Symptomatic Management

Medications used for symptomatic management depend on the specific symptoms encountered by the patient. MS patients frequently develop spasticity, which can be treated with baclofen, tizanidine, or benzodiazepines. Physical therapy can also help with spasticity. Bladder dysfunction can also occur in patients with MS. New bladder symptoms should be evaluated with a urine culture to rule out infection. A postvoid residual should also be obtained, as well as urodynamic testing to determine whether the problem is overflow incontinence from urinary retention or urge incontinence from detrusor instability. In the presence of urge incontinence, the anticholinergics oxybutynin (Ditropan) and tolterodine (Detrol) may be useful. If the problem is urinary retention and overflow incontinence, patients will usually need to be treated with intermittent self-catheteriza-tion. Patient may also experience depression, constipation, and sexual dysfunction. The usual evaluation and treatment options should be considered for patients who experience these problems.

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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