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Parkinson’s, Anxiety, and Hearing/Speech
I need guidance regarding my father. He is diabetic and recently had very high sugar in august month, but after hospital treatment everything is under control now. He has ongoing hearing and speech problems since a severe high-sugar episode two years ago, and now he walks slowly with leg stiffness. He also has frequent BP fluctuations. One doctor suggested Parkinson’s and prescribed Syndopa 110 mg, but he has no tremors, so we are unsure. He becomes very nervous even with minor issues and keeps asking to see different doctors. Earlier, after his first high-sugar episode two years ago, his diabetic doctor had given him anxiety medication, but he stopped taking it about six months before this recent sugar spike in August. Could you please advise whether his symptoms suggest Parkinson’s, what tests we should do to confirm it, and what can be done to improve his hearing, speech, anxiety, and overall condition?
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Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.
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If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a free detailed discussion
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Can help but
Need more history
Kindly consult on 9three28010077 for appointment
Text/audio/ video consultation available
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Hi,
For a personalized plan, find me by searching "Dr Abhinav Tewari Neuropsychiatrist Lucknow" on Google Maps — my details are listed there.
ẄĤÃŤŠÅPP available on nine⁹ four⁴ one¹ five⁵ three³ nine⁹ four⁴ three³ seven⁷ nine⁹
Kind Regards,
Dr Abhinav Tewari
Consultant Neuro-Psychiatrist
MBBS (A.I.I.M.S., New Delhi)
MD (Psychiatry) (A.I.I.M.S., New Delhi)
DNB (NBEMS)
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Need few more details
Kindly consult
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Just rule out drug related EPS before starting these medicines
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Your father's symptoms suggest Parkinson's disease complicated by diabetic complications:
**Diagnostic Confirmation:**
1. Get DaTscan or MRI brain to confirm Parkinson's
2. Syndopa 110mg without tremors is unusual - need neurologist reassessment
3. Check: BP monitoring (orthostatic hypotension), HbA1c, renal function
4. Audiometry for hearing loss
5. Speech therapy evaluation
**Management:**
1. Continue Syndopa if confirmed Parkinson's - dosage may need adjustment
2. Speech and occupational therapy
3. Physical therapy for gait/leg stiffness
4. Optimize diabetes control - prevent future complications
5. Consider hearing aids
6. Manage anxiety - counseling/medications if needed
**Tests to Confirm:**
- Neurological examination by movement disorder specialist
- Brain imaging (MRI/DaTscan)
- Complete metabolic panel
The anxiety, hearing/speech issues, and slow walking could all be related to poorly controlled diabetes and possible Parkinson's.
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Fortunately Parkinson’s (even if he did have some symptoms of it) is usually not a rapidly changing condition.
Good diabetic and blood pressure control is the key.
Get his blood pressure checked when he is lying down and then when he is standing up to ensure there is no significant drop in his blood pressure which can cause problems with walking.
Make sure his feet are regularly checked as diabetes affects the nerves in the feet and can also cause problems with walking.
Get his Vitamin D and B12 blood tests checked in case they are low which can also contribute to his problems.
Hope he is not drinking alcohol as that makes things worse.
See a Physiotherapist nearby to get some strength and balance exercises he can use to get better.
Get your local doctor to check his ears for wax in case that is why he can’t hear properly.
Find out if there is a Speech Therapist in your area who can assess his speech difficulties further.
All the best.
J G S R
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No need for Parkinson medication. Let the sugars come under control, everything will be fine. Kindly consult with me on 94 two six 86 seven eight 96 for further guidance and treatment.
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You can consult me directly on Practo, or reach out via WhatsApp:
Eight Seven Six Two Seven Four Nine Nine Seven Four
I’ll guide you step-by-step with easy-to-follow treatment plans.
Early consultation helps avoid complications — feel free to connect.
Only whatsapp message no calls
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Small steps r also one of the features of parkinsonism as my mother had without tremours.
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High sugar could have affected his brain function. Now since his sugar is in control, brain function will take time to recover. Meanwhile medication for Parkinson’s will help reduce the symptoms. Also ensure proper diabetic control . Keep him regularly examined by physician
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Check thy
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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