Symptom 5: Bladder and Bowel Dysfunction – The Unspoken Struggle
The battle with RRMS is often a silent one, hidden beneath the surface of visible capabilities and expressed wellness. Among the myriad of symptoms that lay beneath this cloak of silence is the challenge of bladder and bowel dysfunction. Unseen and often unmentioned, these issues can create an internal struggle that severely impacts daily life, leading to feelings of discomfort, embarrassment, and isolation.
The nerves controlling the bowel and bladder functions are often damaged in RRMS. This leads to a range of potential issues, from increased urgency to complete loss of control. However, despite the array of challenges that these symptoms can bring, understanding them and learning how to manage them can make a significant difference in quality of life.
Bladder and bowel issues in RRMS can be as unpredictable as the disease itself, with symptoms varying widely from person to person and changing over time. Some people may experience an overwhelming urge to use the restroom frequently, often at short notice, while others may struggle with incontinence. The unpredictable nature of these symptoms can cause a great deal of stress and anxiety, making daily tasks and social events challenging to navigate.
The dysfunction isn’t limited to one or the other – both bladder and bowel issues can occur simultaneously, adding another layer of complexity to the struggle. An individual might face the challenge of frequent urination, coupled with constipation. Alternatively, the opposite might occur – a battle with diarrhea while also dealing with bladder retention. Each of these scenarios brings its unique challenges and requires its own set of management strategies.
Despite the overwhelming nature of these symptoms, effective management strategies exist. Lifestyle changes such as modifying the diet and fluid intake, regular exercise, and adopting a regular toileting routine can make a significant difference. In some cases, medication or other interventions such as catheterization may be necessary. It is essential to work closely with healthcare providers to develop an individualized plan to manage these symptoms effectively.(5)
