PPH aftereffects : weakened motility, gastroparesis, stool softener: postprandial hypotension

[aspergerian13]

# PPH aftereffects : weakened motility, gastroparesis, stool softener: postprandial hypotension

## I often eat supper in bed, because I won't have far to go when the episode of cerebral hypotension returns with its vengeance. However, eating in bed increases the likelihood of worsening motility.

## When a recent meal or several become entrapped within the intestine, then a stool softener can be handy.

## As the incompletely digested food resumes being processed, an "echo" episode may and often ensues.

## As other PPH writers have observed, a bowel movement can prompt an episode of cerebral hypotension. For me, this has occurred when I've eaten too much and the intestinal tissues are barely functioning - if at all.

[park_bear]

Parkinson's dries out my G.I. tract from one end to the other, so Docusate sodium stool softener is part of my regular routine.

[aspergerian13 in reply to park_bear]

How many times per week do you use sodium docusate? What strength?

[MBAnderson in reply to aspergerian13]

I take 2, 8.6 mg tabs twice a day, which is helpful, but doesn't solve the problem for me.

[aspergerian13 in reply to MBAnderson]

I have been taking one red capsule (100 mg) now and then.

drugs.com/imprints/401-2619...

I don't like taking one two days in a row and may seek a second and milder ( ie, <100 mg) stool softener. MgOrotate? Other?

[park_bear in reply to aspergerian13]

I take 250 mg twice a day. No adverse effects.

[aspergerian13 in reply to park_bear]

What amount of water do you ingest for the docusate sodium?

[park_bear in reply to aspergerian13]

I drink to satisfy thirst and do not pay special attention.

[MBAnderson in reply to aspergerian13]

Whoops. My docusate dose is 50 mg & 8.6 sennosides

[aspergerian13 in reply to MBAnderson]

Is that 50mg twice per day or total?

[MBAnderson in reply to aspergerian13]

Each bill is 50 mg docusate and 8.6 mg senna and I take 2 in the morning and 2 at night

[aspergerian13 in reply to MBAnderson]

Wow! Heavy duty!

[ddmagee1]

Unfortunately, I have had those problems, too. My doctor adjusted my blood pressure medication, which helped the hypotension, and he had me get stool softener, which I take, when needed. My whole digestive system, which includes swallowing, has slowed down a bit, and I'm careful with portion control, am on a Mediterranean diet, drink plenty of liquids each day, and, eat slowly. My autonomic system is involved now, with the PD symptoms, and I have problems with numbness, peripheral neuropathy, in both hands, and both feet, in addition to the GI track problems.

[aspergerian13 in reply to ddmagee1]

Thanks to all who have shared in this topic: a glimpse into seldom discussed aspects of advanced Parkinson's.

[aspergerian]

For clues, see:

Am J Clin Nutr. 2008 Jan;87(1):156-61.

Effects of intraduodenal glucose, fat, and protein on blood pressure, heart rate, and splanchnic blood flow in healthy older subjects.

Gentilcore D1, Hausken T, Meyer JH, Chapman IM, Horowitz M, Jones KL.

ncbi.nlm.nih.gov/pubmed/181...