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Dear Patti:

The dizziness that your father has experienced may or may not be due to the
Parkinson's and the Parkinson's medication he is on. Often, when someone
has a chronic illness such as Parkinson's, we tend to "blame" it for any
ailment that pops up.

Orthostatic hypotension (abrupt lowering of the blood pressure upon rising)
can occur not only in Parkinson's and some Parkinson's related illnesses,
but in other ailments as well. It is important to determine the cause of
the dizziness, whether it is actually a lowering of the blood pressure that
is causing it.  Sometimes, bouts of dizziness are not blood pressure
related at all.

Arbitrarily increasing salt (sodium) intake, without knowing what baseline
electrolyte levels are, can be dangerous. Sodium is an essential
electrolyte...a chemical in our blood and in tissues that helps maintain
balance and regulate the functions in our bodies. If there is another
underlying disorder that is the cause of the dizziness, disrupting the
electrolyte balance may be detrimental.

You indicate that there is not a Parkinson's specialist within your state.
Where do you live?  Perhaps there is one closer than you think.
If you'd like to have me try to locate a Movement Disorders Specialist
close to you, let me know.

In the menatime, until the cause of the dizziness is determined, advise
him, especially when rising from a lying down position to make every effort
to rise slowly.  When he wants to get up, have him sit on the side of the
bed and "dangle" his legs for about two minutes.  When dangling (this is a
real medical term!!) have him gently swing his feet and toes, and this
should help a little.  If at all possible, have someone standing by the
side of the bed to render assistance, if necessary.

Warm Regards,

Bonnie Cunningham, R.N.
Patient Services Director
National Parkinson Foundation



<<<<I'm new to the list, and hope I've done this correctly so that I can
get some information. My dad who's 75 has Parkinson's and has been on
medication for some time.  He complains of extreme dizziness, and must hold
onto something almost all the time to keep from falling.  His doctor has
been unable to tell him whether this is to be expected with Parkinson's,
whether it may be a result of medication (I think perhaps not as he is very
dizzy in the morning before he has had any medication), or whether there
might be some other cause.  Does anyone have any insight into this?  The
doctor seems uninterested in this problem, and there is no one in our state
who specializes in treating Parkinson's patients.

Thank you in advance for you help.

Patti>>>>>>>