Patient's Query
Hello doctor,
My dad is 71 and has Parkinson's disease. He takes medications multiple times a day. We are planning to travel abroad, and I am nervous about him.
Is it still safe for my 71-year-old dad to travel abroad with Parkinson's disease? It is a long journey, and I am worried about long flights and time zone changes. I am not sure how to manage his medications and care during the trip.
He also freezes sometimes when he is stressed. What precautions should we take to avoid problems?
I am scared of medical emergencies in another country. He really wants this trip, but I do not want to risk his health.
Please help.
Thank you in advance.
Hi,
Welcome to icliniq.com.
I read your query and can understand your concern.
Traveling abroad with a parent who has Parkinson's disease (a progressive brain disorder that affects movement, balance, and coordination) can feel stressful, especially when you are responsible for medications, safety, and the possibility of a medical emergency far from home.
But just because he is 71 and has Parkinson's doesn't mean travel is unsafe. Many people with Parkinson's disease do manage to travel successfully if they plan their journey carefully and their symptoms are reasonably stable.
The most important thing is to plan your medication. Parkinson’s medication schedules can be very specific, and missing doses or being late can cause increased stiffness, freezing (a temporary inability to start or continue walking despite the intention to move) and other mobility problems.
Before traveling, it is helpful to speak with his neurologist (a doctor who specializes in disorders of the brain and nervous system) and create a clear medication schedule that accounts for the time zone change.
Pack all your medications in your carry-on, not in your checked baggage. Bring extra doses in case of delays. Carry a written list of your medications, doses, medical history, and doctor’s contact information.
Long flights can increase problems such as stiffness, swelling, fatigue, and confusion. Encourage him to move his legs and change positions regularly during the flight; if possible, stay well hydrated and avoid sitting in one position for many hours.
Dress comfortably, wear supportive shoes, and give yourself extra time to walk around airports to help reduce your stress. If he uses a cane, walker, or other mobility aid, it may be helpful to arrange for airport assistance in advance.
Stress can trigger freezing episodes, so try to keep his travel day as calm and predictable as possible. Allow plenty of extra time between connections and do not rush.
Tell travel companions that freezing is a symptom of Parkinson’s, not just nervousness or weakness. If he has trouble swallowing, balance problems, falls often, or is very confused, talk to his doctor about these problems before traveling.
It is also wise to prepare for medical needs before leaving. Consider travel insurance that covers pre-existing conditions (medical conditions that were present before buying the insurance policy), know where medical facilities are located at your destination, and keep copies of important medical records.
A letter from his doctor explaining his condition and medications can be useful, especially when carrying medications internationally.
I hope this helps.
Kindly revert so I can assist you further.
Thank you.
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