I have orthostatic hypotension and REM sleep disorder. Am I destined for Parkinson's disease?

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's disease, and it may be diagnosed in the early stages of Parkinson's disease. I recommend doing a polysomnogram (sleep study) to investigate possible REM sleep disorder and a head-up tilt test for orthostatic hypotension.

I suggest you take the tablet Clonazepam for the sleep disorder. Regarding orthostatic hypotension, I advise taking plenty of fluids and wearing compressive socks can help too.

I remain at your disposal for any further questions whenever you need me.

Kind regards.

Hello,

Welcome back to icliniq.com.

There is no reason to panic about Parkinson's disease, as orthostatic hypotension does not lead to this disease. Instead, this is a late complication of the disease, after many years since the diagnosis. There is nothing to worry about. This blood pressure drop is suggestive of orthostatic hypotension. I would recommend checking CBC (complete blood count) for anemia, blood electrolytes for possible electrolytes imbalance, and thyroid hormone levels for possible thyroid gland dysfunction. These metabolic disorders can trigger orthostatic hypotension.

I hope you will find this information helpful.

If you have any other questions, please do not hesitate to ask me again.

I wish you all the best.