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

### input:
Hi My father age 65 yrs has been diagonised of MSA similar to parkinson his legs only shake and not his hands he also has a low BP the major problem he is facing is that he is not having a proper balance while standing he goes back and falls down and does not know if he is falling whenever he tries to get up he sits down not able to stand uphe is on syndopa cr 250 mg roliten and lonazep he also has a prosterate problem one of the doctor has advise him to take vertin 8mg for 5 days and to have a collar around his neck also have told him to takerablet 20mg,mecgla tablet..i have also checked with the ENT he ADVISED THER IS NOTING FROM HIS END HE CAN DO SO Pls advice iam going in the right track of treatment and the can i go ahead with the tablets as iam not sure why do we ahve take these tablests will it really help him regarding the falling back plspls pls,pls advise my email address is

### output:

Hello! Welcome and thank you for asking on Chat Doctor! I carefully passed through your question and would explain that MSA is a progressive degenerative disorder of the central nervous system. It causes orthostatic hypotension, causing a decrease in blood pressure when standing up. This contributes to chronic fatigue and difficulty in the body balance. From the other hand it also affects the cerebellum, which is the posterior part of our brain, which is the main region of our brain to help maintain our body balance. So unsteady gait is another feature of this disorder. Unfortunately there is no cure to this disorder and no treatment is possible for these symptoms. Patients are not able to walk in the later stage of the disease. I recommend discussing with his doctor on these issues. Kind regards, 