Recently Answered Questions
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Query: Hello doctor, The patient is a 75-year-old male patient with a history of hypertension and Parkinson's disease history. He also has an enlarged prostrate with a focal lesion. He is on Maxvoid Plus 8. But PSA is low. Is surgery the only way? Read Full »
Dr. Samer Sameer Juma Ali Altawil
Answer: Hello, Welcome to icliniq.com. The treatment for prostate enlargement, especially with patients with Parkinson’s disease, will be with medications and depending on symptoms. Parkinson’s disease will cause overactive bladder and also urinary retention. After treating Parkinson’s disease with ... Read Full »
What is hormone replacement therapy?
Query: Hello doctor, I take Clorazepate, Quetiapine, Akineton (Biperiden), Ludiomil (Maprotiline) and Lyrica (Pregabalin). I am wondering whether I can go ahead with hormone replacement therapy which includes Estrogen and Spironolactone. Read Full »
Answer: Hi, Welcome to icliniq.com. I would like to know first for what purpose you are on these medicines? What is your purpose of planning to go for hormone replacement? Read Full »
How do orthostatic hypotension and REM sleep disorder relate to Parkinson's disease?
Query: Hi doctor, What are orthostatic hypotension and REM sleep disorder, and how is it related to Parkinson's disease. How common do a combination of the two results in Parkinson's disease? I have afib. I also had an ablation a month ago. I have low blood pressure on standing and after running upstairs.... Read Full »
Answer: Hello,Welcome to icliniq.com.I understand your concern.Orthostatic hypotension is a common complication of the advanced stage of Parkinson's disease. The drop in blood pressure while standing up is suggestive of orthostatic hypotension.REM sleep disorder is another common complication of Parkinson'... Read Full »
Can viral fever lead to Parkinson's disease?
Query: Hello doctor,I had a viral fever six years back. I had a very high temperature of 105, bad cough, also hallucinations. I was seen in the hospital by a CDC doctor and was told I needed to see him a month after I got out of the hospital. I saw him and asked him what I had, and got no answer what so ev... Read Full »
Answer: Hi, Welcome to icliniq.com. I want to assure you that do not worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. Read Full »
Query: Hello doctor, My mother, 45 years old, has complained of on-and-off shaking for the past few years. The vibration is not visible from the outside, but she feels strong vibration. This happens only when she is about to sleep or when she is waking up, no matter if it is night sleep or day. My grandmo... Read Full »
Answer: Hi, Welcome to icliniq.com. I read your query and understand your concern. Your mom might be scared that she might get Parkinson's disease, so she feels all that, and the blurring of vision is not proven. If you want, you can consult a neurologist and get her counseled for her satisfaction that s... Read Full »
Query: Hello doctor, I am suffering from Parkinson's disease for many years. I am feeling tremors in my body and hands since yesterday. I have been taking tablets Stalevo 100 milligrams, Carbidopa 25 milligrams, Entacapone 200 milligrams, and Rasagiline 1 milligram for many years. Please help. Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your query and understood your concern. It seems your symptoms could be related to levodopa-induced dyskinesia. I suggest you try a Haloperidol (antipsychotic) injection, which can help improve your situation faster. If it helps, I suggest you start ta... Read Full »
After DBS, I am getting violent myoclonus attack. Is it due to Clonazepam?
Query: Hi doctor, After deep brain stimulation surgery for generalized dystonia 18 months ago, I have developed mild startle myoclonus a fortnight later and was prescribed 0.5 mg Clonazepam. Since being on Clonazepam, I developed mild anxiety and my myoclonus continued to worsen. Now, I have violent full... Read Full »
Answer: Hi, Welcome to icliniq.com. We are here to help you. Reading your complete details I understand your concern and pain. First of all I would say that Clonazepam does not increase anxiety. You might be having myoclonus following DBS as it is a known adverse effect of DBS (deep brain stimulation). ... Read Full »
A 72-year-old has an uncontrollable shaking of his hand. How can it be treated?
Query: Hello doctor, My father who is 72 years old has a problem of uncontrolled shaking of his right hand for the past three years. The problem has increased over the years and now he finds it difficult to hold the toothbrush also. Some works he can do without much difficulty like riding a scooter, sweepi... Read Full »
Answer: Hello, Welcome to icliniq.com. Based on the symptoms you have described, your father likely has an "essential tremor." This is a very common neurological condition affecting 4% of the elderly population. Yes, it is not Parkinson' s disease but it has to be differentiated from Parkinson's disease b... Read Full »
Can any medications reduce the excess salivary flow in my mother who is a Parkinson's patient?
Query: Hello doctor, My mother has been a Parkinson's patient for ten years. For the past two years, she has been taking tablet Ropark 1 mg twice daily and tablet Syndopa 250 mg thrice daily. For the past year, she has been producing a lot of saliva and has difficulty swallowing and closing her mouth prop... Read Full »
Answer: Hello, Welcome to icliniq.com. I suggest your mother take tablet Syndopa (Levodopa and Carbidopa) in a fractionated dose; five times daily (125 mg) half an hour before food and tablet Ropark (Ropinirole) 1 mg twice daily with food. This will help regulate her balance but will not control the sali... Read Full »
My aunt suffers from Parkinson's disease. Will her daughter inherit this condition?
Query: Hi doctor, My aunt has had Parkinson's disease for the last fifteen years. For the previous five years, she had trembling hands and could not move heavy things, but lately, her health has deteriorated. She cannot even hold or carry her phone, and her hands tremble when reading the newspaper. So now ... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. You may give her a Tablet of Benzhexol 2mg three times a day after food for tremors. It will be beneficial for her. It is not a hereditary disorder, although she may have a higher risk of developing this condition than anyone else; neverthele... Read Full »