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-----Oorspronkelijk bericht----- Van: Julius Margolis <[log in to unmask]> Aan: [log in to unmask] <[log in to unmask]> Datum: vrijdag 20 augustus 1999 8:32 Onderwerp: Respiratory Dysfunction Hi Julius, >> My wife, Doris, 76/6, has had severe difficulties in breathing during her off periods. The neuros tell us there are chest muscle rigidities and as a consequence breathing is more "labored." Better drug management will reduce her off periods and that is all that we can do to improve her breathing. << I suppose the breathing problems at night could be reduced by using Sinemet CR at night. Secondly she should consult a physical therapist for breathing excersizes combined with excersizes to improve the mobility of the chest (rib-spreading excersizes). At home she should do these excersizes in her ON periods resulting in easier breathing while off too. Thirdly low bloodpressure (worse in OFF periods) may in some cases result in breathing problems. >> This pumping of the diaphragm, I feel sure, is a major contributor to her irritable bowel syndrome. << If this problem persists for a longer period, other diseases should be taken into consideration. Consult your GP and/or request further examination. >> I believe, only supported by intuition, that the respiratory problems are a developmental sequel to her "internal tremors." << Internal tremors are parkinsons related, but not by definition related to breathing problems. Internal tremor can keep existing by itself or proceed external tremor appearing after some period. Hans.