Health News on Parkinson's.

University of Adelaide researchers are hoping to better understand why some sufferers of Parkinson's disease experience a marked reduction in blood pressure after they've eaten a meal.

The condition - known as postprandial hypotension -can result in sufferers fainting soon after they've eaten, which increases their risk of injury. This is of particular concern for older patients, who are more likely to require hospitalisation after a fall.

A new study involving researchers and clinicians from the University of Adelaide and Royal Adelaide Hospital is investigating this problem in sufferers of Parkinson's disease.

Speaking in the lead up to World Parkinson's Day (Thursday 11 April), study leader Professor Karen Jones says it is still not well understood why many sufferers of Parkinson's experience such a major fall in blood pressure after eating.

"Postprandial hypotension is poorly understood by the medical profession, and there is low awareness of the condition among general practitioners and in the community. It is distinct from a fall in blood pressure that occurs with standing, and there is no effective treatment," says Professor Jones, from the University of Adelaide's School of Medicine and the Royal Adelaide Hospital's Endocrine and Metabolic Unit.

"The research we're conducting will help us better understand the mechanisms involved in postprandial hypotension, so we hope it will be of great benefit to sufferers of Parkinson's and other diseases that are complicated by this problem."

The study is being conducted by School of Medicine PhD student Laurence Trahair, who is specifically looking at the relationship between gastric emptying and blood pressure.

"How quickly the stomach empties food into the intestine, and the changes this produces in intestinal blood flow, may be the key to better understanding why marked falls in blood pressure after a meal occur in these patients," Mr Trahair says.

"Abnormal rates of gastric emptying - either too fast or too slow - can be triggered by a range of causes, including medication commonly used to treat Parkinson's disease, so a better understanding of the rate of gastric emptying in these patients will be important for this study.

"Up to 50% of Parkinson's sufferers are believed to experience postprandial hypotension, so our research could potentially help a large number of people."

This research is being conducted in collaboration with Associate Professor Thomas Kimber, neurologist at the Royal Adelaide Hospital, and is supported by a grant from the Royal Adelaide Hospital Research Fund.

The University of Adelaide

[gettome]

I seem to have that condition.

Before eating breakfast BP is 150/80 and after breakfast BP is 116/73+/-

[granny2012]

Interesting article. I was diagnosed with Parkinson and currentle taking Sinnemet and Comtan. I also take Lyrica. Three years ago, I was hospitalized because my blood pressure would either rise to high level or drop to a low level if I stood, sat, or laid down.. The condition was diagnosed as Ortho-static Hypertension. It came suddenly and disappeared just as quickly. I also had been taking iron injections because the doctors can't figure why I continue to have a low B12 level.

[MagicMax]

I had this problem. Right after eating I would pass out about 30 seconds after standing. The condition went away when I stopped taking selegiline.

[landman]

Thank you for the info

[Jupeter]

I also have this condition. First manifested itself while on a cruise - after each meal I would get up to walk out of the restaurant and find I had to sit down after a few yards, feeling faint.

I have always had low BP, and a slow heart rate (currently around 50bpm), coupled with atrial fibrillation and it is difficult to ascertain the exact reasons for the fall in BP. Interesting to note the "after a meal" situation.

I note that it can also be triggered after a visit to the loo, which may be linked to the internal changes which this entails.

I am having an ECG and a range of blood tests to try to find out why I have periods of such condition over a few days, then a few days without the condition. All very puzzling but, at the age of 77, not surprising.