2023-05-20 11:38:00
by Dr. Natlada Limothai, Neuropathologist, Vejthani Hospital
The common symptoms of Parkinson’s disease that many people are aware of are tremors, stiffness, and movement disorders. But in fact, Parkinson’s patients may have excretion problems, constipation, and sleepwalking as well. Therefore, if these abnormal symptoms are found, they should hurry to see a doctor for diagnosis and treatment.
Parkinson’s disease is a degenerative disease of the brain Causing the creation of a neurotransmitter called dopamine decreased which dopamine is mainly responsible for controlling movement compile ideas and different emotions
Symptoms of Parkinson’s disease include both motor symptoms, such as tremors, stiffness. slow motion abnormal gait bad posture or even problems with falling and non-motor symptoms, until sometimes patients may not know that these symptoms are caused by Parkinson’s disease as well, such as sleepwalking (some to the extent of harming the body of the person who sleeps in the bed) and excretion problems, especially constipation which is a common condition in Parkinson’s patients especially elderly patients Because there is a degeneration of the autonomic nervous system controlling colon motility. These symptoms may precede the onset of movement disorders or tremors many years before the onset of movement disorders or tremors.
Some Parkinson’s patients May not be aware of the symptoms of the disease because it is thought to be caused by aging. Which, if not treated, will cause various negative consequences, for example, there is a risk of falling easily, therefore, if the symptoms as mentioned above begin to occur, you should see a doctor for proper diagnosis and treatment.
Parkinson’s disease treatment Your doctor will recommend starting with medication. to increase the action of dopamine in the brain Which are available in oral, patch, and subcutaneous injections, it has been found that 70-100 percent of Parkinson’s disease patients respond well to the drug and are able to resume normal daily activities before the onset of symptoms. The correct intake of medication is Take the medicine on an empty stomach. In order for the drug to work well, for example, at least half an hour before meals. Or at least 1 hour after meals. If taking the drug close to meals, especially protein groups such as meat and milk, will cause less drug absorption. Or the drug may not work. In addition, the drug should be taken on time according to the number of times and the dosage prescribed by the doctor. This prevents an intermittent response to the drug that may occur earlier than intended.
However, when the drug response decreased not as good as the first treatment and uneven drug response Your doctor may consider surgical treatment to implant deep brain stimulation, which uses electrical currents to control the brain’s circuitry. It can help patients to better control their overall movements and perform daily activities.
In addition to drug or surgical treatment General health care is also very important for Parkinson’s patients. By recommending exercise such as walking, cycling or exercising at home. eating enough energy and protein foods to help strengthen the muscles and fruits and vegetables to help with better excretion
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