My problem was urge incontinence - had it since puberty but the slowing down 
of PD turned a minor embarrassment into a real problem.
Finally plucked up nerves to tell the doctor - was prescribed Regurine 
(tropsium chloride) - sorted.
wish I'd done that years ago.
Amanda

Quoting Jim Slattery <[log in to unmask]>:

> From: <[log in to unmask]>
> Subject: Re: Treatment for constipation in PD
> | you don't need pills for constipation - just a regular supply of oranges
> and a
> | good book to pass the time while the fruit gets to work....
> 
> I wish that it was that simple. Constipation, like anything else connected
> with 
> PD, is a complex condition, with complications not found in other disorders.
> 
> The ways in which Parkinson’s disease can increase the risk of constipation 
> include:
> 
> ·       Insufficient dopamine – lack of the brain chemical (neurotransmitter)
> 
> dopamine impairs muscle movement throughout the body. Bowel muscles can
> become 
> slow and rigid.
> 
> ·       Uncoordinated bowel – the bowel muscles may be weak and unable to 
> contract or they may clench instead of relax when trying to pass a motion.
> 
> ·       Eating problems – dietary fibre is indigestible, so it adds bulk to
> the 
> bowel motions and prevents constipation. However, if chewing and swallowing
> are 
> difficult, a person with Parkinson’s disease is less likely to eat fibrous 
> foods.
> 
> ·       Drinking problems – water is needed to plump the dietary fibre in
> bowel 
> motions. Swallowing difficulties may discourage the person with Parkinson’s 
> disease from drinking enough fluids.
> 
> ·       Sedentary lifestyle – lack of exercise slows the passage of food
> through 
> the intestines. Parkinson’s disease reduces muscle control, so lack of
> exercise 
> is common.
> 
> ·       Medications – many different drugs can cause constipation.
> Medications 
> used in the treatment of Parkinson’s disease (especially anticholinergic
> drugs) 
> may slow bowel movements or dampen appetite.
> 
> Your doctor may suggest various treatments to help combat constipation, 
> including:
> 
> ·       Dietary changes including consuming more fibre and water
> 
> ·       Moderate exercise
> 
> ·       Good toilet habits
> 
> ·       Avoiding unnecessary medicines that contain substances known to cause
> 
> constipation such as calcium and aluminium
> 
> ·       Laxatives
> 
> ·       An enema – this may be part of the initial treatment
> 
> ·       Treatment for any medical problem that may be contributing to the 
> constipation, such as haemorrhoids
> 
> 
> 
> Jim
> 
> _____________________________
> 
> Dr. J. F. Slattery, PhD Soc Sc
> 
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