title: Management of bowel dysfunction in people with multiple sclerosis.
abstract: Bowel dysfunction is a common problem for people with MS. It impacts upon both physical disability and psychosocial wellbeing. This article reviews the limited evidence underpinning best practice. The evidence highlights the importance of a thorough bowel assessment and adequate fluid and fibre intake together with the benefits of pelvic floor exercises. Biofeedback therapy, aerobic exercise and anal plugs are helpful for some people with MS. The use of pharmacological interventions needs to be considered with care.
authors.affiliation: King's College, London.
authors.forename: Anna
authors.initials: A
authors.lastname: Bywater
authors.forename: Alison
authors.initials: A
authors.lastname: While
mesh_terms: D003248:Constipation / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D005242:Fecal Incontinence / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D006801:Humans; D009103:Multiple Sclerosis / Q000150:complications*