When diabetes affects the lower part of the digestive tract, it is often referred to as Diabetic Enteropathy. This can lead to a range of symptoms, including constipation, diarrhea, and even fecal incontinence. While these topics can be difficult to talk about, there are many practical ways to manage them and regain control over your daily life.
Constipation and Diarrhea
Constipation is a very common issue for people with diabetes. It often occurs because the nerves in the colon are not moving waste through the body as quickly as they should. On the other hand, some people experience frequent diarrhea, which can sometimes be caused by an overgrowth of bacteria in the small intestine or the side effects of certain diabetes medications.
Practical Tips for Management
There are several steps you can take to manage these “luminal” gastrointestinal issues:
- Dietary Changes: Adding fiber, such as psyllium (a bulking laxative), can help with both constipation and diarrhea. It helps by adding bulk to the stool or absorbing excess fluid.
- Hydration: Drinking plenty of water is essential, especially if you are increasing your fiber intake.
- Pelvic Physiotherapy: For issues like fecal incontinence, strengthening the muscles through Kegel exercises or working with a specialized pelvic physiotherapist can be very effective.
- Medical Investigation: Sometimes, digestive issues are caused by other conditions, such as Celiac Disease, which is more common in people with type 1 diabetes. Your doctor can perform tests to rule these out.
The Importance of Communication
The most important thing to remember is that you do not have to suffer in silence. These conditions are impactful and can significantly affect your quality of life, but they are also treatable. By working closely with your doctor and potentially a gastroenterologist, you can develop a plan that addresses your symptoms and helps you live a more comfortable life.
About the author
Kathryn Woodman
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