Publication date: Oct 03, 2019
Bladder and bowel problems, such as constipation and fecal incontinence, are associated with a higher level of fatigue in people with multiple sclerosis (MS), according to a study in Australia. Bladder or bowel problems are frequent in people with MS, and may manifest as urinary incontinence or retention, slow intestinal transit, and chronic constipation. However, research on bowel dysfunction specifically, and on whether bladder and bowel symptoms are associated with fatigue and disability in MS, remain scarce. Questionnaires on bowel, bladder, and fatigue symptoms were distributed to adults with MS who visited the MS Studdy Center in Sydney between March and October 2018. Specifically, the Actionable Bladder Symptom Screening Tool of bladder symptoms in MS was used to assess urinary urgency, leakage and frequency, excessive urination at night (nocturia), and the psychosocial impact of bladder problems. A subsequent analysis revealed that a higher level of disability was associated with greater severity of bladder problems and of fecal incontinence, as well as with the fatigue score.