Doctor insights on:
Young Onset Parkinson
See below: Most often there is a unilateral resting tremor in hand, but occasionally there may be vague stiffness or gait imbalance. On occasion, one might see chronic constipation, or impaired swallowing which seems nonspecific, and unilateral foot dystonia, or cramping may occur very early. If there is a question or if runs in your family, see a neurologist. ...Read more
MAY BE MEDS INDUCED: U have to know the difference bw parkinsonism and parkinson disease, one is genetic and occurs due to depleted Dopamine in substantia nigra, where we make dopamine, and the other could be due to meds especially due to meds causing it especially antipsychotics may need a neuro consult , if positive for family history. ...Read moreSee 1 more doctor answer
Yes, Absolutely :(: Unfortunately, approximately 20% of pd patients are early-onset, meaning symptoms began at < 45years old. I have 2 patients who even started exhibiting symptoms in their late 20's. The earlier the disease begins & the more people athe family affected, raises our suspicion that genetics play a significant role. For reference, average age of onset is 58. Or, pd can come as late as 80. ...Read more
Help! My hand is shaky and my muscles r stiff, I'm only 18 which is too young to get Parkinson's. What else could this be?
Medications: Important to know if you are on any medications as if so, these may be side effects that need prompt attention. ...Read more
Yes, in some ways: Young patients are more likely to develop inconsistent symptom relief ("on" vs "off" states) & dyskinesia (writhing, twisting, jerking movements). This is because they live longer with pd & have a longer period over which their brain degenerates & makes mal-adaptive changes to compensate, causing these problems. They may also develop pd younger because they have a more severe form to begin with. ...Read moreSee 1 more doctor answer
My mom (75 years old but biologically younger) has early parkinson's. Any downside to mao-b inhibitor instead of levodopa if symptoms minimal?
Neurologist can help: A small amount of information is on the internet regarding MAO inhibitors (such as selegiline) and l-dopa to treat parkinson's. Among elderly patients, individuals can react quite differently to various meds & doses, so a person's treatment has to be customized. It appears that using both meds allows one to use a lower dose of l-dopa. The list of selegiline side effects looks milder than l-dopa's. ...Read moreSee 1 more doctor answer
Sound Familiar?: Before overt physical symptoms begin, one can experience pre-motor parkinson's issues: the most reliably reported 4 are chronic constipation, chronic depression, anosmia (part or complete loss of smell--which also effects taste appreciation) & rbd. Rbd stands for rem behavior disorder. Rem (dreaming stage sleep) can be accompanied by acting-out of dreams: talking, kicking, punching, running, etc. ...Read more
Medical management: People with parkinson’s disease may lose up to 80% of Dopamine in their bodies before symptoms appear. In addition, special imaging tests of the brain show that Dopamine may decline as much as 10% per year in people with parkinson’s disease. Early diagnosis and treatment are important to help minimize Dopamine loss in the brain and maintain muscle function. Best wishes. ...Read more
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