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Parkinson's constipation — DGM MCQ

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EasyMovement disordersParkinson's constipationDGM

An 80-year-old woman with Parkinson's disease has constipation and bloating. She opens her bowels twice weekly and drinks little fluid. No obstruction features are present. Current medicines include co-careldopa and amlodipine. What is the most appropriate management?

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Correct answer: E — Lifestyle measures and laxative regimen review

Constipation is common in Parkinson's disease and should be managed with fluids, fibre where appropriate, mobility and laxatives. Stopping levodopa, antibiotics, emergency surgery and haloperidol are inappropriate without additional indications. Non-motor Parkinson's symptoms can dominate quality of life.

Reference: NICE NG71; NICE CKS constipation