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Prevalence of bowel dysfunction in patients with multiple sclerosis and bladder dysfunction

Y W Chia1, C J Fowler, M A Kamm

  • 1Department of Uro-neurology, National Hospital for Neurology and Neurosurgery, London, UK.

Journal of Neurology
|January 1, 1995
PubMed
Summary

Bowel symptoms are frequent in multiple sclerosis (MS) patients, with over half experiencing issues like constipation or incontinence. However, these symptoms do not always correlate with bladder dysfunction or disease severity.

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Area of Science:

  • Neurology
  • Urology
  • Gastroenterology

Background:

  • Urinary dysfunction is a known complication of multiple sclerosis (MS).
  • The anatomical proximity of neural pathways for bladder and bowel control suggests potential symptom overlap.

Purpose of the Study:

  • To investigate the prevalence and patterns of bowel dysfunction in patients with multiple sclerosis (MS).
  • To explore the relationship between bowel symptoms, urinary dysfunction, and disease characteristics in MS patients.

Main Methods:

  • Interviewed 77 consecutive patients with clinically definite MS attending a uroneurology clinic.
  • Assessed bowel function, including constipation and fecal incontinence.
  • Correlated bowel symptoms with urinary disturbance, MS duration, and disability levels.

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Main Results:

  • 52% of MS patients reported at least one bowel symptom.
  • 36% experienced constipation, and 20% had current fecal incontinence.
  • Bowel symptom patterns did not correlate with urinary issues, MS duration, or disability.

Conclusions:

  • Bowel symptoms are common in MS patients, even those with urinary dysfunction.
  • The neurological basis for bowel dysfunction in MS is less understood compared to bladder dysfunction.