Stool Softeners

If the cause of constipation is hard stool, stool softeners are used to draw increased amounts of water from body tissues into the bowel, thereby decreasing hardness and facilitating elimination. Consistent use is recommended to obtain maximal benefit as with bulk formers, stool softeners are not habit-forming. They include Colace (also known as DSS) take one pill every morning and evening Surfak take one pill every morning and Chronulac syrup take one ounce every evening, increasing to one...

Sexual Problems in Multiple Sclerosis

Given the complexity of the sexual response in terms of the neuro-muscular transmissions involved, it is no surprise that sexual difficulties often are encountered in MS. Such difficulties frequently are clearly physical, although a psychological component may be involved in many or most instances of difficulty. More than 90 of all men with MS and more than 70 of all women with MS report some change in their sexual life after the onset of the disease. Men most often report impaired genital...

The Development of Good Bowel Habits Dietary Management

Good eating habits are important to achieving good bowel control. It is important to have a routine and to eat balanced meals at regular times and in a relaxed atmosphere. The intake of adequate amounts of liquid (8 to 12 cups daily) and the addition of fiber to the diet generally alleviates constipation. Dietary fiber is that portion of plant materials that is resistant to digestion its addition to the diet aids in the formation of softer stool and decreases the amount of time required for...

The Sexual Response

The sexual response depends on a complicated series of reflexes that involve the neuromuscular transmissions stimulated by a wide variety of visual, tactile (touch), olfactory (smell), and emotional sensations. Sexual excitement and response begin in the brain. Electrical signals are transmitted from the brain areas involved via the spinal cord to the sexual organs or genitals, through nerves that exit near the base of the spinal cord. The pathways between the brain and the genitals are long...

Food Guide Pyramid A Guide to Daily Food Choices

Food Guide Pyramid

The food guide pyramid may help in deciding what and how much food to eat from each food group. It suggests adequate nutrients without excess calories, fats, cholesterol, simple sugar, or sodium. It is important to include selections from all five food groups in the diet. The pyramid emphasizes reducing the amount of fat in the diet because most Americans eat too much fat, especially saturated fat. The largest portion of the daily diet should come from the group at the bottom of the pyramid...

Bladder Problems Associated with Multiple Sclerosis

Bladder Sphincter Muscle Problems

The elimination of urine by conscious choice is dependent on the integrity of the spinal cord pathways that connect the brain and the voiding reflex center. The downward command by the brain to empty causes relaxation and opening of the sphincter, whereas the command to wait signals the sphincter to remain closed. The pathways between the reflex center and the brain may be damaged or interrupted in MS, producing a variety of problems and or symptoms. The specific nature of the problem depends...