Breathing with PD

Posted: Tue Apr 17, 2007 6:04 am Post subject: Breathing with PD

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Dear Doctor,

In reply to your article "Weight Loss" with PD.

I understand Breathing difficulties with PD i.e tightness and contraction in the throat weaken muscles that control
breathing


The breathing is not in full i.e the chest wall doesn't move i.e reducing sense of smell that dampen the appetites contributing the malnutrition.

Therefore people have PD find difficulty/ reducing sniffing i.e desperately difficulties breathing large amount of air. As the result PD patients have mask face ( muscle stiffness)

There are 40% at the older age die on pneumonia worsen made by PD itself.

Therefore PD is a Body, Mind and Soul disorders diseases.

Kindly comment.

Thanks

Teo Kim Hoe

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Dr. Okun



Joined: 19 Jan 2007
Posts: 251
Location: University of Florida
Posted: Tue Apr 17, 2007 6:47 am Post subject:

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In general breathing problems in PD are not prominent, although late in the disease we worry about immobility and swallowing dysfunction leading to aspiration pneumonia.

Earlier sometimes wearing off of medications can result in shortness of breath.
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Michael S. Okun, M.D.

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Anonymous






Posted: Thu Aug 30, 2007 12:59 pm Post subject: Shortness of Breath when 'Off'

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Why do we experience shortness of breath when med are off? Is it because any movement requires additional exertion or is it because Parkinson's affects the muscles that control breathing? Thank you.

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Dr. Fernandez



Joined: 20 Jan 2007
Posts: 90

Posted: Sat Sep 01, 2007 8:47 pm Post subject:

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Wearing off in PD can be manifested in different ways. Most often, it is manifested by the return of or an increase of stiffness (rigidity), slowness (bradykinesia) and shaking (tremor). But sometimes, wearing off can be manifested in other ways, such as shortness of breath, even slowed thinking, depression, anxiety, panic attacks. I can't tell you why patients experience wearing off differently.

Sometimes, when dyskinesias are significant, the coordination of diaphragmatic muscles and chest muscles are not as well in such so even peak dose or dyskinesias can also be manifested by shortness of breath.

Yours,
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Hubert H. Fernandez

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