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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What could tachycardia, excessive sweating, constipation, low glucose levels, poor co-ordination indicate?

I am 55 and have depression and anxiety symptoms. Also had a spinal fusion C5/6 last Feb for spondylosis. Was referred to PT for treatment to relive remaining numbness but he suggested seeing neurologist. Saw a neurologist who was dismissive of my problems which are trouble swallowing, poor hand/eye coordination, severe constipation and autonomic nervous system symptoms of tachycardia and excessive sweating. Collapsed in street a few weeks ago and had glucose level in blood of 3.1- banged back of skull but was not concussed although had momentary loss of consciousness. I have a feeling that I could have Parkinsons disease- 2 odd facts being a sudden craving for bananas, which I hated before and starting to smoke for first time-I have read that these 2 things raise Dopamine levels. Have MRI booked for 5/4 but understand that PD doesn t show up on them. From these details, what do you think?
Tue, 4 Dec 2018
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Neurologist 's  Response
Hello,

Point of clarification so that you are clear about concussions and TBI's. If you had a "momentary loss of consciousness" then, by definition you DEFINITELY suffered a concussion and even more to the point, a TRAUMATIC BRAIN INJURY (TBI).

That event by itself should get the attention of at least a neurologist with a subspecialty or interest in this type of problem. I suggest you see such a specialist.

You are a bit on the young side to have PARKINSON'S DISEASE and there is no correlation between your cravings and the onset or risk of developing PARKINSON'S DISEASE.

In fact, perhaps it would help to understand that PARKINSON'S DISEASE comes about as the result of a LACK or DEFICIENCY in dopamine in the body.

If you have read that smoking and banana ingestion RAISE dopamine then, clearly this is against the notion of developing PD.

I am not sure what the MRI scan is actually going to show in your case and yes, you are correct.

PD is not something that can be diagnosed by MRI or any other imaging study. It is still a diagnosis made on clinical (not laboratory or diagnostic testing) grounds.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Dariush Saghafi, Neurologist
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