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Bowel: bowel problems affect around 70% of the patients. Around 50% of patients have constipation and up to 30% have fecal incontinence. [126] Cause of bowel impairments in MS patients is usually either a reduced gut motility or an impairment in neurological control of defecation.
Neurogenic bowel dysfunction can have an impact on a person's life as it often leads to difficulties with self-esteem, personal relationships, social life and can also reduce a person's independence. [5] There is also evidence from studies showing that faecal incontinence can increase the risk of depression and anxiety. [11]
Around 50% of patients experience constipation and up to 30% experience fecal incontinence. [62] Cause of bowel impairments in MS patients is usually either a reduced gut motility or an impairment in neurological control of defecation. The former is commonly related to immobility or secondary effects from drugs used in the treatment of the ...
The success of treatment depends upon the exact causes and how easily these are corrected. [8] Treatment choice depends on the cause and severity of the disease, and the motivation and general health of the person affected. Commonly, conservative measures are used together, and if appropriate surgery is carried out.
Baclofen, sold under the brand name Lioresal among others, is a medication used to treat muscle spasticity such as from a spinal cord injury or multiple sclerosis. [8] [9] It may also be used for hiccups and muscle spasms near the end of life, [9] and off-label to treat alcohol use disorder [10] [11] or opioid withdrawal symptoms. [12]
Bowel management is the process which a person with a bowel disability uses to manage fecal incontinence or constipation. [1] People who have a medical condition which impairs control of their defecation use bowel management techniques to choose a predictable time and place to evacuate. [ 1 ]
Symptoms can include pelvic pain, pressure, pain during sex, urinary incontinence (UI), overactive bladder, bowel incontinence, incomplete emptying of feces, constipation, myofascial pelvic pain and pelvic organ prolapse. [4] [5] When pelvic organ prolapse occurs, there may be visible organ protrusion or a lump felt in the vagina or anus.
Where ODS occurs with fecal incontinence, it may represent fecal impaction combined with overflow diarrhea (overflow incontinence). [39] Self-digitation (digital help) is the use of the digits (fingers) to apply pressure in order to achieve defecation. Most people recognize the need for digitation as a symptom, and not a treatment. [20]