Tuesday, April 17, 2007

Breathing,Swallowing, Speech and PD: My brother


Breathing , swallowing , speech and PD

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Anonymous
Posted: Tue Apr 17, 2007 6:04 am Post subject: Breathing, Swallowing, Speech And PD ?

Dear Doctor,

In reply to your article "Weigh Loss" with PD as follows:
Is his weigh loss related with his problem of breathing?
I understand Breathing difficulties with PD i.e tighteness and contraction in the throat weaken muscles that control breathing (degeneration of brain cells in the areas involved smell may also contribute).

The breathing is not in full i.e the chest wall doesn't move i.e reducing sense of smell (seems to be minor problem), however it dampens the appetites, contributing the malnutrition.

It leads PD patient finds difficulty to sniffing/breathing in and out of large amount of air into the noise noisily.
It contributes the stomach (muscle tissue) contraction and affecting the urges and urines to the toilet and the swallowing dysfunctions.

Besides PD patients have muscles stiffness face (with infrequent blinking ) resulting from the tighteness and contraction in the throat weaken muscle that control breathing and speech
It contributes soft voice and slur your speech.


The swallowing dysfunctions and the immobility of PD are also leading the late PD patients to aspiration pnenumonia., a fatal infection complication diseases.
Therefore the late PD feels tiredness, sleepness,listless and always rest at bed.

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

Therefore PD is a Body, Mind and Soul disorders diseases.
Kindly comment. Thanks Teo Kim Hoe
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Dr. OkunJoined: 19 Jan 2007Posts: 251Location: University of Florida
Posted: Tue Apr 17, 2007 6:47 am Post subject:

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._________________Michael S. Okun, M.D.
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