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Doctor insights on: Dementia

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Dr. Maureen Nash
1,484 doctors shared insights

Dementia (Overview)

A brain disorder that seriously affects a person’s ability to carry out daily activities. The most common form of dementia among older people is Alzheimer’s disease.


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Is Lewy bodies dementia terminal?

Is Lewy bodies dementia  terminal?

BUT, Rx available: Dopamine meds for physical parkinsonism: Azilect (mao-b selective inhibitor) & sinemet +/- Comtan (stalevo (carbidopa and levodopa and entacapone) is both together). Tailor rx watching for side effects. Avoid Dopamine agonists (requip xl/mirapex er/neupro)--too side effect prone for lewy body patients. For dementia: namenda, paired with Exelon patch or aricept. For psychosis: seroquel or even clozaril. For excess sleepiness: nuvigil. ...Read more

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Dr. Maureen Nash
1,484 doctors shared insights

Dementia (Overview)

A brain disorder that seriously affects a person’s ability to carry out daily activities. The most common form of dementia among older people is Alzheimer’s disease.


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I want to know what's the definition of dementia?

I want to know what's the definition of dementia?

Cognitive decline: Losses in mental functioning beyond normal aging - often short term memory may come first but other abilities may also be affected - planning, judgement, personality, temper, etc. There are several types with different profiles and they can progress fast, slowly or not at all. Alzheimer's, vascular(stroke), trauma, hiv/aids, lewey body are some very distinct types you might have heard of. Be well. ...Read more

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Dr. Jan Lei Iwata Dr. Iwata
<b>1</b> doctor agreed:
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Living with Multi Infarct Dementia (Checklist)

Make sure to keep chair transfers close to bed
Once
Use fall prevention
Once
Dr. Joel Ross Dr. Ross
4 doctors agreed:
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Is Alzheimer's or dementia hereditary?

Dr. Joel Ross Dr. Ross
4 doctors agreed:
Is Alzheimer's or dementia hereditary?

Yes to some degree: 60% of all pts with Alzheimer's Disease have first degree relative (often a parent) that had AD. There are genetic tests one called ApoE4 which can indicate you are low, medium or high risk in your life to develop this illness. I do not recommend such testing as there are no proven treatments that can slow or prevent Alzheimer's Disease from developing. Stay active mentally and physically! ...Read more

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Is sundowning a symptom of alzheimer's dementia?

Is sundowning a symptom of alzheimer's dementia?

Sundowning: Can be a symptom of dementia of any kind when combined with physical problems such as hearing and vision loss. ...Read more

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How does dementia affect grandchildren?

How does dementia affect grandchildren?

It depends: Children are very affected by how the adults around them respond. They are likely to model your reactions and imitate you. ...Read more

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Is developing inappropriate facial expressions a symptom of dementia?

Is developing inappropriate facial expressions a symptom of dementia?

Possibly...: If one has dementia, that could explain such symptoms; otherwise, emotional, neuropsychological and/or organic factors would need to be explored. ...Read more

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What is frontotemporal dementia?

What is frontotemporal dementia?

There are 3 types: Named for the brain areas that are affected, the frontal and temporal lobes, there are several different variants of this type of dementia. Some of these types of dementia have prominent problems with words - either slowly losing the ability to speak or losing the ability to makes sense when one talks. There is an impulsive, disinhibited personality variant also. ...Read more

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What are noncognitive symptoms of dementia?

What are noncognitive symptoms of dementia?

Behavior and dementi: Behavioral disturbances are frequently the most challenging manifestations of dementia and are exhibited in almost all people with dementia. Common behavioral disturbances can be grouped into four categories: mood disorders (e.g., depression, apathy, euphoria); sleep disorders (insomnia, hypersomnia, night-day reversal); psychotic symptoms (delusions and hallucinations); and agitation. ...Read more

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Differences between senile dementia and altzheimers disease?

They are the same: It used to be thought that alzheimers only happened to young people-what we now call early onset alzheimers dementia. It was also thought that getting senile happened to all older adults. We now know senility and dementia are not normal aging. ...Read more

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What are the first noticeable signs, symptoms of dementia?

What are the first noticeable signs, symptoms of dementia?

Memory problems: Alzheimers is the most common type of dementia. First there is trouble forming a memory and ultimately an inability to form a new memory. Word finding problems and trouble paying bills, driving safely, and making decisions follows. Frontotemporal lobe dementia often presents with personality change or trouble with using language. Lewy body dementia presents with visual hallucinations. ...Read more

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Who gets multi-infarct dementia?

Who gets multi-infarct dementia?

People who have: Circulatory problems in the brain are the people who get multi-infarct dementia. ...Read more

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How long does a person last after diagnosis with dementia?

It really depends: If one is diagnosed early on in the illness, it can be a long term chronic disease lasting 20 years. Most people are not diagnosed until they have moderate or even advanced disease so they live less than 10 years after diagnosis. ...Read more

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Aricept (donepezil hcl) useful for dementia Lewy body?

Aricept (donepezil hcl) useful for dementia Lewy body?

Seems to be: As it increases acetylcholine in the brain and that can improve attention deficits and cognitive fluctuations. ...Read more

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How do you diagnose dementia in down syndrome?

How do you diagnose dementia in down syndrome?

See below: Look for any change of personality, memory loss and loss of functional activity such as bathing, dressing. The new onset of dementia varies by age. For down's syndrome, it is best diagnose by looking at the clinical symptoms - behaviorally, functionally and cognitively - almost same way as someone diagnosis for alzheimer's disease. ...Read more

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Can exelon, (rivastigmine) aricept, or, namenda treat Lewy body dementia?

Can exelon, (rivastigmine) aricept, or, namenda treat Lewy body dementia?

No: No treatment is yet available for lewy body dementia. However, these might help alleviate some symptoms temporarily. ...Read more

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How's multi-infarct dementia diagnosed?

All illness are : Diagnosed on the basis of history and physical exam, including required testing. ...Read more

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Is vascular dementia reversible?

Is vascular dementia reversible?

Not much: It is possible to develop or create new circulation, such as unblocking carotid artery, and brains have ways of developing new pathways to compensate, but for the most part we only slow down dementia, not reverse it. Hopefully one day there will be better treatments. ...Read more

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