This rapid breathing is a bit distracting - a bit tiring too. I was hoping that it was one of those symptoms which only showed up and wiped its feel and then took off - but its lingering a bit. Well - if it shows any sign of getting up to leave I am ready to slam the door behind it!
Excellent! Itâs calmed down a bit now! Happy Friday everyone!
Hi, Iâm glad itâs calmed down a bit. I had a period when I was additionally ill with other things that resulted in my heart rate speeding to a frightening rate up every time my PD drugs began to wear off. I used meditative Om chanting to stop this happening - part of chanting is breathing deep, slow and even, it relaxes your nervous system but also, because you are controlling how you breathe, it prevents your heart speeding up. I did this during every âoffâ for a couple of days and the rapid heart beat stopped happening, and it hasnât come back, which was even better than ever. Chanting is also good for reducing inflammation; managing anxiety; regulating thyroid; also very good for energizing your brain, amongst other things. Personally I feel itâs made a significant difference to how I manage PD as well as other conditions.
Just wondered if this might be of interest to you.
Anna
In February 2002 I developed muscle spasms (dystonia) around my eyes a few months after taking an antiemetic domperidone for migraine-induced vomiting. My gp misdiagnosed this movement disorder as stress and in May prescribed antidepressants. The muscle spasms began to spread to my face and neck, affecting my breathing. In August I noted, âbreath is short pants, Doctor says breathing sounds like anxiety â I donât think so â think itâs muscle spasm affecting my breathing and that makes me anxious.â
I rang the hospital and asked neurologistâs secretary if she knew if dystonia could affect your breathing. She couldnât say, âIâll get into troubleâ. No-one rang back. The Dystonia society eventually found a leaflet on laryngeal dystonia which can affect breathing.
Iâve never taken levodopa but the Parkinsonâs Foundation has a useful page:
Breathing & Respiratory Difficulties 2021 Parkinsonâs Foundation
âWearing offâ is a common experience among people with PD who have been taking levodopa for several years. These occur when the medication benefit wears off and PD symptoms (including shortness of breath) return before the next dose.
Respiratory dyskinesia refers to an occurrence of irregular and rapid breathing when levodopa medications reach their peak effect. These may accompanied by involuntary body movements, typically experienced as dyskinesia.
https://journal.chestnet.org/article/S0012-3692(15)44100-5/fulltext
Respiratory dyskinesia: an underrecognized phenomenon M. W. Rich, S. M. Radwany Chest Journal June 1994 Vol.105, Issue 6, P. 1826â1832
Treatment with levodopa (contained in Sinemet; Merck Sharp & Dohme), a dopamine precursor used in the treatment of parkinsonism, has been found to induce movement disorders in 30 to 80 percent of these patients.
Though tardive dyskinesia generally confines itself to the head, neck, and limbs, some patients suffer from a variant referred to as respiratory dyskinesia
Respiratory dyskinesia is an irregular, tachypneic [rapid] pattern of breathing due to involvement of the respiratory muscles by tardive dyskinesia. Very few primary care physicians or subspecialists recognize and understand respiratory dyskinesia. When reviewing tardive dyskinesia, textbooks and articles either fail to discuss this respiratory variant or dismiss it as rare. Unfortunately for those afflicted, respiratory dyskinesia is not rare.
Chiang et al offer another explanation for the underdiagnosis of respiratory dyskinesia. They note that of the four standardized rating scales for tardive dyskinesia, only one scale considers the respiratory facets.
http://website60s.com/upload/files/dyspnea-an-underestimated-symptom-in-parkins_2019_parkinsonism-related-di.pdf
Dyspnea: An underestimated symptom in Parkinsonâs disease G.Baille , C.Chenivesse , T. Perez, F.Machuron, K.Dujardin, D.Devos , L.Defebvre , C.Moreau Parkinsonism Relat Disord. 2019 Mar;60:162-166.
Dyspnea [shortness of breath] is one of the least well-characterized non-motor symptoms (NMS) associated with Parkinsonâs disease (PD).
A positive response to at least one question: âIn the last month, have you suffered from breathlessness?â and âIn the last month, have you had trouble breathing normally?â was considered to signify the experience of dyspneaâŚof 153 non-demented PD patientsâŚfrequency of dyspnea was 39.2%.
Development of a Non-Motor Fluctuation Assessment Instrument for Parkinson Disease Galit Kleiner-Fisman, R. Martine, A.E. Lang ,and M.B. Stern Parkinsonâs Disease, vol. 2011, Article ID 292719, 13 pages, 2011.
Appendix Non-Motor Fluctuation Assessment Instrument (NoMoFA)
(23) In the last week, did you feel short of breath? Yes No
If you answered âyesâ, did this get better or worse after you took your levodopa? Yes/No
Answer ONE of the following only if you answered âyesâ to above
Was feeling short of breath related to when your levodopa WAS working?
OR Was feeling short of breath related to when your levodopa WAS NOT working?
Hello Anna72. Yes that was interesting thanks. I usually practice âThe Buteyko Methodâ to control my breathing
Hello Appletree. Thanks for that - Iâd read that page but thanks all the same