A member asked:

What suggestions are there to control bowel incontinence with multiple sclerosis? is the incontinence permanent when it develops with ms?

7 doctors weighed in across 3 answers
Dr. Eric Weisman answered

Specializes in Neurology

See neurologist: This is a good topic to discuss with your neurologist not all instances about this function are permanent many are reversible. I advise that you remain well hydrated among other things.

Answered 5/2/2014

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Depends on cause: Unfortunately, the short answer is "difficult problem to easily correct permanently." if the incontinence itself is due to an ms exacerbation then, aggressive treatment may return the person to a state of continence if that had existed previous to the worsening phase. If this is part of chronic progression of the ms then, sphincter control must be regained. Bowel rehabilitation may help with this.

Answered 5/2/2014

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Suggestions: Generically, I like to start with increased amounts of fibre into the diet. Would avoid stimulants such as caffeine and also, alcohol. Would want to be certain that there is no added co-morbidity, such as a colonic cancer which can be causing issues.

Answered 11/28/2017

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