My wife (82) currently sees a neurologist MD, a neurologist PA plus a gastroenterologist for PD constipation problems--spasms mostly which trigger tremors, anxiety, body rigidity, voice whisper, et al. Her approach is to lie down with a hot pad on her abdomen. The spasms abate in a few hours only to return a few hours later. She takes Amitiza (24mg) for constipation and Dycyclomine (20 mg) for spasms. (Results?) It's been suggested she consider seeing a gastroenterologist with a background in PD treatment.

I reflect on all that I continue to read about pelvic floor dysfunction and haven't come upon a GI doc with a background in PD who has made a reported difference. The idea of seeing one has appeal but it would mean a 5 hr drive and my wife and I aren't convinced that seeing a GI doc who's familiar with PD would make a difference.

We'd appreciate comments.

Phil