Monday, January 18, 2010

fainting attack in parkinson's disease

Fainting attacks in Parkinson’s Disease

Fainting attacks are episodes of loss of consciousness that occur due to various reasons. It starts suddenly, usually within seconds and so fast that many patients fall onto the floor before they can react to it. The episodes are generally short, ranging from seconds to several minutes. Following the attack, patients usually regain consciousness. It can occur only once or more depending on how soon patients are brought to the hospital for treatment.

Fainting attacks, even if it occurs only once, are serious matter. Patients must be brought to the hospital immediately for two reasons. Firstly, they may indicate the presence of serious medical problems such as heart disease. Secondly, during the falls, some patients may be unlucky enough to develop internal injury. The most serious and potentially life-threatening is head injury with bleeding in the brain.

Fainting attacks do not just affect patients with Parkinson’s Disease (PD). It can happen in any patient, sometimes healthy people. Despite this, particular attention should be paid to PD patients because they have a higher risk of developing fainting attacks than anyone else. This is because most PD patients are elderly people who commonly have heart or brain diseases that can cause fainting attacks. In this article, I will discuss the various causes of fainting attacks among patients with such as follows;

a) Heart diseases

This is the most serious disease because heart problems can lead to immediate death. The usual heart problem that can cause fainting attacks is cardiac arrhythmia, which is a disorder of heart rhythm. Patients with cardiac arrhythmia get fainting attacks because the abnormal heart rhythm affects the normal heart function. This leads to reduced amount of blood and oxygen that go to the brain. As a result, the brain activity is disturbed and patients lose consciousness. Following the fall, patients regain consciousness within less than a minute.

Cardiac arrhythmia is a manifestation of several types of heart diseases. This could be a disorder that is called “sick sinus syndrome” that usually occurs in elderly people. In this disorder there is disruption of the electrical circuit in the heart due to ageing process. As a result, the heart rhythm is chaotic. The proper treatment for this problem is a heart pacemaker, whereby a battery sends electric signals to the heart in order to regulate the heart rhythm. Another type of heart disease is a heart attack that is caused by blockage of the blood vessels in the heart. Heart attack is also more common in the elderly people. In view of the strong tendency of elderly people to get heart diseases, anyone who has have a fainting attack must seek specialist treatment without delay.

b) Brain diseases

The most common brain disease that can cause fainting attacks is seizure or fit. This disorder is characterized by uncontrollable jerking of the limbs with loss of consciousness. The attack starts suddenly. Sometimes there are also dribbling of saliva, urine incontinence (passing urine without being able to control it) and bluish discolouration of the lips. Each attack usually lasts several minutes. Following the attack, the patient complains of headache and sleepiness. Sometimes, the patient becomes confused for up to one hour.

Seizure / fit can be either a disease on its own (epilepsy) or due to various other diseases such as stroke, brain tumour, brain infection, etc. The patient should be investigated immediately at the hospital and treated with drugs to prevent seizure from happening again.

c) Low blood pressure (postural hypotension)

This is condition which results in reduced amount of blood / oxygen going to the brain. Consequently, the patient loses consciousness. The fainting attacks typically occur when the patient is standing up from a sitting position or walking. The patient usually regains consciousness immediately following the attack (within less than one minute).

There are many reasons why a patient can develop postural hypotension. The most common cause in a PD patient is the medication itself (Madopar, Sinemet, Jumex, bromocriptine, Trivastal, etc). Occasionally, it is due to the PD itself. Other less common causes are dehydration (due to severe vomiting, diarhoea, bleeding in the stomach) and heart failure.

The treatment of postural hypotension depends on the cause. If it is due to Parkinson’s drugs, the dose of the drugs should be reduced. Usually, the dose of all other drugs is reduced before Madopar / Sinemet, because these two drugs are the most efficacious drugs in PD. At the same time, the patient is advised to sit on the bed or chair for about several minutes before standing up.

If these measures fail (and investigations have determined that there is no other causes such as heart failure), fludrocortisone can be used. This drug helps by elevating the blood pressure.

d) Low blood sugar (hypoglycemia)

In this condition, the blood sugar level is lower than normal (less than 2.5 mmol / l). As a result, patients lose consciousness. Hypoglycemia usually occurs in diabetic patients, either due to overdose of diabetic pills or missing the meal. In less severe cases, patients do not faint but develop symptoms such as dizziness, hunger, cold sweat and weakness of body.

Hypoglycemia is dangerous because it can kill a patient in a very short time. It is important to get a blood sugar level immediately to detect this condition. The immediate treatment of hypoglycemia is administration of sugar by giving sweet drinks (three to four teaspoons of sugar in a cup of water, Coca Cola, Pepsi, etc). If there is immediate access to hospital, the doctor can set up a drip to give sugar solution.

e) Sleep attacks

This is actually a very rare condition. During the attacks, patients just dose off without any warning. It happens at certain situation when people usually do not sleep, such as driving, doing computer work, having meals, etc. Sleep attacks are one of the very rare side effects of PD drugs.

f) Emotional problems

Occasionally, patients who have emotional problems may develop fainting attacks. It can be caused by extreme anger / sadness, e.g. hearing a very bad news. It should be emphasized that all other causes of fainting attacks must be excluded before the fainting attacks are attributed to emotional problem.

In conclusion, fainting attacks are serious disorder that are caused by various other potentially life threatening diseases. Patients should be immediately brought to the hospital for extensive investigations and treatment.

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Benson Xhaga said...

I was diagnosed with Parkinson’s disease a year ago at the age of 68. For several months I had noticed tremors in my right hand and the shaking of my right foot when I was sitting. My normally beautiful cursive writing was now small cramped printing. And I tended to lose my balance. Neurologist had me walk down the hall and said I didn’t swing my right arm. I had never noticed! I was in denial for a while as there is no history in my family of parents and five older siblings, but now accept I had classic symptoms. I was taking pramipexole (Sifrol), carbidopa/levodopa and Biperiden, 2 mg. and started physical therapy to strengthen muscles. nothing was really working to help my condition.I went off the Siferol (with the doctor’s knowledge) and started on parkinson’s herbal formula i ordered from Solution Health Herbal Clinic, my symptoms totally declined over a 5 weeks use of the Parkinsons disease natural herbal formula. i am now almost 70 and doing very well, the disease is totally reversed!! Visit there website www.solutionhealthherbalclinic.com or E-mail: solutionsherbalclinic@gmail.com

Carlos Benita said...

I am a 51 year old female that just found out I have Parkinson's, but I have been having signs of it for years, tremors, depression, body weakness. ECT. I honestly don't think my doctor was reading the signs because of my gender and age. A few years ago I had my shoulder lock up on me and I was sent to a P.T since x-rays didn't show any physical damage. My shaking was getting worse and I began falling. Only when my speech became so bad that it brought concern to my dentist was Parkinson's even considered. He phoned my doctor with his concerns about my shaking and balance problems. By this time I was forgoing shots in the back of my neck for back and neck pain to which once again I was sent to a P.T (although x-rays showed no damage) I was told I had a few spurs which were most likely causing the pain. Here I was feeling like my whole body was falling apart and doctor could not find anything wrong, maybe in was all in my head? My doctor even seemed annoyed with me and things just kept progressing and I just kept it to myself, why bother going through testing and them finding nothing? Well, it was after my second P.T called my doctor about the weakness in my legs and arms, by this time I have developed a gait in my walk and I fell more frequently. Only then did my doctor send me to a specialist and it was found that I had Parkinson's, and that I have had it for awhile. I think because I was a woman that my signs and symptoms weren't taken seriously and therefor left untreated for so long,I was taking pramipexole dihydrochloride three times daily, I Was on carbidopa levodopa but only lasted 90 minutes then wore off.I found that none of the current medications worked effective for me.I got tired of using those medication so I decided to apply natural herbs formula that was prescribed to me by my second P.T, i purchase the herbal formula from totalcureherbsfoundation. com, There has been huge progression ever since I start the treatment plan which will last for 15 weeks usage.all the symptoms and sign has begin to disappear .

Anneke Sergio said...

Hello everyone, i'm Linda Harry from United State i was diagnosed with Parkinson Disease  for over 6 years which made me loose my job and my relationship with my Fiance after he discovered that i was having Parkinson, he departed from me, and i tried all my best to make him stays, but he neglected me until a friend of mine  from UK told me Great healer, who will restore my life back with his powerful healing herbal medicine. then he  sent me his email address to contact him- drimolaherbalmademedicine@gmail.com. and i quickly contacted him, and he said my condition can be solved, that he will treat the disease immediately only if i can accept trust on him and accept his terms and condition, i Agreed because i was so much in need of help by all means, so i did all he instructed me to do. And surprisingly after two weeks, He sent me a text, that i should hurry up to the hospital for a checkup, which i truly did, i confirm from my doctor that i am now ( PARKINSON NEGATIVE) my eyes filled with tears and joy, crying heavily because truly the disease deprived me of many things from my life, This is a Miracle, dr imoloa also uses his powerful herbal medicine to cure the following diseases:  lupus disease,  mouth ulcer,  mouth cancer, body pain, fever, hepatitis A.B.C.,   syphilis,  diarrhea,  HIV/AIDS,  Huntington's Disease,   back acne,  Chronic renal failure,   addison disease,  Chronic Pain,   Crohn's Disease,   Cystic Fibrosis,  Fibromyalgia,   Inflammatory Bowel Disease,  fungal nail disease, Lyme Disease, Celia disease, Lymphoma, Major Depression,  Malignant Melanoma,   Mania,  Melorheostosis,   Meniere's Disease,  Mucopolysaccharidosis , Multiple Sclerosis,  Muscular Dystrophy,  Rheumatoid Arthritis, Alzheimer's Disease, parkison disease, vaginal cancer, epilepsy,  Anxiety Disorders, Autoimmune Disease,   Back Pain,  Back Sprain,   Bipolar Disorder,  Brain Tumour,  Malignant,   Bruxism, Bulimia,  Cervical Disk Disease, cardiovascular disease, Neoplasms, chronic respiratory disease,  mental and behavioural disorder,     Cystic Fibrosis,   Hypertension, Diabetes, asthma,  Inflammatory autoimmune-mediated arthritis.  chronic kidney disease, inflammatory joint disease,  impotence,  feta alcohol spectrum,  Dysthymic Disorder,   Eczema, tuberculosis,  Chronic Fatigue Syndrome, constipation, inflammatory bowel disease, bone cancer, lung cancer. contact him on email- drimolaherbalmademedicine@gmail.com. and also on whatssap- +2347081986098

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Hello everyone, i'm Linda Harry from United State i was diagnosed with Parkinson Disease  for over 6 years which made me loose my job and my relationship with my Fiance after he discovered that i was having Parkinson, he departed from me, and i tried all my best to make him stays, but he neglected me until a friend of mine  from UK told me Great healer, who will restore my life back with his powerful healing herbal medicine. then he  sent me his email address to contact him- drimolaherbalmademedicine@gmail.com. and i quickly contacted him, and he said my condition can be solved, that he will treat the disease immediately only if i can accept trust on him and accept his terms and condition, i Agreed because i was so much in need of help by all means, so i did all he instructed me to do. And surprisingly after two weeks, He sent me a text, that i should hurry up to the hospital for a checkup, which i truly did, i confirm from my doctor that i am now ( PARKINSON NEGATIVE) my eyes filled with tears and joy, crying heavily because truly the disease deprived me of many things from my life, This is a Miracle, dr imoloa also uses his powerful herbal medicine to cure the following diseases:  lupus disease,  mouth ulcer,  mouth cancer, body pain, fever, hepatitis A.B.C.,   syphilis,  diarrhea,  HIV/AIDS,  Huntington's Disease,   back acne,  Chronic renal failure,   addison disease,  Chronic Pain,   Crohn's Disease,   Cystic Fibrosis,  Fibromyalgia,   Inflammatory Bowel Disease,  fungal nail disease, Lyme Disease, Celia disease, Lymphoma, Major Depression,  Malignant Melanoma,   Mania,  Melorheostosis,   Meniere's Disease,  Mucopolysaccharidosis , Multiple Sclerosis,  Muscular Dystrophy,  Rheumatoid Arthritis, Alzheimer's Disease, parkison disease, vaginal cancer, epilepsy,  Anxiety Disorders, Autoimmune Disease,   Back Pain,  Back Sprain,   Bipolar Disorder,  Brain Tumour,  Malignant,   Bruxism, Bulimia,  Cervical Disk Disease, cardiovascular disease, Neoplasms, chronic respiratory disease,  mental and behavioural disorder,     Cystic Fibrosis,   Hypertension, Diabetes, asthma,  Inflammatory autoimmune-mediated arthritis.  chronic kidney disease, inflammatory joint disease,  impotence,  feta alcohol spectrum,  Dysthymic Disorder,   Eczema, tuberculosis,  Chronic Fatigue Syndrome, constipation, inflammatory bowel disease, bone cancer, lung cancer. contact him on email- drimolaherbalmademedicine@gmail.com. and also on whatssap- +2347081986098

Gary Tracy said...

Sincerely i was so sad when my husband was diagnosed of Parkinsons disease 2 years ago, when he was 49. He had a stooped posture, tremors, right arm does not move and also a pulsating feeling in his body. He was placed on Senemet for 8 months and then Siferol was introduced and replaced the Senemet, during this time span he was also diagnosed with dementia. He started having hallucinations, lost touch with reality. Suspecting it was the medication I took him off the Siferol (with the doctor’s knowledge) and started him on PD natural herbal formula we ordered from Dr James, his symptoms totally declined over a 3 weeks use of the Dr James HERBAL Formula or Parkinsons disease natural herbal formula. He is now almost 51 and doing very well, the disease is totally reversed! my Husband was cured and now my Husband is free from Parkinsons, i went to the hospital that said there was no cure to Parkinsons and informed them about my Husband healing and they were surprised. here is the contact email ( jamesherbalformula@gmail.com ) also reach him on hangout or through his whatsapp number via +2348102574680 Regards.

Benson Arnold said...

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