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Non-Motor Parkinson's Symptoms

Reviewed By: Andrew Seibert,

SOURCES: 2010 Medical Reference from Medstar Television. Theresa Zesiewicz, MD, Neurologist, University of South Florida, Tampa.

© 1999-2011 Medstar Television

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Narrator:

Parkinson’s disease is a “movement” disorder with a noticeable tremor. But patients like Duke Mader (may-der) will tell you there are also troublesome symptoms you can’t see.

Duke Mader:

Sleeplessness, some nights I go three days without sleeping at all.

Zita Mader:

He doesn't talk about it to his neurologist, ironically, 'cause he feels that it's not part of the disease.

Narrator:

But it is. So are constipation, urinary incontinence, sexual dysfunction and mood disorders.

Theresa Zesiewicz, M.D.:

Those are what we call the non-motor symptoms. And for years and years, these went under-recognized.

Narrator:

Now they may get more attention because researchers at the University of South Florida helped develop new treatment guidelines.

Theresa Zesiewicz, M.D.:

Before we were focusing on the motor symptoms. Now, with a screening tool, it’s easier for us to ascertain what are the non-motor symptoms for patients and to better handle these, these symptoms.

Narrator:

The guidelines recommend the most effective medications for specific non-motor symptoms. They also suggest that neurologists reach out to other subspecialties on hard-to-treat cases.

Theresa Zesiewicz, M.D.:

For example: Suppose a patient has refractory constipation and we give them regular medication. It’s not uncommon that we have to pick up the phone and talk to a gastroenterologist to discuss the patient’s care and how to better treat the patient.

Narrator:

Patients can help themselves by speaking up about ‘all’ of their symptoms – whether they think they're linked to Parkinson’s or not.

Theresa Zesiewicz, M.D.:

Treating non-motor symptoms in Parkinson’s disease patients can make a huge difference.

Narrator:

A difference that can make a huge improvement in their lives. For WebMD, I’m Sandee LaMotte.

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