Symptom 3: Bladder and Bowel Problems
With SPMS progression, the emergence of bladder and bowel problems is common. This is because the nerves that control these functions can be damaged by MS, leading to a variety of uncomfortable and embarrassing symptoms.
Bladder problems in SPMS often present as urgency or frequent need to urinate. This is because the bladder becomes overactive, contracting even when it’s not full. In some cases, the problem can be inability to empty the bladder completely, leading to frequent urinary tract infections.
Bowel problems can range from constipation to loss of bowel control. Constipation is often a result of reduced physical activity and changes in dietary habits. Loss of bowel control, on the other hand, is typically due to damage to the nerves that control bowel movements.
The emotional impact of bladder and bowel problems in SPMS cannot be underestimated. The fear of incontinence can lead to social isolation, anxiety, and a decreased quality of life. Despite this, it’s crucial to discuss these symptoms openly with healthcare providers, as effective treatments are available. (3)
