The rate of constipation in Parkinson's patients is higher than that of normal people. The common reason is that Parkinson's disease patients are slow and rigid, and the intestinal motility is affected, so constipation occurs. Therefore, constipation can be an early symptom of Parkinson's disease. Furthermore, the autonomic nerves of patients with Parkinson's disease are affected, drooling, sweating and abnormal oil secretion may occur unconsciously, which may lead to constipation. Finally, the most commonly used drugs for the treatment of Parkinson's disease, dopamine alternative drugs, such as Sining, Medopa, and anticholinergic drugs such as diphenhexol hydrochloride, Kaimajun, etc. may have side effects in this regard.
The constipation of Parkinson's patients has a certain relationship with the therapeutic effect of Parkinson's disease itself, that is, the constipation will be relieved when Parkinson's symptoms get better.
Constipation is defined as having fewer than 3 bowel movements per week. There are two main reasons for frequent constipation in Parkinson's patients.
1. Drugs used to treat Parkinson's (levodopa, selegiline, amantadine, dopamine agonists, anticholinergic drugs, and others) can cause constipation, often due to slow peristalsis-food passing through the stomach, Movement of the small intestine and gastrointestinal tract slows down.
2. Parkinson can cause neurodegeneration of the gastrointestinal tract.
Other possible reasons: Parkinson's patients usually like to eat sweets. Sugar can cause constipation. In addition, because very few patients take in enough water and fiber.
Why does constipation cause concern? Does it just cause people's troubles?
First of all, the reason people pay more attention to constipation is because it is annoying. However, if a person is often constipated for a long time, it will cause fecal obstruction, which is what we call intestinal obstruction-dry, hard fecal obstruction in the colon cannot pass. Sometimes water can pass around the obstructed intestine, as if it is diarrhea, making people mistakenly believe that he is not constipated. Intestinal obstruction can be very painful for patients and often require hospitalization.
If constipation is caused by drugs or Parkinson's disease, how can it be controlled?
It is very important to consume adequate amounts of fiber and fluids daily. In addition to preventing constipation, cellulose can also lower cholesterol and help prevent many chronic diseases. Usually it can help diabetic patients control blood sugar. The synergistic effect of liquid and cellulose can ensure defecation volume.
What role does cellulose play?
Fiber and water keep our intestines working together, and non-absorbable fiber and water work together like partners. Each fiber is like a small sponge that swells after absorbing water, and its volume is many times larger than the original volume. All these "small sponges" that absorb enough water increase the volume of feces and make the feces soft and easy to discharge. It also promotes the movement of intestinal muscles and makes them strong. This not only prevents constipation, but also prevents hemorrhoids or relieves symptoms of hemorrhoids. Hemorrhoids occur when we often strain to defecate, and there is also sufficient evidence that cellulose can reduce the risk of colon and rectal cancer.
Why can't I just use laxatives?
Many people like to use laxatives. It is effective, but it works in a different way. Laxatives stimulate the nerve endings in the colon and cause the contents of the intestine to move quickly. Over time, the stimulating laxatives damage the colon lining and even cause more serious constipation.
What is the best source of cellulose?
Cellulose is only found in plant foods. The foods with the highest non-absorbable cellulose are whole grains, cooked dried beans, fruits and vegetables with skins. Wheat bran is a good source of cellulose. 20-25 grams of fiber per day is the minimum recommended amount for a healthy diet. If you are not used to eating whole grains or peeled apples and potatoes, it is best to gradually increase the amount of fiber. Flatulence occurs when the gastrointestinal tract tries to adapt to greater than normal amounts of cellulose.
What role does moisture play?
Moisture is as important as cellulose. It is so important that we have to discuss "moisture and hydration" in a separate chapter. Without water, the fiber cells remain dry and tough, in fact it will only aggravate constipation. You must drink 4-8 glasses of water a day, plus juice, milk and other beverages.
What should I do if cellulose and water still cannot resolve constipation?
Adjusting your diet is the first choice for constipation. However, sometimes the intestinal motility (muscle movement of the large intestine) in Parkinson's patients is too slow, indicating that other treatment options are needed. If you take a lot of fiber and enough water, and the number of bowel movements per week is still less than 3 times, you must take further measures.
If you still have constipation after trying all these methods, you should see your doctor to prescribe some medications.