Constipation is common in people with multiple sclerosis (MS). Discover ways to manage it, from dietary changes to over-the-counter products.
If you have multiple sclerosis (MS), there’s a good chance you have bladder and bowel problems, which include constipation.
It’s important that you discuss constipation with your doctor. Unresolved constipation can actually worsen other MS symptoms, including bladder problems.
How does multiple sclerosis cause constipation?
If you have MS, constipation can develop as a result of neurogenic bowel dysfunction (NBD), which means that a nerve problem is preventing the bowel from functioning normally.
Research shows that NBD is quite common in MS, affecting
Below are seven home remedies that can help resolve or even prevent constipation.
A high fiber diet can help resolve constipation. It can also reduce your risk for a number of other conditions, including heart disease and diabetes.
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Other good sources of fiber include:
- fresh fruit, such as apples, raspberries, and bananas
- legumes, such as split peas, lentils, and beans
- nuts, such as walnuts and almonds
- vegetables, such as artichokes and broccoli
You might still have constipation even after adding vegetables and whole grains to your diet. In this case, bulking agents can also help.
Bulking agents are sometimes referred to as fiber supplements. They can increase the volume of your stool, making it easier to pass the stool.
Examples include:
- calcium polycarbophil (FiberCon)
- methylcellulose (Citrucel)
- psyllium (Metamucil)
- psyllium-senna
- wheat dextrin (Benefiber)
To ensure the desired effect, make sure you read the directions for whatever bulking agent you try. You’ll often be instructed to take the supplement with at least one glass of water or another clear liquid.
It’s often best to take these supplements at night for a more regular morning bowel routine. Make sure to continue drinking plenty of fluid throughout the day.
One of the most helpful ways to ease constipation is to simply drink more fluids, especially water.
For many years, the general guideline for adults was to aim for at least 8 cups or 64 ounces (oz) a day. There are no strict guidelines now and recommended water intake will vary due to factors like body size, diet, and activity levels.
A 2016 survey conducted by the
If your water intake is very low, that could be contributing to your constipation.
Regular exercise can help reduce constipation or even prevent it from happening in the first place. Exercise stimulates the abdominal muscles, which in turn may stimulate movement in the colon.
Moving more can also improve other MS symptoms and boost your mood.
Fatigue and other factors can make it difficult to exercise. If this is the case for you, start with low impact exercises such as brisk walking or water aerobics. Every kind of activity counts.
Be sure to speak with your doctor before beginning a new exercise routine.
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