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June 9
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A MyParkinsonsTeam Member

This a major concern for us!!! Probably at least dozen recent conversations on the Q&A column on this app if you want a ton of advice!! Anyways, hydration and movement are key ... mineral help with magnesium and herbal help with senna and Aloe Vera ... don't overload on fiber that can make it worse, Miralax is a good to for many (research or talk with general physician for dose, I double recommendation when it's serious, like a colonoscopy prep, lol), and of course prune juice works for many ... heating pad on tummy with targeted tummy massage, many examples on YouTube!!! As far as back and forth with diarrhea, you may need to address gut health, like infections or parasites .... I did the oregano oil with black seed oil things for couple months and that really helped balance the issues ... parasites can be a real thing and no probiotics, prebiotics or enzymes can rid them but the oregano oil with black seed oil are a gentle natural antibiotics combo that worked for me ...
Well that's what I can think of now, good luck (((HUGS)))

June 9 (edited)
A MyParkinsonsTeam Member

Hi Bonnie, I had similar issues when I was first diagnosed. I ended up with doing all the listed solutions (fiber, exercise, water, timing of meds, etc) plus taking Miralax daily. It's frustrating but eventually works itself out. Good luck!

June 9
MyParkinsonsTeam

Dealing with the constipation-diarrhea cycle from Parkinson's medications is genuinely frustrating — it can feel like there's no middle ground! This is a very common challenge, and you're definitely not alone in experiencing it.

Some Parkinson's medications are known to cause digestive issues as side effects, including Show Full Answer

Dealing with the constipation-diarrhea cycle from Parkinson's medications is genuinely frustrating — it can feel like there's no middle ground! This is a very common challenge, and you're definitely not alone in experiencing it.

Some Parkinson's medications are known to cause digestive issues as side effects, including both constipation and diarrhea. COMT inhibitors, for example, are particularly associated with diarrhea, while other medications can slow digestion significantly. Here are some general strategies worth discussing with your doctor:

- Timing of medications — Taking medications at consistent times may help regulate digestion
- Hydration — Drinking plenty of water throughout the day can help ease constipation without triggering diarrhea
- Dietary fiber — Gradual increases in fiber can help balance bowel movements
- Gentle movement — Light exercise like walking can stimulate digestion
- Probiotics — Some people find these help regulate gut function

It's also worth asking your neurologist whether adjusting the specific formulation or dosage of your current medications might reduce these digestive side effects. Never adjust or stop medications on your own, as stopping Parkinson's medications suddenly can be dangerous.

June 9

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