Q. What are the early signs and symptoms of Parkinson's disease?

Doctor Answer is medically reviewed by SecondMedic medical review team.

Answered by Secondmedic Expert

The early signs and symptoms of Parkinson's disease can be subtle and may vary from person to person. Not everyone with Parkinson's disease will experience all of these symptoms, and some individuals may have additional non-motor symptoms. Common early signs and symptoms of Parkinson's disease include:

1. Tremors: Tremors or shaking, often starting in one hand. This is one of the hallmark symptoms of Parkinson's disease. These tremors are typically more noticeable at rest and may lessen with purposeful movement.

2. Bradykinesia: Slowness of movement, making everyday tasks take longer to complete. It can affect tasks like buttoning a shirt, walking, or getting up from a chair.

3. Muscle Rigidity: Stiffness in the muscles, which can cause discomfort and reduced flexibility. This rigidity can affect various parts of the body.

4. Postural Instability: Difficulty maintaining balance and an increased risk of falling, especially when turning or changing direction while walking.

5. Changes in Handwriting: Known as micrographia, people with Parkinson's disease often experience a reduction in the size of their handwriting over time.

6. Reduced Arm Swing: A decreased or absent arm swing while walking, which can make a person's gait appear stiff or unnatural.

7. Mask-Like Expression: A fixed, emotionless facial expression, often referred to as a "mask-like face."

8. Soft Speech: Speaking softly or with a monotonous tone, sometimes accompanied by slurred speech.

9. Decreased Sense of Smell: Hyposmia, or a reduced ability to smell and identify odors, can be an early non-motor symptom of Parkinson's disease.

10. Sleep Disturbances: Sleep problems, including insomnia, restless legs syndrome, and rapid eye movement (REM) sleep behavior disorder, may occur in the early stages of the disease.

11. Constipation: Gastrointestinal symptoms like constipation are common in Parkinson's disease.

12. Depression and Anxiety: Mood changes, including depression and anxiety, can occur early in the disease and may be related to both the physical and psychological impact of the condition.

It's important to note that not all individuals will experience these symptoms, and some may have a combination of motor and non-motor symptoms. Additionally, the progression of symptoms can vary widely among people with Parkinson's disease. If you or someone you know is experiencing any of these symptoms, especially if they persist or worsen over time, it's important to seek medical evaluation and consultation with a healthcare professional, preferably a neurologist experienced in Parkinson's disease, for proper diagnosis and management. Early diagnosis and intervention can help improve the quality of life for individuals with Parkinson's disease.

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Q. Hello Doctor, from past 3 weeks I have too much dandruff problem and it cause hair loss will you suggest any best solution for this?

Doctor Answer is medically reviewed by SecondMedic medical review team.

Answered by Secondmedic Expert

Dealing with excessive dandruff leading to hair loss can be frustrating, but there are effective ways to address this issue. Here's what you can do:

1. Switch to a Gentle Shampoo: Opt for shampoos specifically designed for dandruff, containing ingredients like ketoconazole, zinc pyrithione, coal tar, or selenium sulfide. Use these shampoos regularly to reduce dandruff buildup.

2. Scalp Massage: Gently massage your scalp while shampooing to help remove flakes and improve blood circulation, which can promote healthier hair growth.

3. Avoid Hot Water: Wash your hair with lukewarm water instead of hot water, as hot water can dry out your scalp and worsen dandruff.

4. Balanced Diet: Ensure you're eating a balanced diet rich in vitamins and minerals essential for healthy hair and scalp, such as omega-3 fatty acids, zinc, and B vitamins.

5. Manage Stress: Stress can exacerbate dandruff problems. Practice stress-relief techniques like meditation, yoga, or regular exercise to help manage stress levels.

6. Apple Cider Vinegar Rinse: Consider using diluted apple cider vinegar as a rinse after shampooing. It can help restore the scalp's pH balance and reduce dandruff.

7. Consult a Dermatologist: If the issue persists despite trying home remedies or over-the-counter solutions, seek advice from a dermatologist. They can provide a personalized treatment plan tailored to your specific scalp condition.

Remember, consistency is key when dealing with dandruff. Give these remedies some time to work, as immediate results might not always occur. It's essential to find what works best for your scalp, so don't get discouraged if you don't see immediate improvements.

Taking care of your scalp health not only addresses dandruff but also aids in reducing hair loss associated with this issue. Feel free to incorporate these tips into your routine and observe how your scalp responds. If the problem persists or worsens, seeking professional guidance is always recommended.

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