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Suggest Treatment For Parkinsons Plus Syndrome

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Posted on Mon, 8 Dec 2014
Question: My father 75 years is suffering from Parkinson plus, he never had tremors but he lost complete body balance also developed brain hemorrhage. He is in a very bad state and we are only just able to make him eat food. Only medicine is syn-dopa , which is not effective. Once in a month time i see a bit of eve movement . He has become very thin. He has also developed a type 4 bed sore even we take all possible care. can u suggest some medicine which may bring some life to him. He has been in this state for almost 2 years. I dont know what to do.
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Answered by Dr. Sudhir Kumar (17 minutes later)
Brief Answer:
Supportive care and physiotherapy can be given.

Detailed Answer:
Hi,

Thank you for posting your query.

I have noted your father's symptoms and it is unfortunate to note that he is suffering from Parkinsons plus syndrome. This is different from Parkinson's disease (PD), as people with PD respond to medications such as Syndopa, whereas people with Parkinsons plus do not get better with syndopa. Moreover, they worsen very rapidly.

At this stage, there are no medications to cure or make a significant improvement in his condition of Parkinsons plus. He needs to be looked after well and he should be given a lot of tender loving care.

This would include feeding via naso-gastric tube, regular physiotherapy, changing his position on bed every two hours, and doing daily dressing of bed sores.

I hope my reply has helped you.

I would be pleased to answer, if you have any follow up queries or if you require any further information.
     
Best wishes,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX
For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar
My blog: http://bestneurodoctor.blogspot.com/

Above answer was peer-reviewed by : Dr. Ashwin Bhandari
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Follow up: Dr. Sudhir Kumar (10 minutes later)
Sir any medication can u suggest for bed sore so that it does not deteriorate.
doctor
Answered by Dr. Sudhir Kumar (11 hours later)
Brief Answer:
Antibiotics

Detailed Answer:
Thank you for getting back.

He can be given antibiotics such as Augmentin Duo to treat the infection of the bed sore. Please get it prescribed by his treating doctor. In addition, he should be nursed/positioned away from the bed sore area, so as to prevent worsening. Daily dressing should be continued.

Best wishes,

Dr Sudhir Kumar MD DM
Above answer was peer-reviewed by : Dr. Shanthi.E
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Dr. Sudhir Kumar

Neurologist

Practicing since :1994

Answered : 6231 Questions

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Suggest Treatment For Parkinsons Plus Syndrome

Brief Answer: Supportive care and physiotherapy can be given. Detailed Answer: Hi, Thank you for posting your query. I have noted your father's symptoms and it is unfortunate to note that he is suffering from Parkinsons plus syndrome. This is different from Parkinson's disease (PD), as people with PD respond to medications such as Syndopa, whereas people with Parkinsons plus do not get better with syndopa. Moreover, they worsen very rapidly. At this stage, there are no medications to cure or make a significant improvement in his condition of Parkinsons plus. He needs to be looked after well and he should be given a lot of tender loving care. This would include feeding via naso-gastric tube, regular physiotherapy, changing his position on bed every two hours, and doing daily dressing of bed sores. I hope my reply has helped you. I would be pleased to answer, if you have any follow up queries or if you require any further information. Best wishes, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist Apollo Hospitals, XXXXXXX For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar My blog: http://bestneurodoctor.blogspot.com/