Because Parkinson’s is a chronic and progressive
neurological disease, symptoms are often mild at the onset, becoming more
severe throughout time. Initial symptoms might be so subtle that they’re even
difficult for specialists to detect, according to The Michael J. Fox Foundation
for Parkinson’s Research. Symptoms also might be different for some patients
than others and might progress at different paces.
Dopamine loss is a major contributor to the onset of
Parkinson’s disease. Dopamine controls movement and mood, so when dopamine is
affected, walking, talking and writing can be impacted. Depression or anxiety
might accompany other symptoms.
The National Institutes of Health says Parkinson’s
disease affects as many as 500,000 people in the United States. An early
diagnosis might help improve quality of life and delay the onset of greater
motor issues. Here’s what to look for and discuss with a doctor.
• Micrographia and other handwriting issues occur.
Those with Parkinson’s disease might start experiencing changes in their
handwriting. Penmanship might look cramped, and letters tend to be smaller than
normal (micrographia). Individuals might find it difficult to hold a pen and
write.
• Tremors take place in a limb. Tremors usually begin
in the hands or fingers and might even mimic a pill-rolling technique, which is
a tremor between the thumb and forefinger. Tremors usually occur when the limb
is at rest.
• Pace or activities slow down. Parkinson’s disease
might reduce one’s ability to move and might slow down movements. An early
symptom might be a noticeable slowing down in steps or ability to react to
something, such as a ball being thrown one’s way. Some with Parkinson’s might
drag their feet or shuffle as they walk, or find it difficult to get out of a
chair.
• Loss of automatic movements and functions can occur.
Difficulty with unconscious movements, such as blinking, smiling or even
swinging arms, might occur when a person has Parkinson’s disease. Movements
might be uncoordinated and stiff. Increased salivation and perspiration also
might be indicators.
• Poor balance and loss of posture might develop.
People with Parkinson’s disease might hunch over more and more, and be unable
to stand up straight. Balance issues, such as greater incidences of falls or
being able to tip over more easily, might occur.
• Speech can change. Changes in speech can begin,
including hesitating before speaking, slurring words or speaking in a monotone
voice.
• Others might notice a masked face. This describes a
vacant or fixed stare and lack of facial animation.
• Sleep issues might increase. Parkinson’s disease can
affect sleeping patterns and behaviors. People with Parkinson’s might
experience vivid dreams and nightmares, as well as an inability to stay asleep.
Daytime drowsiness also might occur.
Parkinson’s disease is rare, and symptoms that mimic
those of Parkinson’s might be caused by other conditions. However, if you or
someone you know is experiencing repeated symptoms of any of the ones described
here, speak with your general practitioner or a neurologist.
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