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

### input:
I have Parkinson s disease and have been taking Mirape, Stalevo 200 and Amantadine. my symptoms were pretty much controlled until I fell a year ago breaking my hip. After surgery for hip replacement, I had to have a second surgery due to failure of the first replacement. I have recovered from the effect of the surgery but have experienced a number of health problems since the surgery. I have had several back problems that have been treated by pain care physicians . I still have some pain in my lower back. My greater problem is my blood pressure which fluctuates from 185/104 to 85/54 and my feet are both excessively swollen and my movement is terribly affected (these are recent developments). I have been freezing up, have difficulty turning over in bed and my tremor is much worse. I have taken Mirapex (1 mg 4 X day) for several years; have been taking Stalevo 150 for several years but less time than the Mirapex. I was taking Stalevo 150 (4 X day) but changed to the 200 during the past few months (4Xday); The Amantadine was added in January of this year(twice a day). Can you help me?

### output:

Hi and pleased to answer you. First, from the medical literatures we learn that in Parkinson people there is a major reduction of bone mass density. A low bone mass is related to the fracture and to the spin pains. Second, blood pressure abnormalities have been known in Parkinson diseases patients. And last, your Parkinson diseases is badly controlled. I suggest you to consult an internal medicine to check you osteoporosis, and your hypertension, in order to control it both and to change the modalities' treatment of your Parkinson diseases. May this help you best wishes