It appears that constipation occurs in more people who have MS than in the general population. If this irregularity is a problem, there are several steps you can follow.
First, you should remember it is not necessary for good health to have a bowel movement every day. But, if you don’t have one every three to four days, you could have complications. The symptoms of a full bowel could be nausea, headache and a general feeling of being unwell.
Timing, fluid intake, diet and physical activity are four measures that must receive primary consideration.
1. Timing - A specific time of day should be selected. Bowels move more readily after a meal so after breakfast is an ideal time for someone on a morning schedule and after dinner for someone on an evening schedule.
2. Fluid intake - Fluid intake of two quarts (or two litres per day) aids in maintaining a soft stool; warm liquid taken before a meal or before trying will also aid bowel movement.
3. Diet - You should follow a healthy diet including fiber in the form of bran cereals, vegetables and fruits. Bran is one of the cheapest and most easily available forms of natural laxatives. Add several teaspoons (10 mL) to meatloaf, breads, soups, stews or almost anything that is mixed together and baked or simmered. Prune or lemon juice, an orange, apple or fig could be taken in the evening for someone on a morning schedule and in the morning for a person on an evening schedule.
4. Physical Activity - Activity and exercise promote good bowel health. You should exercise to the extent you are able, but not to the point of exhaustion.
If the problem persists, your doctor could recommend temporary measures such as medications, suppositories, laxatives or enemas.
Irregularity may be a symptom of another illness, not necessarily MS. It is important you discuss it with your doctor.