Brief Answer:
Screen for diabetes, thyroid disease, systemic disease and heart disease.

Detailed Answer:
Hi and thanks for the query,

I understand this could be very disturbing. However, the symptoms you describe should of course not be due to the fact that you have Parkinson's disease. I do think a careful evaluation is required.

Two main conditions need to be checked for first. It has to be established that you got no thyroid problems, and that you are not diabetic. If your recent blood sugar and thyroid function tests have been normal lately, other conditions can then be checked. Weight loss, nausea, sweating are all associated generally with these conditions.

Are you experiencing any changes with your urinating frequency lately? Any unexplained fatigue or feeling of high body temperatures. Autoimmune diseases or what is generally called systemic diseases could explain. A simple test like the erythrocyte sedimentation rate, which measures the degree of inflammation in the body could be useful.

Any past history of high blood pressure? family history of heart disease? It might be necessary to check if you have not done that lately.

I suggest a proper clinical review. Screening for diabetes, heart disease and thyroid diseases could be basic starting points. An erythrocyte sedimentation rate could be worthwhile doing to check for any chronic inflammation in the body, and could suggest further investigations in the direction of autoimmune or systemic diseases.

Thanks and kind regards. Please do feel free asking further questions in case of need. Wishing you good health.

Dr Bain

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