Treatment of Nonmotor Symptoms

Patients with Parkinson's disease frequently develop other comorbid conditions such as depression or dementia. In the case of depression, an SSRI can be used. Up to 40% of patients develop dementia (Aarsland et al., 2003). In these patients the cholinesterase inhibitors can be effective. Parkinson's disease is a progressive illness, so it is important for the family physician to discuss advanced directives, establishment of power of attorney for health care decisions, and the patient's wishes surrounding the use of artificial nutrition. Living wills and other legal documents should be prepared and appropriate discussions documented. Common symptoms such as constipation, sleep disturbance, and orthostatic hypotension should be aggressively treated.

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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