Looking Back - What Were Your Early Warning Signs of Parkinson's?

Posted by Singularity @azsingularity, May 8 6:06pm

I'm 51 and do not (currently) have Parkinson's. However, I've been deemed to be "at high risk of developing PD" due to having something called REM Sleep Behavior disorder (RBD), which I was diagnosed with 2 years ago (after suffering from it for 5 years prior).

I did see a neurologist at Mayo after the RBD diagnosis, who ran me through the battery of PD tests, but she said I wasn't showing any detectable signs of it.

She tried to set my mind at ease by saying there IS a (small) chance I'll never actually develop PD. Yay for that, I guess.

For those of you who have Parkinson's, I'm curious:

Looking back over your "healthy years," knowing what you know now, were there any very early (pre-diagnosis) warning signs that you didn't recognize at the time? Anything you ignored or just wrote-off as "normal"?

What I'm getting at here is: short of the obvious symptoms (tremors, walking issues, etc), is there anything subtle I should be on the lookout for... so I know when to reach out to a neurologist again?

Interested in more discussions like this? Go to the Parkinson's Disease Support Group.

I did see a neurologist yesterday and he said to come back in 6 months. I have been falling and he said thats usually at the end. My speech has slowed (according to friends that dont see me very often), Im drooling and have an unsteady gate, handwriting is smaller and an effort and Ive lost coordination. Im 66 yo, btw. No tremors tho. i did not have any symptoms at all before...

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First of all, I want to say thanks for sharing your story, my heart goes about to you! It’s challenging to navigate through the symptoms while trying to keep up with everything else going on in our lives. Having Parkinson’s Disease definitely changes plans for each of us.

I am 73 years old now, and was formally diagnosed with PD three months ago. I am a Vietnam Veteran and I seek medical care through the VA. My PD diagnosis came after the VA Neurologist at our local clinic sent me to have a DATScan performed. A DATScan is a type of brain scan that uses a radioactive drug to help diagnose Parkinsonian syndromes. It specifically visualizes the Dopamine transporters in the brain. The scan can help differentiate Parkinson’s from other conditions with similar symptoms. In my case, I have had Tremor in my hands for 9 years. But within the past 3 years the tremors have seemed to expand to other parts of the body. Sometimes subtle, I would have tremor in the legs at night, even my tongue had tremor just a few times. Also three years ago I had commented to my Primary Care Doctor that I had some trouble with swallowing. I also reported GERD. Further tests indicated I did have Moderate Dysmotility and Mild GERD. And then 2 years ago, I began to recognize that I had symptoms of Depression. My sleeping habits were not what they should be. All of what was happening to me are symptoms of PD. The DATScan came back with results indicating Parkinson’s, and my Neurologist started me on Carbidopa/Levodopa. I feel that I am in early stages, so me and my wife are now trying to evaluate how things are likely to change going forward and are actively making decisions with this information in mind. Another resource that we find very helpful is the Davis Phinney Foundation for Parkinson’s. The foundation produces informative videos, webinars, and Zoom meetings that are no cost to you, and on YouTube where I learn so much from other PD people like me with years of experience dealing with the disease. I highly recommend this forum as an option to help anyone with PD, or anyone who wants to learn more about symptoms that must be dealt with by PD patients, spouses, etc. PD affects people in various ways. My PD symptoms may be very different from those that you know. It helps me understand my disease, helps me prepare for what’s coming so that me and my wife can have the best life possible! I hope this makes sense to you, and I sincerely wish you the best!

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Profile picture for grandmaraines @grandmaraines

My husband's early signs were major depression/anxiety issues for years before and i was noticing about 4 years ago he was not swinging his arms when he walked and had a slight shuffle walk and his handwriting was getting small and cramped. He was experiencing some short term memory issues and some acting out dreams. He had OH but that was attributed to his heart issues. We went to a neurologist but when he heard he did not have symptoms of PD (he did not share anything and would not was not asked to talk to doc to share what i was seeing- he never shares anything well with docs and was in denial cause his mom had PD and he did not want to hear it. Go forward a year, very small tremors in hands, constipation issues, some dizziness on standing and PCP referred him to neuro again. Saw a different doctor. This time was told he did not have enough definitive symptoms but could be on the verge. Offered to start Levadopa- he turned it down - all he heard was that he did not have it- more denial. Another year, several falls - like at least once a week (broke hip on one- needed total replacement. And fell flight of stairs twice) more hand tremors, he finally realized he needed help and back to neurologist. This time diagnosed with PD. Unfortunately i feel he is escalating fast in just a few months- tremors, dyskinesia with major leg spasms, can barely walk even with a rollator walker, more memory issues, slurred speech, confused easily, hallucinations, lots of constipation, poor sleep but also very fatigued, can't write anything and mobility getting so bad because he falls frequently and with bad knees he struggles to get up- i can not lift him. i think we now need a wheelchair. I so wish he had not been in denial for so long as we might have been able to slow things down with meds and exercise.
My recommendation is do your research- there are lists of PD symptoms, including early ones that are non-mobility ones. Start exercise daily- that is good for anyone, PD or not. Journal any symptoms to be able to share concerns with Dr and self advocate - i felt the 1st Dr we went to should have asked me what i was seeing and on the day of the visit he was actively hiding his visible symptoms, so in a short 10 min visit declared him okay. If you feel you are having early signs, do not let it go, seek another opnion if needed.

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How old is your husband? How long from when you saw signs until today? I feel for you.

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I’m 68 and recently developed a right hand tremor. The doctor says it’s likely PD. I’m looking for others experiences and advice.

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Profile picture for kfritz0627 @kfritz0627

I’m 68 and recently developed a right hand tremor. The doctor says it’s likely PD. I’m looking for others experiences and advice.

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Get an appointment with a Movement Disorder Specialist Neurologist right away as it takes quite awhile to get in. And, see if your area has some type of Parkinsons Association. They have a lot of information. Best of luck.

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Profile picture for kfritz0627 @kfritz0627

I’m 68 and recently developed a right hand tremor. The doctor says it’s likely PD. I’m looking for others experiences and advice.

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Hello! It’s a little scary when you get that diagnosis! I assume it was your Neurologist that told you it was likely PD? Did he start you on medication? I was just diagnosed 3 months ago, and I’ve been trying to learn about the disease from various resources. If you can watch YouTube, there is a Davis Phinney Foundation that is focused on Parkinson’s Disease. They offer videos from doctors and medical professionals, webinars, panel discussions, etc. It’s an excellent resource. It you use AI for information, it’s very good too! I use ChatGPT to look up allot of information, I find it useful as well. I would say that you should be doing allot of reading and learning! Don’t panic!

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Profile picture for kayak461 @kayak461

Hello! It’s a little scary when you get that diagnosis! I assume it was your Neurologist that told you it was likely PD? Did he start you on medication? I was just diagnosed 3 months ago, and I’ve been trying to learn about the disease from various resources. If you can watch YouTube, there is a Davis Phinney Foundation that is focused on Parkinson’s Disease. They offer videos from doctors and medical professionals, webinars, panel discussions, etc. It’s an excellent resource. It you use AI for information, it’s very good too! I use ChatGPT to look up allot of information, I find it useful as well. I would say that you should be doing allot of reading and learning! Don’t panic!

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Yes, my neurologist said it’s likely PD and prescribed the l-dopa replacing medication to see if it affects the tremor. He said if the medication reduces the tremor then it’s most likely PD I’ve been doing a lot of reading and yes, I use AI which I found very useful. I was disappointed that there aren’t more solutions to the various symptoms of Parkinson’s.

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Yes….its a bummer for sure. I think that it’s all about managing symptoms from here on out. I try to learn about this disease, and I am learning. The YouTube channel I mentioned in the first message is really a good resource. I feel that the more I can learn, the better prepared me and my wife are going to be when things get worse. It’s disappointing, but don’t let it get you down!

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Loss of sense of smell, profound fatigue, and poor walking and balance around 30 years before diagnosis, when many other symptoms began to make life difficult. No tremor. Approximately 30% of patients don’t have a tremor and supposedly it progresses faster but I’m still going 😊

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Also a couple of good podcasts from people with PD are 2 Parkies in a Pod and Movers and Shakers.

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