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helplinedonate
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malexander

Exhalation

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I have noticed for the last several years that my exhalations have not been smooth.  Actually, I am not aware of this in general activity throughout the day.  I notice it when I practice meditation or yoga or any time I attempt a long smooth exhalation.  I can maintain a smooth even inhalation easily over 10 seconds, but the exhalation often gets broken up after about 3 seconds.  Before PD, I had previously had no such problem.  My question is whether this can be a PD symptom--affecting the diaphragm muscle, and, if so, is there any way of treating it.  I have had tremor-dominant PD for 9 years and DBS for 5 years.

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This could be PD related but also can be heart or lung related.  Generally we have the primary care doc check out heart and lungs.  Then on the PD side we try to make sure doses and intervals are ok.  Finally if bothersome after that we ask the speech therapist to do expiratory muscle strength training (EMST).  Cannabis can also sometimes help with breathing as in many cases there is an anxiety component from the Parkinson.

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