The main cause of Parkinson’s disease constipation is the dysfunction of the autonomic nerves of the digestive tract caused by Parkinson’s disease itself, and the slow peristalsis of the gastrointestinal tract. Due to slow movement, patients with Parkinson’s disease often have little activity and lack sufficient exercise, which is not good for the intestines. Squirming. The second is drug-induced constipation, because anticholinergic drugs (Antan) and amantadine significantly slow down bowel movements, and other drugs such as slangline, dopamine receptor agonists and levodopa can aggravate constipation. Some patients Because of the severe constipation caused by levodopa, you can't even take medicine.
For drug-induced constipation, first stop or reduce the drugs that cause constipation. For constipation caused by Parkinson's disease, long-term use of laxatives is not good for the body and may aggravate constipation. Therefore, to relieve constipation, we must first adopt non-drug therapy.
1. Change bad habits
Develop the habit of regular bowel movements every day, preferably between 5-7 o'clock in the morning after getting up. Defecation every day, to avoid the residence time of feces in the rectum, it also prevents the feces from dehydrating and hardening in the rectum, making defecation easier.
2. Change the diet
Eat enough fiber-containing foods and drink enough water every day. Cellulose cannot be digested and absorbed. It is like sponge in the intestines. It can absorb a lot of water, and then expand many times to form a larger and soft fecal mass, which can promote bowel movement, easily arouse bowel reflex, and make people Produce bowel movements, remove stools in time, prevent constipation, and relieve symptoms of hemorrhoids and anal fissures. In addition to helping prevent constipation, cellulose can also lower cholesterol and help prevent many chronic diseases. Foods containing more fiber include vegetables, fruits, legumes, etc., especially vegetables with leaves or stems, such as cabbage, spinach, celery, etc. Eat at least 20-25 grams of fiber every day, which is equivalent to eating 500 grams of vegetables.
Drinking water is as important as eating cellulose. If cellulose is not soaked in water, it is still dry and hard, which may make constipation worse. Therefore, you should drink at least 4 to 8 glasses of water a day, plus juice, milk or other beverages. Adjusting your diet is the first choice to treat constipation. Water and fiber work together to keep your stool smooth.
3. Manual massage
There are two specific methods. The first is to massage from top to bottom with both hands from the lower edge of the rib cage in the thoracic cavity, and press down on the abdomen with a certain amount of force during the downward process. Repeat many times, three times a day. The second is to use one hand to grasp the back of the other hand, place the palm of the palm on the belly button, and then perform a circular massage from the inside to the outside in a clockwise direction. Repeat many times, three times a day. The two techniques can be performed alternately.
For patients with severe constipation, if the above methods are ineffective, some drugs should be used under the guidance of a doctor.
For patients with Parkinson's disease with slowed gastrointestinal motility, commonly used gastrointestinal motility drugs such as cisapride, in addition to easy defecation, can also increase the absorption of levodopa, thereby improving body coordination and gait.