How can you manage daily or chronic constipation with MS?
Constipation is a common challenge with MS, but there are several strategies that can help. Starting with lifestyle changes often works well and has minimal side effects.
Hydration is key. Drinking at least 48 ounces of water daily (preferably more) can make a Show Full Answer
How can you manage daily or chronic constipation with MS?
Constipation is a common challenge with MS, but there are several strategies that can help. Starting with lifestyle changes often works well and has minimal side effects.
Hydration is key. Drinking at least 48 ounces of water daily (preferably more) can make a significant difference. Try drinking one glass of water with each meal, plus one glass between meals. This helps keep your stool soft and easier to pass.
Add fiber to your diet through fruits, whole grains, and vegetables, or consider fiber supplements. Fiber works like a sponge when combined with water, making stool bulky, soft, and easier to pass.
Other helpful strategies include:
- Training your body to empty your bowels at the same time each day
- Adding physical activity to your routine as you're able
- Using a footstool while on the toilet to create a crouching position, which can make bowel movements easier
- Trying warm sitz baths with witch hazel or applying ice packs to tender areas
If lifestyle changes aren't enough, your doctor may recommend stool softeners, laxatives (like Miralax), suppositories, or enemas. Some MyMSTeam members have found success combining stool softeners with Miralax taken twice daily.
Always talk with your doctor before starting new medications, as some MS medications can contribute to constipation and may need adjustment.
March 25
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