DATE OF WRITE UP – 28.08.2020. BED WETTING BY PARKINSON’S PATIENT – MR. VIJAYKUMAR DAHATKAR – AGE 67 YEARS.

I AM PARKINSON’S PATIENT SINCE EARLY 2016. I.E. FOR 4 AND HALF YEARS. BEFORE THAT I WAS DIAGNOSED WITH ENLARGED PROSTATE IN 2014.
AT PRESENT I AM TAKING FOLLOWING MEDICINES.
1. SYNDOPA PLUS – 1X 4
2. SYNDOPA CR – 1 DAILY AT BED TIME
3. RASALECT 1 MG – 1 DAILY
4. ATORMAC CV10 – 1 DAILY
5. STAMLO BETA – 1 DAILY.
6. .PRAMIPEXOLE 0.125 MG – 2 TIMES DAILY.
7. SILOFAST 8 MG – 1 DAILY
I WAS DIAGNOSED WITH ENLARGE PROSTATE IN 2014 AND WAS TAKING URIMAX D – ONCE DAILY. IN MID 2017, SONOGRAPHY REPORT SHOWED NORMAL PROSTATE AND PVR OF 56 ML. SO URIMAX-D WAS STOPPED AND SILOFAST 8 MG ONCE DAILY WAS PRESCRIBED. I TOOK SILOFAST FOR 1 YEAR AND STOPPED SINCE AUGUST 2018. THEN URINE FREQUENCY INCREASED AND SONOGRAPHY SHOWED NORMAL PROSTATE BUT HIGH PVR OF 130 ML IN SEPTEMBER 2019. SO I WAS PUT ON SILOFAST 8 MG AGAIN SINCE SEPTEMBER 2019. AFTER 2 MONTHS SONOGRAPHY WAS NORMAL PROSTATE AND NEAR NORMAL PVR OF 63 ML. I AM CONTINUING THIS MEDICINE TILL NOW WITH OTHER MEDICINES AS DETAILED ABOVE. FREQUENCY OF URINE IS NEAR NORMAL.
SINCE MAY 2020, FREEZING OF LEGS STARTED SINCE JUNE 2020 PRAMIPEXOLE 0.125 AND SYNDOPA CR WAS PRESCRIBED. I WALK WITH WALKER AND GAIT PROBLEM. SLIGHTLY BLURRED SPEECH AND RIGHT SIDE SLOWER.
THEN BED WETTING STARTED. FIRST ONCE IN 3-4 DAYS BUT NOW ALMOST DAILY IN NIGHT. IN DAY TIME IT IS NORMAL AND SLIGHT INCONTINENCE ONCE A WHILE IN 2-3 DAYS. BUT BED WETTING HAPPENS ALMOST DAILY. FLOW IS NORMAL AND QUANTITY ADEQUATE, MAY BE EVEN MORE IN NIGHT DESPITE CKECK ON FLUID INTAKE.
I HAD SLIGHT SWELLING AROUND ANKLES AND FEET SINCE SYNDOPA AND ATORMIC CV10 STARTED. NEUROLOGIST TERMED IT AS SIDE EFFECT OF STAMLOBETA AND IGNORE IT AS OTHER KFT, LFT URINE, SUGAR TESTS AND PSA TESTS WERE NORMAL. AFTER PREMIPAXOLE AND SYNDOPA CR WERE INTRODUCED IN JUNE, THERE SEENS TO BE INCREASE IN SWELLING, WHICH REDUCES TO NEAR NORMAL WHEN I LEAVE THE BED IN MORNING BUT INCREASES WITH ME ON MY FEET.