Parkinson’s Disease (PD) affects the nervous system. It is a progressive disorder that sometimes can start off as a hand tremor, but over time, symptoms may get worse. There is no cure currently for the disease. However there is medication that can help improve the lifestyle of those affected. There are several signs to look for when determining whether you or someone you know may have PD.
Smaller Handwriting
Bradykinesia is the slowing down and/or the loss of movement that accompanies parkinson’s. This symptom can affect a person’s handwriting. The handwriting will become smaller, cramped and possibly hard to read.
Tremor
Another symptom for someone with PD is a tremor or shaking. Tremors can be present in a variety of places including the fingers, hand, leg, or even lips. The tremor may only happen when resting and stop when movement occurs.
Loss of Smell
One of the earliest warning signs of PD is the loss of smell. It can appear before cognitive and motor symptoms. Generally, smell is usually only masked by a cold or stuffy nose, so if you notice you have trouble smelling particular foods, you should ask your doctor.
Trouble Sleeping
Tossing and turning in your sleep is quite normal. However, it can become concerning when it happens too often or disturbs your spouse’s sleep. Falling out of bed can also be an area of concern.
Constipation
An often-overlooked symptom of PD is constipation. The bowel and bladder may become less sensitive due to the effect PD has on the autonomic nervous system. Constipation combined with a feeling of fullness can also be a sign of PD.
Lack of Facial Expression
Changes in facial expression for those with PD may be subtle at first. However, as time goes on, facial expressions may become less prominent with those affected by PD unable to express their emotions fully through facial expressions.
The term used is called “Parkinson’s Mask” for those who have an extreme form of the condition. Early signs may look like someone using their “poker face” or “stone face.”
Changes in Voice and Speech
Speech problems can be a result of having PD. Speech may become quiet and soft or even slur or sound like hesitations before talking. Additionally, it may become more monotone. PD can cause facial muscles to stiffen making words harder to enunciate.
Changes in Mood or Personality
Finally, a symptom that may signal someone has PD is a change in personality. One major change may be increased anxiety and a reluctance to be in social situations, which can also lead to depression.
Diagnosis and Treatment
If you believe you or someone you know may have PD, it is always best to schedule an appointment with a doctor. The doctor may make a referral to a neurologist, a brain specialist, or to a therapist to help with various symptoms. Treatment may also involve taking medications daily to alleviate symptoms.
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