Bowel Incontinence in MS: Causes, Solutions, and Effective Treatments

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Understanding Bowel Leakage

Bowel leakage, also known as fecal incontinence or accidental bowel leakage, refers to the unintentional passing of stool or inability to control ones bowel movements. It is a common problem that affects people of all ages, both men and women.

Bowel leakage can occur due to a variety of reasons including:

  • Weakened pelvic floor muscles
  • Damage to the nerves that control bowel movements
  • Chronic medical conditions such as irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), diabetes, etc.
  • Side effects of certain medications, treatments or surgeries

In many cases, the foods we eat can impact bowel control and may cause or worsen leakage. Identifying problem foods is key to managing symptoms of an overactive bowel.

Foods that May Cause or Worsen Bowel Leakage

1. Dairy Products

Milk, cheese, ice cream and other dairy foods are among the most common culprits for bowel leakage issues. Up to 75% of the worlds population has some degree of lactose intolerance, meaning they lack sufficient lactase enzymes needed to properly digest lactose found in dairy.

When lactose isnt properly broken down, it enters the colon undigested causing gas, bloating, cramps and loose, watery stool which can overwhelm bowel control.

2. Fructose

Fructose is a naturally occurring sugar found in fruits and honey. It is also a common additive used as a sweetener. Not all people properly absorb fructose in the small intestine.

When fructose travels to the large intestine undigested, bacteria feed on it leading to excess gas, diarrhea, pain and accidental leakage.

3. Fatty Foods

Foods high in fat such as fried items, bacon, salami, ribs, butter and oil can relay the digestive process and loosen stool consistency. This leads to urgency, diarrhea or incontinence.

Fatty foods stimulate the gastrocolic reflex which causes the urge to have a bowel movement soon after eating. In some cases, controlling this reflex before reaching a restroom becomes difficult.

4. Sugar Alcohols

Sugar alcohols like sorbitol, mannitol and xylitol are common sweeteners in sugar-free foods. Although they are lower in calories, too much can have a laxative effect.

Bacteria ferment undigested sugar alcohols once they reach the colon causing diarrhea, bloating and accidental leakage in sensitive individuals.

5. Spicy Foods

Spicy foods containing hot peppers or chili

FAQs

What are some common foods that cause bowel leakage?

Some of the most common food culprits for bowel leakage include dairy products, foods high in fructose or fat, foods containing sugar alcohols, spicy foods, caffeine, alcohol, artificial sweeteners, beans/legumes, and dried fruits.

Why do fatty foods cause bowel leakage?

Fatty foods can delay digestion, leading to looser stool consistency that is more difficult to control. Fatty foods also stimulate the gastrocolic reflex which triggers the urge to have a bowel movement soon after eating, before you have time to reach the bathroom.

How quickly after eating or drinking caffeine can bowel leakage occur?

Caffeine from coffee, tea, soda and energy drinks can stimulate contractions in the colon that trigger the urge to have a bowel movement within 20-25 minutes of consumption for most people.

What are some ways to prevent food-related bowel leakage?

Tips to help prevent bowel leakage include: keeping a food diary to identify triggers, limiting problem foods, staying hydrated, exercising to strengthen pelvic floor muscles, managing stress, and eating more gut-friendly whole foods and probiotics.

Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult with a healthcare professional before starting any new treatment regimen.

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