Answered by: Dr Sashini Seeni
My grandpa is a 75-year-old Stage 3 Parkinson’s Disease patient. He was admitted to a government hospital last Tuesday because he was not responsive, was discharged on Saturday after doctors suspect inadequate medication and was suggested to bring him to see neurologist. Because of COVID-19, we can’t enter the ward to take care of him overnight at the hospital. When discharging him, we saw he’s on iv drip and tube-feeding, hands tied but in a very neglected state: naked, not covered with blanket, very wet diaper & bed. After returning home, he had complaint of pain, recurring low fever, keep jolting/jerking from sleep suddenly together with crying, moaning, talking and shouting in sleep. Is it because his Parkinson’s Disease symptoms are getting more prominent or he had trauma from his stay at the hospital? If it’s the latter, is there anything we can do for him to sleep better? What might have been the cause of his fever?
Thank you for reaching out to us.
We understand your worry about your grandpa who has been diagnosed with Stage 3 Parkinson’s Disease and has recently been admitted. Now he’s been experiencing pain, recurring low-grade fever, and having trouble while sleeping. We will try to help you out.
We are not able to provide you with an accurate answer to your question as we need to review your grandpa’s full medical history along with his current medications and physical examination. However, the symptoms you have described, which is the jerking movement while sleeping is related to Parkinson’s and could be the cause of it. You also mentioned that your grandpa has been crying, moaning, talking and shouting in sleep. This is consistent with the cognitive and behavioral changes that happens in Parkinson disease, but we cannot be sure as we need further information from you. The low-grade fever you mentioned might be due to some infection but we can only confirm this after running a few tests. We encourage you to speak to a neurologist regarding your grandpa’s condition for further assessment. You can contact our neurologist so that we can help you further regarding this.
We hope that this answer has been helpful.