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I take Pilosec for GERD which I had before PD

-----Original Message----- 
From: Ruellene and Roger Seymour
Sent: Monday, March 28, 2016 6:44 AM
To: [log in to unmask]
Subject: Re: Digestive Issues Question

Starting with the usual disclaimer: the following reflects my personal
experience with Parkinson's Disease (PD) and is not intended to represent
any kind of recommendation for a course of treatment or to endorse/condemn
any product that may be used in treating PD.  It is my hope that my
experience can help others ask the kinds of questions of their doctors that
might help in the treatment of PD symptoms.

I've always read and been told that PD meds can cause nausea and/or stomach
upset.  I have experienced this. Fortunately, the nausea hasn't been too
strong and I can usually calm it some  with a drink of water.  If it's
stubborn, I'll eat a piece of bread or something light and not
protein-rich.  It is ironic that my levodopa prescribers recommend I take
it on an empty stomach.

On digestive issues in general, there seems to be a growing awareness of
the linkages between PD and issues like GERD (gastro-esophageal reflux
disease), IBS (irritable bowel syndrome - which, in my opinion, has become
a catch-all label for symptoms the docs can't pin down), constipation, and
various other conditions.  There is some research indicating that PD may
affect dopamine levels within the enteric nervous system which controls
digestive processes.  I have experienced much of the aforementioned
conditions and have been prescribed proton pump inhibitors (omeprazole) and
laxatives to help alleviate.  I have also been through a FODMAP elimination
diet which has helped identify some foods to which I have become
sensitive.  One of them is lactose, curiously.  Another appears to be wheat
related, possibly gluten.  It is very difficult to pin down, possibly
taking many months, but every little bit can and often does help.

These digestive ills all started after I had to discontinue use of a
dopamine agonist pramipexole (Mirapex) due to impulse control disorder
(something every PWP should know about). I am NOT recommending that anyone
start using an agonist in order to address digestive ills - just an
observation that seems to hold credence with  the neurologists I've talked
to.

I'm sure if you search on "Parkinson's and (name your condition)", you will
find much interesting reading.  Good luck!

Roger

On Sun, Mar 27, 2016 at 11:15 AM, Rayilyn Brown <[log in to unmask]> wrote:

> could stomach upset be due to medication?
>
> -----Original Message----- From: Maryse Schild
> Sent: Saturday, March 26, 2016 11:07 PM
> To: [log in to unmask]
> Subject: Re: Digestive Issues Question
>
>
> I've been trying to find articles online about digestive issues and
>
>> Parkinson's, i.e., stomach upset, lactose intolerance or gluten
>> intolerance
>> or cramping
>>
>
>
> Hello,
> a long time ago, a nutritionist was part of this list, Kathrynne Holden.
> She wrote a book:´ Eat well and stay well with Parkinson´ which many found
> useful. I just saw it is still available on Amazon.
> Gluten-lactose intolerances are not part of PD normally.
>
> maryse
>
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