Gastrointestinal symptoms in Parkinson's disease and their causes

There is hardly a Parkinson's patient who does not know them: The gastrointestinal complaints, i.e. those affecting the gastrointestinal tract. 

These include

Dysphagia = swallowing disorders
Sialorrhea = the involuntary discharge of saliva from the mouth
Gastroparesis = Stomach paralysis or delayed emptying of the stomach
Constipation = constipation

The symptoms appear years to decades before the onset of the motor symptoms.

Gastroparesis occurs in seventy to one hundred percent of patients. According to PD Dr. Lisa Klingelhöfer from the Clinic for Neurology at the University Hospital Dresden, a clear connection with the severity of the motor symptoms. The consequences are usually weight loss, malnutrition and dehydration. To make matters worse, in the case of disturbed peristalsis and absorption, a delayed or, in the worst case, no effect of the oral Parkinson's medication is to be expected.

Neurology and Parkinson's

Neurology is a medical specialty and deals with the research and treatment of diseases of the central and peripheral nervous system as well as muscle diseases. Typical diseases are migraines, Parkinson's, multiple sclerosis, stroke or forms of dementia.

 Neurologists treat around one million patients a year in clinics alone. Not only widespread diseases such as migraines and polyneuropathy are treated, but also serious diseases such as tumors or multiple sclerosis. Below you will find a list of the most common neurological diseases in Germany:

cognitive deficits in Parkinson's disease

James Parkinson wrongly believed that the disease had no effect on the mind and psyche of those affected.
That was a fatal misjudgment, since new scientific studies have shown that every third Parkinson's patient develops dementia in the course of the disease.

However, this so-called Parkinson's dementia usually only occurs in the late stages of the disease and thus mainly, but not exclusively, affects patients of advanced age

But what actually is dementia?

Artificial intelligence recognizes Parkinson's disease from night-time breathing

US computer scientists have developed software that can detect Parkinson's disease from the changes in the patient's nocturnal breathing excursions. This could be done with a chest belt or contact-free with a "radar" device on the wall of the bedroom.

Climbing a summit or hiking down a valley / Parkinson's research on new paths

In every conversation I have about Parkinson's - and believe me, I've had many such conversations - the sentence "Every Parkinson's is different" comes up at least once. That's right, the symptoms are different in all patients and the course develops very individual.

What many do not know, however, is that research now assumes that Parkinson's is not just a single disease. Rather, we are dealing with a variety of neurological disorders crammed under one Parkinson's umbrella. Welcome to the Parkinson's party!

To know better!

May Evers, who has Parkinson's herself, has been an "activist" in the world of Parkinson's organizations for years. Be it as a member of the board of trustees in the Hilde Ulrich Foundation, as co-editor of TeamDopamine - the dopamine book, as co-initiator of the AktivZeit Challenge or as a founding member of the German section of the PD Avengers “No more Parkinson’s”, May knows the disease and everyone who cares about it Efforts to mitigate better than almost any other. In her column she reports at irregular intervals from the world of Parkinson's foundations, self-help groups and research projects.
In “Heimann clarifies” we want to push the boundaries of the forums and make his postings accessible to a broader public.

dr Heimann explains – eBook version

Dr. med. Johannes Heimann was a gynecologist and obstetrician during his career and has been diagnosed with Parkinson's for several years. In various Parkinson's forums he goes deeply, often also humorously, into the numerous questions of the members and regularly hits the nerve of the community with his language and choice of topics.

In “Heimann clarifies” we want to push the boundaries of the forums and make his postings accessible to a broader public.

atypical parkinsonian syndromes

But this chapter is about the so-called

• Atypical Parkinson's syndromes (e.g. Lewy body dementia, MSA = multiple system atrophy, CBD = corticobasal degeneration, PSP = progressive supranuclear palsy)
• Parkinson's symptoms as side effects of medication
• Diseases triggered by metabolic disorders (eg Wilson's disease).
• by arteriosclerosis and many small strokes or
• repeated head injuries (Muhammad Ali!)

The diseases that are triggered are of a completely different nature

Parkinson's Syndrome Anatomy

Where does Idiopathic Parkinson's Syndrome occur?
Today we "crack the nut" and take a look inside. As everyone knows, the brain "surface" is actually like a walnut. We have to accommodate so many nerve cells that this is only possible if the many
Brain convolutions lead to an increase in surface area. We'll go through the entire anatomy from top to bottom.

Atypical Parkinson's syndromes

Explanations of the atypical parkinsonian syndromes PSP, MSA and CBD