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I work as a carer for a Parkinson's patient. Due to the advanced stage of the disease, the gentleman is almost recumbent. Parkinson's causes constipation. In addition to Parkinson's, this gentleman suffers from chronic bronchitis. What diet should be used to improve the quality of life?

To stimulateintestinal functionin the Lord you look after, first of all, make sure that the meals contain the right amount of fiber. During the day, he should receive a minimum of 30 g of fiber. In other words, this amount is enough to eat 0.5 kg of vegetables, 300 g of fruit, 4 slices of graham bread (140 g) and a portion of groats or flakes (70 g).

The greatest influence on the regulationintestinal peristalsisare wheat bran and coarse grain products such as buckwheat, graham and wholemeal bread and crispbread.

Effective in treating and preventing constipationare also fruits, dried vegetables and fresh fruit. Theintestinal peristalsisis also positively influenced by fermented products such as yogurt, kefir and honey. Adequate amount of water is also necessary as fiber binds water. I would recommend a minimum of 7-8 glasses / day.

If the gentleman you are taking care of had an easily digestible diet recommended by a doctor, then all high-fiber products should be crushed and heated. The best solution will be cooked whole grain cereals, cream soups, baked vegetables.

The diet may contain deficiencies of vitamins B, D, calcium, magnesium, vitamin C. Therefore, you need to take care of whole grain cereals, vegetables and fruit in your diet. If you are treated with levodopa, you need to limit the amount of protein in your diet (especially amino acids from the LNAA group).

The richest sources of LNAA are milk, dairy products, eggs, followed by fish and meat. Fruits and vegetables contain the least LNAAs. The daily protein requirement of an adult human being is at least 0.8 grams per kilogram of body weight. For a person weighing 70 kg, this is the amount contained in 300 g of lean cottage cheese, in 200 g of cheese. The same amount of protein gives: 240 g of peas, 160 g of soybeans, 260 g of beans, 300 g of pork, 280 g of chicken meat.

High-protein meals significantly reduce the absorption of drugs used in Parkinson's disease. It is best to administer drugs half an hour before eating a meal. If you feel sickmake it impossible to take medication on an empty stomach, a small amount of food consumed with the drug is sufficient to avoid this problem.

Remember that our expert's answer is informative and will not replace a visit to the doctor.

Agnieszka Ślusarska

Owner of the 4LINE Dietary Clinic, chief dietitian at the Plastic Surgery Clinic of Dr. A. Sankowski, tel .: 502 501 596, www.4line.pl

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