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#1 Ljubica Lojan

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Posted 22 September 2013 - 07:34 AM

My husband PD patient for 15 years started having mucus accumulation in his throat. This is especially bothersome at night. He does not have a cold.Is this PD related? Thank you for your reply.



#2 Dr. Okun

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Posted 22 September 2013 - 10:34 AM

This could be related.  We optimize dopaminergics, drink lots of water and get a speech and swallowing assessment with a swallow study.  Good luck.


Michael S. Okun, M.D.

Author of Amazon Kindle, Paperback and Audio of 10 Breakthrough Therapies for Parkinson's Disease
Author of the Amazon Bestseller Parkinson's Treatment: 10 Secrets to a Happier Life
National Medical Director | NPF
UF Center for Movement Disorders & Neurorestoration
Read More about Dr. Okun at: http://movementdisor...hael-s-okun-md/
or Visit Parkinson's Disease treatment and research blogs at:
NPF's What's Hot in Parkinson's disease
or his parkinsonsecrets.com blog for treatment tips


#3 Ljubica Lojan

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Posted 22 September 2013 - 10:55 AM

Would you please tell me who is doing swallowing assessment? Is it the same person as for speech therapy? My husband is on Sinemet, Sinemet CR and Azilect.

His mucus is the worst at night. He can swallow the food. From where is the mucus coming?



#4 Dr. Okun

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Posted 22 September 2013 - 03:42 PM

Swallowing study can be done by the same person doing speech.  Sometimes re-dosing sinemet at night when a person with Parkinson's awakens helps.  Many people believe the mucus is from slowing or bradykinesia of the swallowing muscles.  Drinking lots of water, chewing gum and seeing a speech expert can be helpful.


Michael S. Okun, M.D.

Author of Amazon Kindle, Paperback and Audio of 10 Breakthrough Therapies for Parkinson's Disease
Author of the Amazon Bestseller Parkinson's Treatment: 10 Secrets to a Happier Life
National Medical Director | NPF
UF Center for Movement Disorders & Neurorestoration
Read More about Dr. Okun at: http://movementdisor...hael-s-okun-md/
or Visit Parkinson's Disease treatment and research blogs at:
NPF's What's Hot in Parkinson's disease
or his parkinsonsecrets.com blog for treatment tips


#5 Ljubica Lojan

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Posted 23 September 2013 - 09:45 AM

I would like to understand why my husband can swallow the food but slowing down of muscles effects mucus accumulation.



#6 Dr. Okun

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Posted 25 September 2013 - 07:42 PM

It is all potentially part of the clinical symptoms associated with Parkinson's.  It is totally possible to be able to swallow food but also accumulate mucus.


Michael S. Okun, M.D.

Author of Amazon Kindle, Paperback and Audio of 10 Breakthrough Therapies for Parkinson's Disease
Author of the Amazon Bestseller Parkinson's Treatment: 10 Secrets to a Happier Life
National Medical Director | NPF
UF Center for Movement Disorders & Neurorestoration
Read More about Dr. Okun at: http://movementdisor...hael-s-okun-md/
or Visit Parkinson's Disease treatment and research blogs at:
NPF's What's Hot in Parkinson's disease
or his parkinsonsecrets.com blog for treatment tips


#7 keepontruckin

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Posted 10 March 2016 - 01:28 PM

Hi, I was diagnosed with PD last year and I've really had problems with mucus/plehm for a while now. It's usually worse at night and I don't know if my sinuses are the problem, or is it just another joy of having PD. My MDS said that excess saliva is common but it's more likely something that a ENT doctor should look at. However, I don't think that this is from the sinuses. It's like a lot of post nasal drip in the back of my throat and my PCP saw it and put me on antibiotics. I've been on high doses of antibiotics and it does nothing to help with the mucus. I do sometimes get sinus infections (a few times a year) and then the antibiotics. 

 

I'm wondering if this is common with my PD friends having this thick mucus draining problem - seemingly from the sinuses? It seems to have gotten worse since I was put on Sinemet. It's messing with my voice as well.

 

Sinemet 25/100 - 3 x daily for the last year.

Recently added Sinemet CR and Azilext at bedtime.

Prozac daily in morning



#8 Dr. Okun

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Posted 23 March 2016 - 05:55 PM

Yes this can definitely happen in Parkinson (mucus and post-nasal drip sensation).  Montelukast is a leukotriene inhibitor that is now generic and may be better than some of the sedating drugs like claritan.  Hope that helps. Also, sometimes a higher dose of Sinemet helps to clear more mucus and saliva.


  • keepontruckin likes this

Michael S. Okun, M.D.

Author of Amazon Kindle, Paperback and Audio of 10 Breakthrough Therapies for Parkinson's Disease
Author of the Amazon Bestseller Parkinson's Treatment: 10 Secrets to a Happier Life
National Medical Director | NPF
UF Center for Movement Disorders & Neurorestoration
Read More about Dr. Okun at: http://movementdisor...hael-s-okun-md/
or Visit Parkinson's Disease treatment and research blogs at:
NPF's What's Hot in Parkinson's disease
or his parkinsonsecrets.com blog for treatment tips


#9 keepontruckin

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Posted 30 March 2016 - 10:27 AM

Thanks so much for your reply! I look forward to reading your books in order to understand more about this disease.



#10 Dr. Okun

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Posted 02 April 2016 - 09:05 AM

I am happy we can help in any way.  We also have a 1004PDINFO hotline and I am glad you will read the books!  Hope they help.


Michael S. Okun, M.D.

Author of Amazon Kindle, Paperback and Audio of 10 Breakthrough Therapies for Parkinson's Disease
Author of the Amazon Bestseller Parkinson's Treatment: 10 Secrets to a Happier Life
National Medical Director | NPF
UF Center for Movement Disorders & Neurorestoration
Read More about Dr. Okun at: http://movementdisor...hael-s-okun-md/
or Visit Parkinson's Disease treatment and research blogs at:
NPF's What's Hot in Parkinson's disease
or his parkinsonsecrets.com blog for treatment tips


#11 newguy2

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Posted 02 May 2016 - 12:10 PM

Please see the two below references on the use of an anticholinergic nasal spray for symptomatic relief.  It's worth discussing with your doctor as its seems to provide symptomatic relief in PWP.  Likely another symptom related to autonomic disregulation.  I hope it helps if you use it.

 

A prospective study: Clinical significance of anticholinergic nasal sprays in patients with Parkinson's disease afflicted by rhinorrhea

 

Anticholinergic Nasal Spray Eases Rhinorrhea in Parkinson's



#12 Dr. Okun

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Posted 07 May 2016 - 09:25 AM

Thank you for this post!


Michael S. Okun, M.D.

Author of Amazon Kindle, Paperback and Audio of 10 Breakthrough Therapies for Parkinson's Disease
Author of the Amazon Bestseller Parkinson's Treatment: 10 Secrets to a Happier Life
National Medical Director | NPF
UF Center for Movement Disorders & Neurorestoration
Read More about Dr. Okun at: http://movementdisor...hael-s-okun-md/
or Visit Parkinson's Disease treatment and research blogs at:
NPF's What's Hot in Parkinson's disease
or his parkinsonsecrets.com blog for treatment tips


#13 djack1012

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Posted 10 June 2016 - 02:56 PM

So I have had mucas issues for years. Always after eating or while eating. Dr's could never figure out why. Diagnosed with PD in sept 2015. Now wonder if I have had PD far longer then I thought.

#14 Dr. Okun

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Posted 12 June 2016 - 05:55 PM

It is definitely possible.


Michael S. Okun, M.D.

Author of Amazon Kindle, Paperback and Audio of 10 Breakthrough Therapies for Parkinson's Disease
Author of the Amazon Bestseller Parkinson's Treatment: 10 Secrets to a Happier Life
National Medical Director | NPF
UF Center for Movement Disorders & Neurorestoration
Read More about Dr. Okun at: http://movementdisor...hael-s-okun-md/
or Visit Parkinson's Disease treatment and research blogs at:
NPF's What's Hot in Parkinson's disease
or his parkinsonsecrets.com blog for treatment tips





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