Parkinson's Disease

Parkinson's disease is a progressive neurological movement disorder. The symptoms start gradually and get worse over time. The symptoms include tremors, muscle stiffness, stooped posture, balance problems, decreased ability to perform activities like blinking, smiling, speech changes, and changes in handwriting. Genes and environmental factors seem to play a role in causing Parkinson's disease.

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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 »


Dr. Aida Quka

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 Parkin...  Read Full »

What is Parkinson's?

Query: Hi doctor, MRI says mild cerebral atrophy causing impaired motor coordination for my grandfather aged 64, but diagnosed as Parkinson's. Will there be any relation? But, another doctor who saw the report said that it is not Parkinson's and his condition is getting worse due to the dose of PD drug tak...  Read Full »


Dr. Ashok Kumar Choudhary

Answer: Hi, Welcome to icliniq.com. I have gone through the provided details and attached MRI report (attachment removed to protect patient identity). Although it is not enough to refute diagnosis of Parkinson's disease as Parkinson's disease can be diagnosed through clinical examination and there is n...  Read Full »

Is difficulty in swallowing a sign of Parkinson's disease?

Query: Hello doctor, I am 53 years old. I have early-stage PD. I also have some swallowing issues. Three days ago, I swallowed or inhaled a large number of sesame seeds. Many coughed up. I went to the emergency room. The X-ray showed up nothing. I have slight burning in the chest but no pain. I am on th...  Read Full »


Dr. Zubayeralam

Answer: Hi, Welcome to icliniq.com. Thanks for the query. I can understand your concern. According to your statement, you have been suffering from the early stage of PD. I think you mean Parkinson's disease by using PD. Am I right? Difficulty in swallowing is known as dysphagia that may occur in any sta...  Read Full »

How can I sleep with sleep apnea without CPAP?

Query: Hi doctor, I have been diagnosed with rapid eye movement sleep behavior disorder, and I am worried about the link with Parkinson’s and, even worse, and Lewy body dementia. While the Fluoxetine may be a cause, it has been noticed there is a marked lack of swing in my right arm while walking. I...  Read Full »


Dr. Hitesh Kumar

Answer: Hello, Welcome to icliniq.com. I would like to know some further details about your symptoms. Since when you started problems in sleep? What symptoms used to happen in sleep. Please describe in detail (please tell what you yourself felt in sleep and also tell what your family or bed partner descri...  Read Full »

Did I feel shaky due to Parkinsonism or anxiety?

Query: Hello doctor, I am 27 years old. I have suffered from GERD for a couple of years along with anxiety and depression, which some think is related to GERD or the opposite way round. I have taken Citalopram for about three years on and off. Seven months ago, I decided myself and finally did stop for goo...  Read Full »


Dr. Rajyaguru

Answer: Hi, Welcome to icliniq.com. I have read your query in detail and noted the issues. My opinion is that the tremors which you are feeling are just because of anxiety and it is not a neurological disease. If had it been essential tremors or Parkinson's, ethe symptoms profile would have been entirely di...  Read Full »

Will I get addicted to Clonazepam if I take it for more than two weeks?

Query: Hi doctor, I am a 72-year-old woman with Parkinson’s disease for six years. I take Carbidopa-Levodopa, Selegiline, and Rytary. I have a leg tremor from my hip to my toes. The medicine works well for the tremors, and I also have an internal tremor, which seems to be my central nervous system. ...  Read Full »


Dr. Gursimran

Answer: Hi, Welcome to icliniq.com. The medicines that you have been prescribed are perfectly fine. For internal tremors, Clonazepam is fine, but you have to keep on checking the addiction by reducing the dosage every other day. For 3 to 4 days, you have to take a full dose but keep on giving trials of th...  Read Full »

My dad had a seizure-like attack after a DBS surgery. Can it be treated?

Query: Hello doctor, My father had undergone deep brain stimulation surgery for Parkinson's six months ago. I have been visiting his neurosurgeon to fine tune the stimulation. There have been significant changes post surgery. But, his speech is slurred when movements are alright and when speech is fine, h...  Read Full »


Dr. Devavrat Harihar Nene

Answer: Hello, Welcome to icliniq.com. Parkinsonism is very rarely associated with seizures. If it was diagnosed to be epilepsy, I think he should be started on treatment for the same. I would suggest tablet Valproate 500 mg twice a day. Get an MRI brain done. For more information consult a neurologist ...  Read Full »

What is the treatment option for Parkinson's disease other than Levodopa?

Query: Hi doctor, I feel extreme fatigue in the morning. I have tremor and right leg tingling. I am experiencing brain fog, Parkinson like symptoms but I did not feel any improvement with Levodopa. My manganese levels are high. Please help.  Read Full »


Dr. Muhammad M. Hanif Md.

Answer: Hi, Welcome to icliniq.com. I want to assure you that do not worry as everything is going to be fine soon. I have thoroughly gone through your case and can well understand your genuine concerns.  Read Full »

Is it possible to identify Parkinson's disease without any test?

Query: Hi doctor, I am writing this is for my father. He is 74 years old. Now, he was diagnosed to have Parkinson’s disease. The doctor just examined and said that this is Parkinson's. Is it possible to identify without going for any tests? Will Parkinson lead to death? Is coffee better for Parkinson’s...  Read Full »


Dr. Hitesh Kumar

Answer: Hello, Welcome to icliniq.com. The diagnosis of Parkinson's disease is usually clinical diagnosis. In doubtful cases, a DOPA-PET scan of the brain can be considered. Parkinson's disease does not cause death, but it can affect daily living to much extent and make patient dependent. Yes,...  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 »


Dr. Muhammad M. Hanif Md.

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 »

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