[56F] With uncontrollable movements and slurred speech
Patient Description
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Arora's Assessment
What might be happening
Based on the symptoms you've described, here are some possible explanations:
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Parkinson's Disease: This is a progressive neurological disorder that can cause tremors, muscle stiffness, and difficulty with balance and coordination. The sudden onset of symptoms is less typical, but it can present with jerky movements and slurred speech.
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Huntington's Disease: This is a genetic disorder that causes the progressive breakdown of nerve cells in the brain. It can lead to uncontrolled movements, emotional disturbances, and cognitive decline. However, it usually has a gradual onset and a family history of the disease.
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Stroke or Transient Ischemic Attack (TIA): A stroke or TIA can cause sudden onset of neurological symptoms, including jerky movements, slurred speech, and confusion. Immediate medical attention is crucial to rule this out.
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Medication or Substance-Induced Movement Disorders: Although you mentioned no new medications, some medications or substances can cause movement disorders as side effects. It's important to review all medications and supplements with a healthcare provider.
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Infections or Inflammatory Conditions: Certain infections or inflammatory conditions affecting the brain or nervous system can cause sudden onset of neurological symptoms. Examples include encephalitis or autoimmune disorders.
What you can do
Uncontrollable Movements and Slurred Speech:
- Seek Immediate Medical Attention: Given the sudden onset and severity of symptoms, it's crucial to see a healthcare provider as soon as possible. They may recommend imaging studies like an MRI or CT scan, blood tests, and possibly a referral to a neurologist.
- Document Symptoms: Keep a detailed journal of the symptoms, including their frequency, duration, and any potential triggers. This can be helpful for your healthcare provider.
- Safety Measures: Ensure a safe environment to prevent falls or injuries due to balance issues. Remove tripping hazards and consider using assistive devices if needed.
Muscle and Bone Pain:
- Pain Management: Over-the-counter pain relievers like acetaminophen or ibuprofen may help alleviate some of the pain. However, consult with a healthcare provider before starting any new medication.
- Gentle Exercise: Engage in gentle stretching and low-impact exercises to maintain muscle strength and flexibility. Physical therapy may also be beneficial.
- Heat and Cold Therapy: Applying heat or cold packs to the affected areas can help reduce pain and inflammation.
What you should look out for
Given the severity and sudden onset of your mother's symptoms, it's important to seek medical care as soon as possible. Reasons to seek care even more urgently include:
- Worsening Symptoms: If the jerky movements, slurred speech, or muscle pain worsen.
- New Symptoms: If new symptoms such as severe headache, vision changes, or difficulty breathing develop.
- Falls or Injuries: If she experiences any falls or injuries due to balance issues.
Remember, while I can provide information and suggestions, it's essential to consult with a healthcare provider for a formal diagnosis and appropriate treatment. You can also use MDandMe to journal symptoms, track progress, get insights, and share longitudinal medical notes with your provider.
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4 mo ago