A 76-year-old man with Parkinson's disease and mild cognitive impairment (MoCA 23/30) reports constipation. He has a bowel movement every 4-5 days and...

Question

A 76-year-old man with Parkinson's disease and mild cognitive impairment (MoCA 23/30) reports constipation. He has a bowel movement every 4-5 days and strains significantly. He is on Co-careldopa 25/100 QDS. He is not taking any constipating medications other than his Parkinson's treatment. What is the MOST appropriate initial management of his constipation?

Accepted Answer

Increase dietary fibre, ensure adequate fluid intake, encourage physical activity, and prescribe a combination of stimulant and osmotic laxatives if needed

Answer

Prescribe Loperamide to regulate bowel movements

Answer

Reduce Co-careldopa as it is causing the constipation

Answer

Prescribe Oxybutynin to improve bowel motility

Answer

Arrange a colonoscopy before starting treatment

uk-dgm MCQ (SBA): Constipation Management in Parkinson's Disease