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A possible adverse effect of Elavil is parkinsonism, also ileus:

Ileus: Obstruction of the intestine due to it being paralyzed. The
paralysis does not need to be complete to cause ileus, but the intestine
must be so inactive that it prohibits the passage of food and leads to
blockage of the intestine. Ileus commonly follows some types of surgery.
It can result also from certain drugs, injuries, and illnesses.
Irrespective of the cause, ileus causes constipation and bloating. On
listening to the abdomen with a stethescope, no bowel sounds are heard
(because the bowel is inactive). Also called paralytic ileus.

I hope she is being examined for her complaint of constipation; my
prayers are with her.

Best,
Kathrynne

--
Kathrynne Holden, MS, RD
Author: "Eat well, stay well with Parkinson's disease"
"Constipation and Parkinson's" --  audiocassette & guidebook
"Guidelines for Medical Nutrition Therapy for Parkinson's disease"
     & Risk Assessment Tools
"Risk for malnutrition and bone fracture in Parkinson's disease,"
     J Nutr Elderly. V18:3;1999.
http://www.nutritionucanlivewith.com/