The little-known symptom of Parkinson’s disease you might spot on your weekly shop – and 9 other signs

PARKINSON’s disease is a neurological condition that worsens over time.

It is typically associated with tremors, stiffness and slow movement, but these symptoms usually appear once significant progression has already occurred.

Getty – ContributorHaving smaller handwriting is an early sign of Parkinson’s[/caption]

According to the charity Parkinson’s UK, there are several signs which can surface much earlier.

This includes sleep problems, losing your sense of smell, and feeling depressed or anxious.

You may also notice your handwriting is smaller – something you might clock while making your weekly shopping list.

Here are the 10 most common early symptoms of the disease.

1. Problems with your sleep

Night-time issues are common in people with Parkinson’s, experts say.

They are more likely to experience insomnia and other sleep disruption due to symptoms like stiffness, pain and restless leg syndrome.

Feeling tired and drowsy during the day is therefore also typical.

2. Losing your sense of smell

Someone with Parkinson’s may notice that their sense of smell isn’t as strong as it used to be or has disappeared completely, Parkinson’s UK says.

This can sometimes start years before other symptoms develop.

3. Smaller handwriting

Another tell-tale sign is smaller handwriting – either smaller than it was previously or gradually getting tinier on a page.

This is because changes in the brain can cause movements to become reduced or less forceful than before.

4. Issues with your bladder or bowels

Signs of an overactive bladder, such as needing to use the toilet immediately without warning or needing to go frequently throughout the night, are the most common bladder symptoms of people with Parkinson’s, the charity says.

5. Experiencing depression

Depression can be characterised by feelings of extreme sadness or a sense of emotional “emptiness” for a long time.

This can surface in people with Parkinson’s months before any other symptoms.

6. Feeling anxious

Anxiety – such as feelings of unease, worry or fear – is also common in the early stages.

This is partly due to the concerns sufferers have about living with a long-term health condition.

According to Parkinson’s UK, the most common symptoms of anxiety include: a sense of dread, constant worry or difficulty concentrating, sweating, pounding or racing heart (palpitations), feeling breathless, dizziness or trembling. 

7. Fatigue

Fatigue – tiredness that doesn’t go away with rest – affects up to half of all people with Parkinson’s.

It is thought to be caused by chemical changes in the brain, but may also be related to other symptoms or features of the condition.

It can fluctuate dramatically day to day, so someone may feel full of energy one day, but be knackered the next.

Fatigue can also present itself physically and mentally, so some people find it challenging to concentrate for long periods without a break.

8. Uncontrollable actions

A more typical symptom of Parkinson’s is a tremor – an uncontrollable movement that affects a part of the body.

Usually, this starts as shakes in the hand before “spreading” to the rest of the arm, or down to the foot on the same side of the body.

9. Slow movement

Slowness of movement, also known as bradykinesia, may mean that it takes someone with Parkinson’s longer to do things, Parkinson’s UK says.

For example, you might struggle with coordination, walking may become more like a shuffle or walking speed may slow down.

Everyday tasks, such as paying for items at a check-out or walking to a bus stop, might take longer to do, it added.

10. Stiffness, inflexibility and cramps

Rigidity, such as stiff muscles, inflexibility and cramps, is another of the first signs to show.

People may notice they find writing, doing up buttons, getting out of bed, or tying shoe laces more difficult than usual.

What is Parkinson’s disease?

PARKINSON’S is a progressive neurological condition.

This means that it causes problems in the brain and gets worse over time. 

People with Parkinson’s don’t have enough of the chemical dopamine in their brain because some of the nerve cells that make it have stopped working.

Around 145,000 people live with Parkinson’s in the UK.

It’s the fastest growing neurological condition in the world.

Symptoms start to appear when the brain can’t make enough dopamine to control movement properly.

This usually happens around the age of 50, but some people might see the first signs in their 40s.

There are over 40 symptoms, but the three main ones are:

A tremor (shaking)
Slowness of movement
Rigidity (muscle stiffness)

There are several different treatments, therapies and support available to help manage the condition.

Source: Parkinson’s UK

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