I have recently discovered that I have lost control of my anal sphincter that pushes out.
So far the only thing that works is an enema, but I am scared about what will happen if those stop working!
I don't "go" that often and it is usally very little so I only use the enema like once a week.
sorry to be so graphic but MS makes you have to lose all modesty does'nt it?!
Same boat. Was at the point where I really only had a BM about once a week, unless I had my period, and then I would have diarrhea for a day or two...kind of wierd. Always feel like I have to go but never feel empty after I finally do. And sometimes if it was poop day, I wouldn't leave the house cause that was all I would do!
Neuro put me on prescription colale 1x daily, and it has improved to probably every 3rd day, and I'm sure when I go back in July they will put me on Miralax.
Definitely let your doc know so you can start on something.
I've been having this same problem for almost a year now. My primary care doctor sent me to a GI doctor. She did a rectal exam and said my strength for pushing is 0/5. She decided to send me to physical therapy.
I did physical therapy for maybe 4 months total. It didn't really work that well for me. However, it was pretty enlightening. They did biofeedback and found that I have severe spasticity in that area. I think the spasticity may have led to the weakness. Normal biofeedback for muscle tone in that area is about 1 at rest, and mine is almost 14. And it did help show me which positions are more advantageous for my body to release it (path of least resistance). They say that people with MS sometimes have a communication dis-connect between your muscles, nerves, and brain.
Some of the things that help are staying very hydrated. I was also taking stool softeners, but then switched to drinking prune juice. In my case, I cannot get it out either. Most of the time, I have to manually assist to get it out, by pushing up on the outside side of the opening (about 1/2-1 inch away), it helps to release it. Sorry for being graphic.
Your post was really full of good information. But I am really sorry that you also suffer with this problem.
My G.I. Doc told me in '08, that my internal anal sphincter muscle wasn't getting the message from my brain, and he even explained to my former Neuro that it is MS, but my former Neuro just didn't get it. That's why he is former. LOL
I was constipated for 6 years and had to use a gloved finger to dis-impact.
But something else is going on now, and I developed stool that was too soft, and now it's diarrhea all of the time.
I have an appt. on 7/31 with my G.I. Doc.
No need to apologize for being graphic in this forum. When we developed MS, we learned we checked out dignity at the door. :)
And the more people talk about this problem, the more people can be helped, even if it is only to understand, why, they have the problem.
Sheila, mine is the same as you. I have the constipation, but now I also have the soft diarrhea as well. The only trouble is, is that when I have soft/diarrhea stools, now I can't hold it in. It just starts to come out. It's like my muscles are too weak/tight to go when it's hard and too weak/tight to hold it when it's soft - so never catch a break.
It's good that you're going back in to see a new GI doctor. You never know what bowel changes could be related to. As in my case, they say probable cancer.
My oncologist at the University sent the referral over early last week and marked it as ASAP. Apparently, their idea of ASAP & mine are totally different. I'm still waiting for them to call me to set-up an appt. I called last week, and they said it takes a while to get all the info & then base the referrals off of triag - they said they'll call me today or tomorrow.
It could be 4 wks if I have to wait the normal amount of time to see the GI doctor. And then not sure how long after that for my scopes.
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