Though it may not sound like an obvious struggle of those with Parkinson's, many sufferers face gastrointestinal issues related to their disease.
One of these issues is paramount -- constipation. Drinking plenty of water and slowly upping fiber intake via supplements or fiber-rich foods is often recommended for general constipation issues. However, given your disease, it may be extremely difficult for you to drink a lot of water, and fiber supplements can be dangerous or ineffective. In addition, these tactics rarely ever solve constipation problems Parkinson's patients face.
More often, stool softeners and laxatives are recommended to bulk and soften stool and then stimulate the bowel to move the stool along. Common combinations that your doctor may recommend include docusate/senna and Miralax/Dulcolax.
If you face constipation troubles, be sure to talk to your doctor to find the treatment that is right for you.
Another problem that can emerge is dysphagia (trouble swallowing food). This, of course, makes it more difficult to get proper nutrition.
Some obvious solutions seem like they may work pretty well for most people with this problem: Chop-up, crush, mash, puree or grind down foods that are difficult to chew or swallow. But although these strategies may help some, most Parkinson's patients require formal swallowing evaluations and nutritionist consultations to determine the best and safest textures of food to prevent choking while still providing adequate nutrition. Many patients, typically those in later stages of the disease, require a feeding tube.
Sources:
Marczewska A, De Notaris R, Sieri S, Barichella M, Fusconi E, Pezzoli G. Protein intake in Parkinsonian patients using the EPIC food frequency questionnaire. Movement Disorder. 2006 Aug;21(8):1229-31.
Weiner, W. J., Shulman, L.M. and Lang, A. E. (2007). Parkinson's Disease, Second Edition, A Complete guide for patients and families. Johns Hopkins Press Book, Baltimore.
