Exacerbation of Parkinson's Disease

Parkinson's disease is a disorder of the central nervous system caused by a decline of nerve cells in the part of the brain that controls movement. The disease is progressive and there is no cure.

Sleeping

• Tremors caused by Parkinson's disease may be more intense when lying down.

  Lying down may increase the intensity of severe tremors caused by Parkinson's disease, leading to sleep disturbances. Avoiding caffeine, getting sufficient exercise, and not watching TV or reading in bed may help.

Medications

• Medications to treat Parkinson's disease may increase cognitive impairment.

  Taking medications that block nerve impulses or treat low dopamine conditions—a common treatment for Parkinson's—may worsen cognitive impairment. Ask your doctor about taking a medication less likely to cause cognitive side effects.

Meals

• Slow down and savor meals.

  Hurrying through meals causes stress and is likely to increase Parkinson's-related swallowing problems. Take your time while eating. Allowing crushed ice to melt in your mouth, starting about 20 minutes before a meal, may reduce inflammation in the throat.

Mental Health

• Untreated depression in a Parkinson's disease patient further diminishes the ability to use muscles and control movement. Receiving proper treatment for depression may improve overall function.

Significance

• Contributing factors should be considered when Parkinson's symptoms worsen. An increase in symptoms may be related to controllable variables rather than directly to disease.