Document Detail


Constipation in Parkinson's disease: objective assessment and response to psyllium.
MedLine Citation:
PMID:  9399219     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We evaluated the reliability of patient history and the effect of psyllium on symptoms and colorectal function in 12 patients with Parkinson's disease (PD) and constipation. In all but two, constipation anteceded the development of parkinsonian symptoms. A comparison with prospectively obtained stool diaries confirmed the patients' reported constipation in 7 of the 12 patients. Those patients with confirmed constipation had lower stool weights and reported more straining at stool. Measures of colonic and anorectal function were similar in those who were truly constipated and those who were not. Among those PD subjects with confirmed constipation, psyllium increased stool frequency and weight but did not alter colonic transit or anorectal function. We conclude that prospectively obtained stool diaries should be employed to confirm constipation in PD and that psyllium produces both subjective and objective improvements in constipation related to PD.
Authors:
W Ashraf; R F Pfeiffer; F Park; J Lof; E M Quigley
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Movement disorders : official journal of the Movement Disorder Society     Volume:  12     ISSN:  0885-3185     ISO Abbreviation:  Mov. Disord.     Publication Date:  1997 Nov 
Date Detail:
Created Date:  1998-02-10     Completed Date:  1998-02-10     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8610688     Medline TA:  Mov Disord     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  946-51     Citation Subset:  IM    
Affiliation:
Department of Internal Medicine, University of Nebraska Medical Center, Omaha 68198-2000, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged
Anal Canal / anatomy & histology,  physiology
Cathartics / therapeutic use*
Constipation / complications*,  drug therapy*
Defecation
Female
Humans
Male
Middle Aged
Parkinson Disease / complications*
Prospective Studies
Psyllium / therapeutic use*
Time Factors
Chemical
Reg. No./Substance:
0/Cathartics; 8063-16-9/Psyllium

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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