Conversation: The conversation between human and AI assistant.
[|Human|] My mother aged 55 years, is facing following diffciulties 1. She is regulary feeling uneasiness & High BP 2. She also feels tremers in leg & hand, when BP shoots 3. Our family doctor has indicated Signs of parkinson s desease, & she is under medication 4. Even after regular medication the problem persists Please advise Regards SRP
[|AI|]  Hi, It is a bit unusual for a 55-year-old woman to come down with early Parkinson's disease (PD). If she has been placed on what would be considered appropriate medication for the disease (typically Sine met or Carbidopa-Levodopa or one of the dopaminergic such as Mir apex, or Equip) and there has not been a noticeable difference in her condition then, the diagnosis of PD should be questioned. If there are visible tremors occurring in the extremities then, a DAT scan can distinguish with fair accuracy whether the tremor is truly one caused by PD vs. something else such as essential tremor.  It sounds to me as if her tremors may get worse with anxiety or changes in her physiological profile and this would be also consistent with something such as essential tremors for which different medications are typically found to be effective. If things are not improving on medication I think it entirely reasonable to ask for a referral to a neurologist who can give a more specialty specific opinion. Hope I have answered your query. Let me know if I can assist you further.