One of the more uncomfortable and unpleasant symptoms ofmultiple sclerosis (MS)isconstipation.
Where they can differ is in their frequency.
In some people with MS, constipation will gradually worsen as the disease progresses.
Verywell / Emily Roberts
Others withrelapsing-remitting MS(in which MS symptoms come and go) will have recurrent bouts of constipation.
Firstly, the stool must continuously move through the intestines.
Secondly, there must be enough water in the stool to ease the passage of the stool.
If one or both of these factors is impaired, constipation can occur.
MS can cause constipation by directly impairing intestinal motility (movement).
Lifestyle factors can contribute by reducing the amount of water needed to keep stools soft.
Certain medications can also impair normal bowel function, leading to constipation.
This affects nerve signaling and the way that parts of the body function, including the digestive tract.
This can lead to chronicdehydrationwhich only worsens constipation.
Which MS Medications Cause Constipation?
It involves the combination of exercise, diet, and medications if needed.
Constipation can often be diagnosed with a review of your symptoms, diet, and medical history.
But, when MS is involved, it can get even more complicated given the possible causes.
If you have MS, your healthcare provider may want to do a complete physical exam.
It is largely due to the loss of bowel function as MS progressively damages nerves throughout the body.
Lifestyle factors, such as dehydration and physical inactivity, can also contribute.
Diagnosing constipation in people with MS may involve a battery of tests to identify problems with intestinal motility.
The treatment may involve over-the-counter or prescription drugs as well as changes in diet and exercise.
An enema can also help if needed.
A Word From Verywell
Chronic constipation should never be considered “normal.”
In the end, all you may need are a few lifestyle adjustmens to make things the.
Jani B, Marsicano E.Constipation: evaluation and management.Mo Med.2018 May-Jun;115(3):23640.
