Is Parkinson's disease scary?

Written by Zhang Hui
Neurology
Updated on September 28, 2024
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Parkinson's disease is not a terrifying disease, as its onset is relatively hidden and slow, with gradual progression. Many patients can significantly improve their symptoms, prolong their lives, and enhance their quality of life through rehabilitation training and medication. However, there is no effective cure for Parkinson's disease at this time; current treatments only relieve symptoms and improve quality of life. Patients with Parkinson's should not be afraid and must regularly visit neurology outpatient clinics for follow-up. Neurologists will provide appropriate medications for Parkinson’s and guide the daily life of patients. Moreover, patients must prevent falls. Parkinson's is not a terrifying disease; what is dangerous is arbitrarily stopping or reducing medication without listening to the doctor's advice. (Note: This answer is for reference only, medication should be taken under the guidance of a professional physician, and medications should not be taken blindly.)

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Written by Zhang Hui
Neurology
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Can people with Parkinson's disease drink alcohol?

Patients with Parkinson's disease should not drink alcohol. This is primarily due to concerns that due to the symptoms of movement slowness and muscle rigidity, they may exhibit abnormal postural balance, greatly increasing the risk of falling. Consuming alcohol can inhibit the function of the cerebellum, exacerbating limb ataxia and increasing the risk of falling, which poses significant risks to the patient. Therefore, to protect the balance function of patients and prevent the risk of falling, they should not consume alcohol. Additionally, patients with Parkinson's disease often need to take multiple medications for their condition, and these medications should not be taken with alcohol to avoid exacerbating any adverse reactions.

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Written by Zhang Hui
Neurology
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What are the symptoms of Parkinson's disease?

Parkinson's disease is a relatively common disease among the elderly, causing significant inconveniences in their daily lives and making it difficult for them to move. Moreover, this disease progressively worsens. Overall, the symptoms of Parkinson's disease primarily include noticeable movement slowness; patients perform tasks very slowly, such as wrapping dumplings or rolling dumpling wrappers, which are done clumsily and slowly. They also dress, turn over in bed, and tie shoelaces very slowly. Additionally, there are evident symptoms such as resting tremors and muscle rigidity. Some people may experience a panicked gait, rushing forward and unable to control their steps. Patients might also experience severe constipation, a reduced sense of smell, and some have sensory abnormalities in their limbs.

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Written by Zhang Hui
Neurology
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What is needed to diagnose Parkinson's disease?

The definitive diagnosis of Parkinson's disease primarily relies on the patient's medical history, clinical manifestations, and a thorough physical examination by a neurologist. If the onset of the disease is very slow, presenting with symptoms such as bradykinesia and tremors, and the neurologist observes heightened muscle tone and slow movements during the examination, a high suspicion of this disease is warranted. Additionally, certain auxiliary tests are necessary, commonly including: First, testing the patient's sense of smell is crucial, as a reduced sense of smell is very important in diagnosing Parkinson's disease. Second, some brain MRI scans are needed mainly to exclude some secondary Parkinson's syndromes. Third, a brain PET-CT scan can be performed to examine the functionality of the striatum. Furthermore, an ultrasound of the substantia nigra in the midbrain can also be conducted, which holds significant value in assisting the diagnosis.

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Written by Zhang Hui
Neurology
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How does one get Parkinson's disease?

Parkinson's disease is a degenerative disease of the nervous system. The actual mechanism of the disease is not very clear, and its fundamental cause has not yet been identified. It is generally believed that Parkinson's disease is mainly caused by the following factors. First, genetic factors. Some cases of Parkinson's disease have a clear familial tendency, where patients may experience mutations in synaptic nuclear protein genes, leading to abnormal aggregation of these proteins. This abnormal aggregation can damage the neurons in the substantia nigra of the midbrain, leading to Parkinson's disease. Second, there are some external factors related to sporadic cases of Parkinson's. These may be closely related to oxidative stress, trauma, poisoning, or an excessive stress response of the body. However, the specific cause is not very clear. Parkinson's disease, which causes symptoms such as bradykinesia, tremors, and rigidity, requires active treatment to improve the quality of life of the patients.

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Written by Zhou Yan
Geriatrics
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What is the best way to exercise for Parkinson's disease?

Patients with Parkinson's disease should undergo comprehensive treatment and full management. Drug treatment is the core treatment plan, but it is also necessary to include physical rehabilitation and psychological therapy. For physical therapy, patients should be encouraged to exercise more, as this can help improve symptoms and slow the progression of the disease. The type and intensity of exercise should be chosen based on the patient's motor symptoms. Tai Chi, jogging, brisk walking, and aerobics are all suitable forms of exercise, and it is advisable to exercise four times a week, with each session lasting about 30 minutes. Evidence has shown that Tai Chi can improve patients' balance disorders, and long-term persistence in exercise can help improve their quality of life.