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Dear H.M. Laswi's father:
Constipation is a common disorder associated with PD.  Many times it is a
serious disorder which will not respond to laxatives, high fibre foods, or
lots of fluids.  If a week goes by and in spite of all you try there is no
bowel movement it is time for action.  Talk to your doctor about having a
Visiting Nurse come to your home and give you an old fashioned soapsuds
enema.  She/he will know about loosening a fecal impaction and other even
more effective enemas like warm milk and molasses enemas (not suggested for
diabetics) or oil retention enemas.  You just may need weekly intervention by
the VNA (Visiting Nurse Association in the states) or VON (Victorian Order of
Nurses in Canada).
Barbara Yacos, R.N.
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