Fecal incontinence in Parkinson's is more common than many realize, and it can be really frustrating — especially when doctors seem stumped. Parkinson's affects the autonomic nervous system, which controls the muscles throughout the digestive tract. This nerve damage can disrupt normal bowel control, making incontinence Show Full Answer
Fecal incontinence in Parkinson's is more common than many realize, and it can be really frustrating — especially when doctors seem stumped. Parkinson's affects the autonomic nervous system, which controls the muscles throughout the digestive tract. This nerve damage can disrupt normal bowel control, making incontinence happen regardless of diet.
Here are some factors worth exploring with his care team:
- Gut dysbiosis — an imbalance of gut bacteria linked to Parkinson's — can cause unpredictable bowel symptoms
- Gastroparesis (slow stomach emptying) can create irregular bowel patterns
- Medications — some Parkinson's medications can affect bowel function as a side effect
- Pelvic floor dysfunction — nerve changes can weaken the muscles that control bowel movements It may be worth asking for a referral to a gastroenterologist who has experience with Parkinson's patients, as they may offer more targeted solutions than a general practitioner.
Probiotics have also shown some promise in improving gut symptoms for people with Parkinson's, so that conversation with his neurologist or gastroenterologist could be worthwhile too.
June 14