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We appreciate your candor, George.  This seems to be a fairly common
problem.  It would be good if something could be done to make manual
dilation and evacuation easier for PWPs.  Some have suggested botox shots or
something similar in the anal sphincter muscle.  From what we understand, a
bowel impaction can occur after awhile so it is always good to keep an eye
on the situation.  That is a serious problem.  We're not sure how long
before going to the hospital for assistance with evacuation.  Others may
have more info about this.

Ted & Carole



----- Original Message -----
From: "George Campbell" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Sunday, January 29, 2006 1:30 PM
Subject: constipation, again, sorry


>I had bilateral dbs in may of 2002. good results. BUT I still Have
>Parkinson's. I had three hernia's repaired last Tuesday. They were pretty
>bad. The surgeon let me go home the same day with a warning about
>Parkinson's and codeine, and constipation. I took twelve darvaset a day for
>pain.  The pain was very bad anyway. I used 4 stool softeners, two doses of
>sorbitol, a glycerin suppository. and an enema every day. EVERY day my
>bowel blocked. I could feel a fecal back up at my anus.  This has happened
>only twice before  in 15 years of Parkinson's. despite the fact that I can
>hardly reach my anus I greased up a finger an  dilated my anus manually.
>This worked. after scooping out balls of hard fecal mater for a while, my
>bowel did what it is made to do and pushed out the remaining stool.  I
>always have trouble at stool but this has been difficult. I look forward to
>my usual maybe once a week bout with constipation. today the pain is much
>less and I have cut the codeine in half.
>
> has any one been told how to do this by a Dr?
>
> how desperate would you have to be before a nurse would do this for you at
> the hospital?
>
> are there any tools to make the work more easy?
>
> Sorry about this post people. But if a person must have help at stool it
> ----------------------------------------------------------------------
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> should be  done well before the fecal dry up is too long.
>
>

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