eating is a natural way to prompt a bowel movement. Try to wait no more than 2 to 3 days between bowel movements.
  • Exercise. It’s a great way to get your digestive tract going.
  • Use stool softeners. But only if your doctor says it’s OK.



How to Control Diarrhea

  • Drink more liquids to make up for what your body is losing. Try water, lemonade or fruit-flavored drinks, fruit or vegetable juice, broth, milk, or soup.
  • Talk with your doctor or dietitian about how much fiber you should eat.
  • Eat soft foods that have a lot of liquid, such as sherbet, yogurt, and pudding.
  • Ask your doctor whether changing your medications might help relieve the diarrhea. But don’t try to take less or stop taking them before you talk to them.
  • Don’t take over-the-counter drugs for diarrhea without talking to your doctor.

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