3 rremor may be the first symptom you notice. It is one of the most common signs of the disease, although not everyone has it. More importantly, not everyone with a tremor has Parkinsons disease. Tremor often starts in just one arm or leg or only on one side of the body. It may be worse when you are awake but not moving the affected arm or leg. It may get better when you move the limb or you are asleep. In time, Parkinsons affects muscles all through your body, so it can lead to problems like trouble swallowing or constipation. In the later stages of the disease, a person with Parkinsons may have a fixed or blank expression, trouble speaking, and other problems. Some people also have a decrease in mental skills ( dementia).

　　4 At this time, there is no cure for Parkinsons disease. But there are several types of medicines that can control the symptoms and make the disease easier to live with. You may not even need treatment if your symptoms are mild. Your doctor may wait to prescribe medicines until your symptoms start to get in the way of your daily life. Your doctor will adjust your medicines as your symptoms get worse. You may need to take several medicines to get the best results.

　　23. Paragraph I_____________ .

　　24. Paragraph 2 _____________.

　　25. Paragraph 3_____________ .

　　26. Paragraph 4 _____________.

　　A. Tips for Patients with the Disease

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