### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I m a 45 year old female and just a few months ago I have a tremor that starts inbetween my thumb and finger causing the finger to move slightly. you can see the area between the thumb and forefinger pulsating. It happens only to my right hand when at rest and is increasing especially before bedtime. This seems to be the only symptom at this time. Could this be an early sign of Parkenson disease and what tests can be conducted to rule this out? Kathy

### output:

Brief Answer:Your symptoms are not typical for Parkinson disease. Detailed Answer:Hello, Thank you for using Chat Doctor. Your symptoms are not typical for Parkinson disease. Parkinson's disease consists of a progressive and irreversible loss of dopamine sensitive brain cells. Its symptoms vary, depending on the stage of the disease, but are always manifested symmetrically. Tremor (trembling of arms and fingers) especially increases when trying to approach the target (a glass of water toward the mouth), rigidity (slow movements of the upper and lower limbs), speaking and swallowing difficulties due to impaired laryngeal and esophageal muscles function, etc... The diagnosis of Parkinson disease is mainly made by clinical symptoms. The diagnostic imaging exams serve only to exclude other diseases. Treatment consists of dopamine restoring medications such as: Levodopa or Sine met (a dual combination of Levodopa with Carcinoma in a single tablet). Amantadine (an antiviral Chat Doctor.  Depends (Elegizing) is a MAO-Inhibitor which is also a possible choice to be added to Parkinson treatment. So what to do next ? Try not to get stressed because it may be related to your symptoms or may aggravate them. Try to have a balanced life, not to work with extended hours and to sleep well. In case of increasing tremor or development of any new symptom, please consult a neurologist. Hope this is helpful. Let me know if you need more clarifications. Otherwise, please close and rate the answer. Kind 