Patients with Parkinson’s disease have some specific symptoms as follows.
1, greasy forehead
Patients with Parkinson’s disease always have a greasy forehead.
2.Salivation
There are many patients with Parkinson’s disease who often have the phenomenon of drooling, and those who are serious need others to hold a handkerchief to wipe for him constantly. The study found that the patient’s saliva secretion did not increase, but because Parkinson’s 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 young patients, the application of anticholinergic drugs such as Antanomics can inhibit the secretion of saliva.
3.Pain
Many patients have pain, although not so severe that they must take painkillers, but the pain can sometimes be very distressing to the patient. The manifestation of pain is multifaceted and can be manifested as shoulder and neck pain, headache, low back pain. The most frequent symptom is soreness in the arms or legs, and local muscle stiffness is 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 alleviate the symptoms of painful spasms, but at the same time make the symptoms of Parkinson’s disease not 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 it does not work, you can try local injection of botulinum toxin method, which can play a role in the relief.
4. Sensory abnormalities
Patients with Parkinson’s disease also have symptoms of abnormal warmth or coldness in certain parts of the body, with more patients experiencing abnormal warmth. This abnormal temperature sensation mostly appears 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 experience a burning sensation. The burning sensation is more severe when the medication fails, but improves when the patient’s medication is adjusted to effectively control the disease. 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. Usually treatment of Parkinson’s disease will improve this symptom, and sometimes the addition of a drug called carbamazepine will have some effect.
5. Swelling of the lower extremities
Patients with Parkinson’s disease sometimes experience swelling of the lower extremities, mainly in the feet, and in severe cases to the lower legs. It is usually on the side of the lower extremity where the impairment first occurs. 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, which is conducive to venous reflux and reduces edema.
6.Difficulty in swallowing
In the advanced stage of Parkinson’s disease, difficulty in swallowing can occur.
Now, in addition to Parkinson’s disease itself causing dysphagia, there are some post-surgical causes of dysphagia everywhere, the result 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.
7.Speech impairment
Speech impairment is a common symptom in patients with Parkinson’s disease, manifested as unclear language, flat tone of speech, no intonation, monotonous rhythm, etc.
8, bladder irritation symptoms
Some patients with Parkinson’s disease tend to go to the bathroom several times a day, especially at night when they urinate more often and suffer from insomnia as a result. The urge to urinate is sometimes unstoppable and, together with 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.