Constipation associated with Parkinson's disease in Morocco. A report on the clinical experience in Morocco Constipation associated to Parkinson's disease in Morocco

Aim: Constipation is the most frequent symptom of autonomic dysfunction in patients with Parkinson's disease. The objective of this work is to study the prevalence and clinical features of constipation symptoms. Material and Methods: A cross-sectional descriptive study was conducted on a selected cohort of 180 patients, previously diagnosed with PD. Results: The frequency of constipation in patients with Parkinson's disease was 69.4%, and 96 % of Parkinson's disease patients had constipation before the onset of motor symptoms. Patients with Parkinson's disease with constipation had significantly longer duration of the disease and more advanced stages of Hoehn and Yahr scales. We also found that the group of patients with Parkinson's disease with constipation sign had less significant symptoms of bradykinesia compared to the non-constipation group. Discussion: The improvement of the management of patients with Parkinson's disease requires the integration of the search for non-motor signs during consultation and the validation of evaluation scales in Arabic.