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How can parkinsons be treated if there is atrophy in the mid-brain ? Which specialist can help alleviate side-effects of long-term use of dopamine drugs ?

Dear Doctor my brother is suffering from parkinson+ disease for last 4 years, he is on dopamine drug daily 3 tab, but is heaving severe dryness side effect that apart he is totally bed ridden practically no mobility even speach is lost and no control, even stool and urine passes in bed. Please can you guide me for specialist who can be consulted for this rear disease and suggest any remidial method. I understand this is terminal disease but atleast he can leave comfortable life. I shall send or upload MRI report which reads as atropy in midbrain with neuton are distroying with passage of time. Thanks: m. r.mehta mob: 09819447777
Asked On : Sun, 4 Sep 2011
Answers:  3 Views:  95
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Neurologist 's  Response
Midbrain atrophy with current bed bound status with minimal response to dopaminergic medications may suggest Parkinson's plus syndromes. Most likely could be PSP. However, your neurologist can tell better as he would have seen the patient. You can also ask for a Movement disorders specialist, for a opinion on parkinsonism.
Answered: Fri, 21 Dec 2012
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Orthopaedic Surgeon Dr. Aashish Raghu's  Response
Welcome to Healthcare Magic
This is mainly due to Parkinson's disease. You may need add on drugs as you could be experiencing on and off phenomenon with Dopamine medicine. You may need MAO inhibitors as well. Discuss with Neurologist about this. He may need urinary catheterisation and bed pan for passing stool for now. Let him drink plenty of water.
Answered: Sun, 4 Sep 2011
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Internal Medicine Specialist Dr. Fatima Clinic's  Response
Welcome to Health Care Magic.
Thanks for your query.
This may happen in Parkinson's disease.
The dryness of mouth could be due to medicines.
He needs further medicines.
Kindly consult a Neurologist/Neurophysician.
He needs urinary catheterization.
take care
Answered: Sun, 4 Sep 2011
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