Stomach and Parkinson Disease

Posted: Sun Sep 16, 2007 5:05 am Post subject: stomach problems

Dear Kathhrynne, I seem to have problems with slow stomach emptying and defecation. My gastroenterologist has not been too helpful. Being so helpful with those of us with pd, I believe you might better to be of assistance to me in this matter. Thank you for being there for all of us. Lois B.


Kathrynne Holden, MS, RDJoined: 22 Jan 2007Posts: 94Location: www.nutritionucanlivewith.com
Posted: Sun Sep 16, 2007 7:07 am Post subject:

Dear Lois, Both of these concerns occur, and quite commonly, among people with PD. For slowed stomach emptying, your neurologist can prescribe medications to speed movement; if s/he is willing, domperidone can be obtained from Canada via prescription. It is safe with PD and PD medications, but I don't think it's yet available in the U.S. Regarding defecation, if you refer to chronic constipation, I recommend you check with your local PD support group or public library for a lending copy of my books "Eat Well, Stay Well with Parkinson's Disease" and "Cook Well, Stay Well with Parkinson's Disease;" and audiocassette or audioCD with guidebook "Parkinson's Disease and Constipation." These give detailed information regarding constipation and why it occurs; and the cookbook provides numerous high-fiber recipes as well. There is another concern, less common, however, called "pelvic floor dysfunction." In order to expel the stool, the anal sphincter must relax, while the pelvic floor tightens/contracts. In PD, sometimes the opposite occurs, making it very difficult to move the stool. If this is the case, you must discuss it with your neurologist; in some cases botox injections can help._________________Best regards, Kathrynne Holden, MS, RD -- For a Parkinson Tip of the Day visit: http://www.nutritionucanlivewith/