What are the other specific symptoms of Parkinson’s disease?

  What are other specific symptoms of Parkinson’s disease?  The forehead of a patient with Parkinson’s disease is always oily and shiny. Drooling There are many patients with Parkinson’s disease who often have drooling, and in severe cases, need someone with a handkerchief to keep wiping it for them. The study found that the patient’s saliva secretion did not increase, but because Parkinson’s disease patients swallowing reflex difficulties, the reduction of automatic swallowing action makes saliva in the oral cavity stagnation, stagnation of the amount of saliva will automatically flow out. Therefore, patients should often swallow saliva consciously can reduce drooling. For younger patients, application of anticholinergic drugs such as Antanomics can inhibit saliva production.  Pain Many patients experience pain, although not so severe that pain medication is necessary, but pain can sometimes be very distressing to the patient. Pain can manifest itself in a variety of ways, and can manifest itself as shoulder and neck pain, headaches, and low back pain. The symptom that appears most often is soreness in the arms or legs, with localized muscle stiffness being its main cause. For the treatment of pain caused by muscle stiffness in Parkinson’s disease, levodopa supplementation has good efficacy, and most patients are relieved with the relief of muscle stiffness when the drug takes effect. However, later in the course of drug administration, a small number of patients will instead experience spastic pain in the lower extremities, especially the toes, during the peak of levodopa onset. This is often difficult to deal with because it is clearly a side effect of levodopa, and reducing the dose can often reduce the symptoms of painful spasms but at the same time prevent the symptoms of Parkinson’s disease from being well relieved. When this happens, doctors often resort to reducing the dosage of levodopa each time, but increasing the number of doses given, or increasing the dosage of dopamine agonists. If this does not work, local botulinum toxin injections can be tried as a method of relief.  Patients with Parkinson’s disease may also experience abnormal warmth or coldness in certain parts of the body, with more patients experiencing abnormal warmth sensations. This abnormal temperature sensation is mostly found in the hands and feet. Other patients have abnormal sensations on one side of the body or in the body, such as discomfort in the stomach or lower abdomen. Abnormal heat sensations are more common in patients, and some parts of the body may even have a burning sensation. An elderly woman who had Parkinson’s disease for more than 10 years had a severe burning sensation in her lower back. When the medication failed, her burning sensation became more severe, but when the patient’s medication was adjusted to effectively control the disease, her symptoms also improved. This means that this abnormal sensation is still a symptom of Parkinson’s disease itself. Treatment of this symptom with narcotic drugs is ineffective and lacks specific therapy. Treatment of Parkinson’s disease usually improves this symptom, and sometimes the addition of a drug called carbamazepine can have some effect.  Swelling of the lower extremitiesPatients with Parkinson’s disease sometimes experience swelling of the lower extremities, mainly in the feet, with severe spread to the lower legs. It is usually on the side of the lower extremity where the impairment occurs first. Swelling of the feet is more likely to be seen in those patients who have significant motor retardation. It usually decreases or disappears at night after sleep, but becomes progressively worse again during the day. It occurs because the lack of activity in Parkinson’s disease prevents the patient from squeezing venous blood to the heart through leg movement and muscle contraction, causing venous blood to pool in the veins and tissue fluid to leak out, causing swelling in the feet and ankles. In severe cases, symptomatic treatment can be taken, such as the use of some diuretic drugs. When sleeping at night, the feet can be padded higher to facilitate venous return and reduce edema. Difficulty swallowing can occur in the advanced stages of Parkinson’s disease.  Nowadays, in addition to the swallowing disorder caused by Parkinson’s disease itself, there are some post-surgical causes of swallowing disorder everywhere, the result of which is more serious than the former, and anti-Parkinson’s disease treatment is not effective for it. The cause is swallowing paralysis caused by bilateral pallidotomy or other surgical procedures, which is an organic damage that is difficult to recover from. There is nothing good for this condition except functional exercise and slow recovery.  Speech impairment Speech impairment is a common symptom in patients with Parkinson’s disease, manifested as unclear speech, flat tone of speech, no intonation, monotonous rhythm, etc.  Bladder irritation symptoms Some people with Parkinson’s disease tend to go to the bathroom several times a day, especially at night when they urinate a lot, and suffer from insomnia as a result. The urge to urinate is sometimes uncontrollable, and the patient’s own slow movement can easily lead to wetting of the pants. The occurrence of the above is often associated with poorly controlled symptoms of Parkinson’s disease, and anti-Parkinson’s disease treatment reduces the symptoms of Parkinson’s disease while the symptoms of bladder improve. It is worth mentioning that the dopamine receptor agonist xylazine has a better effect on improving bladder symptoms in patients with Parkinson’s disease. If the symptoms do not improve with anti-Parkinson’s disease treatment, you should consider whether there is a combination of other diseases, such as whether there is inflammation of the urinary tract, whether the male patient has an enlarged prostate, etc. You can have your urologist check it out and take symptomatic treatment.