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Parkinson’s Disease and the ‘C’ Word
March 19, 2018 by Sherri Woodbridge In Columns, Journeying Through Parkinson’s Disease - a column by Sherri Woodbridge.
You’ve seen the commercials about diarrhea. It’s not something to be embarrassed about, but we try to make light of it by calling it by some other name like the runs, the squirts, the trots, Montezuma’s revenge, or the really polite word: dysentery. When it comes down to it, they all mean the same thing: RUN!
The blessing of Parkinson’s disease is we don’t have to deal with the trots or the squirts as others do. We get to deal with that other word we don’t want to talk about: constipation. You know, that plugged up feeling you get in which you have to poop but you can’t. And for people with PD, this can be a real stopper. When you’re at that place of blockage, you want to get some of that miracle stuff they advertise and be one of the “thousands who poop with ease.”
What to do?
There is no miracle pill, and you don’t want yet another medication. And as user-friendly as marketers want you to believe Metamucil (psyllium) is, if you’ve got PD, get rid of it. For whatever reason, it hardens once digested in a person with PD and will only make things worse. MiraLax (polyethylene glycol 3350) is a good substitute. It is a clear, fairly inexpensive liquid, and is recommended by doctors to ready patients for colonoscopies. And it is safe for adults.
Your diet plays a crucial part in this war against being plugged up. If possible, stay away from white bread, pasta, and rice, and replace them with whole grains and brown rice. Don’t forget what your mother told you: Eat your fruits (figs and dates are great) and veggies. Lots of them. And just as important is drinking WATER — dehydration can cause constipation.
Constipation also affects medications. It causes the stomach to empty more slowly, disallowing the pills to enter the intestine where they are absorbed more efficiently. Constipation has also been linked to bowel cancer and, really, who wants that? PD is enough.
Another thing you can do is to walk each day, as that has “un-constipational” effects (did you like that big, made-up word?). Also, try rocking when seated on the commode, and I don’t mean like in a rocking chair. Lean to the right and then the left slowly as that helps to move the muscles associated with making a good poop. I also saw a video of a woman demonstrating how to poop easier (she was just demonstrating, not actually pooping), and she suggested rubbing your lower back and lower abdomen to try to help things along.
Whatever you do, don’t take constipation lightly. Tell your doctors. Recently, I spoke with a woman who along with having PD was diagnosed with colon cancer. It went undetected for some time, as she and her neurologist thought she was just having constipation issues. Perhaps. But at some point, that changed.
So, keep on top of your bowel movement situation. If it changes, tell your doctor. If you’re struggling, tell your doctor. If you’re in pain, tell your doctor. If you can’t poop, tell your doctor. Don’t be embarrassed. If you can’t seem to broach the topic, just print out this article and hand it to them and say with pleading eyes, “Help.”
Doctors are there to help things run smoothly for you, so stop straining and start smiling.
你看过关于腹泻的广告。这不是什么尴尬的事情, 但我们试图通过调用它的其他名称, 如运行, 鞘, 小跑, 蒙特祖玛的复仇, 或真正礼貌的词: 痢疾。当它归结到它, 他们都意味着同样的事情: 跑!
帕金森病的祝福是, 我们不必像其他人那样处理小跑或鞘。我们可以处理另一个我们不想谈论的词:便秘。你知道, 这堵塞了你得到的感觉, 你不得不大便, 但你不能。对于有 PD 的人来说, 这可能是一个真正的阻碍。当你在那个地方的堵塞, 你想得到一些奇迹的东西, 他们做广告, 是一个 "数以千计的人大便轻松。
没有奇迹丸, 你也不想再吃药了。而且, 作为营销人员的用户友好, 希望您相信Metamucil (车前)是, 如果您有 PD, 摆脱它。不管是什么原因, 它一旦在一个有 PD 的人身上被消化就会变硬, 只会使事情变得更糟。MiraLax (聚乙二醇 3350)是一个很好的替代品。这是一个明确的, 相当便宜的液体, 并建议由医生为结肠镜检查的病人准备。对成年人来说是安全的。
您的节食在这场战争中起着至关重要的作用, 反对被堵塞。如果可能的话, 远离白面包, 面食和大米, 并用全谷物和糙米代替。别忘了妈告诉你的 : 吃你的水果 ( 无花果和枣都很好吃 ) 和蔬菜。很多。同样重要的是饮水-脱水可能导致便秘.
便秘也影响药物.它导致胃空得更慢, 不允许药片进入肠道, 在那里他们被吸收得更有效。便秘也与肠癌有关, 真的, 谁想要这个？警局就够了
你还可以做的另一件事就是每天走路, 因为那有 "不 constipational" 的效果 (你喜欢那个大的, 被造的词吗？)。还有, 坐在马桶上的时候试着摇摆, 我不是指在摇椅上。向右倾斜, 然后向左缓慢, 因为这有助于移动与制作良好的大便相关的肌肉。我还看到一个视频, 一个女人演示如何更容易大便 (她只是演示, 而不是实际上大便), 她建议揉你的下背部和下腹部试图帮助的东西沿。
不管你做什么, 不要轻率地服用便秘。告诉你的医生。最近, 我和一个女人在一起, 她被诊断患有结肠癌。因为她和她的神经学家认为她只是便秘问题, 所以一段时间没被发现。也许.但在某种程度上, 改变了。
所以, 保持你的肠道运动状态。如果它改变了, 告诉你的医生。如果你在挣扎, 告诉你的医生。如果你很痛苦, 告诉你的医生。如果你不能大便, 告诉你的医生。不要尴尬.如果你似乎不能提出这个话题, 就把这篇文章打印出来, 交给他们, 用恳求的眼神说 "救命"。
医生在那里帮助你的事情运行顺利, 所以停止紧张, 开始微笑。