Parkinson’s disease (PD) is a progressive disorder in which certain nerve cells cease to produce a substance called dopamine. This chemical helps the body control movement. In people with PD, this chemical is no longer produced, and symptoms of the disorder appear gradually, progressively worsening until the person is unable to function properly. A diagnosis of PD requires an evaluation by a doctor. Parkinson’s disease symptoms can be devastating.
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While there is no cure for the condition, medicines can control symptoms. Several types of medicines are available, including those that increase dopamine levels in the brain. These medicines can be taken in pill form or taken by injection through the small intestine. Some may have side effects, so they must be monitored closely. If a side effect occurs, talk with your healthcare provider about alternatives to the medicine. Various lifestyle changes may also be recommended.
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Some patients can continue living independently after the first stages of Parkinson’s disease, even after experiencing severe disability. The disease progresses gradually, with each stage affecting the symptoms differently. Symptoms may begin to affect one side of the body and become more severe on the other. Patients with stage three of the disease may continue to maintain some degree of independence, but the symptoms will gradually get worse. By stage four, they will have trouble standing or walking without help.
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A hunched posture is a common early symptom of Parkinson’s disease. It may also cause a person to walk with shorter steps, or to drag their feet when they stand up. A person may also lose control of their facial muscles, causing a mask-like appearance. Further, it is possible for a person with Parkinson’s disease to have difficulty urinating. This may lead to urinary urgency, and difficulty getting to the bathroom.
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Exercise is a vital part of treatment for Parkinson’s disease, as it improves flexibility, balance, and range of motion. It may also help people with the condition cope with the disease and reduce depression. A physical therapist may prescribe an exercise program for patients. Patients may try swimming, walking, or stretching exercises. If medications don’t work, they may want to try a surgical procedure known as deep brain stimulation. This involves inserting electrodes in the brain and connecting them to a small electrical device in the chest. This electrical impulse stimulates specific parts of the brain responsible for movement. Deep brain stimulation can reduce the symptoms of Parkinson’s disease.
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Another common non-motor symptom of Parkinson’s disease is depression and anxiety. Depression and anxiety are common symptoms of the disease, and can improve with proper medication, cognitive behavioral therapy, and talking therapy. As the disease progresses, symptoms may also become more prominent. In some patients, the symptoms can begin months before motor problems appear.
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The main therapy for Parkinson’s disease is called levodopa. It works by triggering the production of dopamine in nerve cells. This, in turn, replenishes the brain’s dwindling supply. This medication is often used along with another medication known as carbidopa. The two drugs help decrease the risk of side effects and reduce the dosage needed to improve symptoms. Patients must be careful not to stop taking levodopa too soon.
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Early symptoms of Parkinson’s disease include an altered walking pattern. Patients may walk at a slower pace, blink less frequently, and experience facial masking. These symptoms can make communication difficult. Another symptom is a change in voice volume. Patients suffering from the disease may speak with a softer tone or speak at a lower volume than usual.
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As the disease progresses, patients may find it increasingly difficult to walk or perform daily activities. However, simple stretches and exercises can help a patient with Parkinson’s disease maintain their independence. A patient with the disease should be careful not to walk too quickly and let the heel of the foot hit the floor first. Patients should also avoid leaning or reaching while walking. They should also remove obstacles to prevent tripping.
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Other symptoms associated with Parkinson’s disease include orthostatic hypotension and dementia. Orthostatic hypotension can cause lightheadedness and a high risk of falling. People with Parkinson’s disease may also experience an accumulation of protein in their brain called Lewy bodies. These proteins can damage nerve cells and cause changes in movement and behavior.
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