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Parkinson's disease - Management
How do I manage constipation in people with Parkinson's disease?
- Consider a stepped approach to the management of constipation due to colonic dysmotility in Parkinson's disease:
- Increase dietary fibre and fluid intake (advise at least eight glasses of water per day).
- Increase exercise.
- Use fibre supplements (such as ispaghula husk).
- Use a stool softener (such as docusate).
- Use an osmotic laxative, such as lactulose or macrogols (Movicol® or Laxido®).
- Enemas may occasionally be required.
- See the CKS topic on Constipation.
In depth
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