Doctor insights on:
Can A 17 Yr Old Have Dementia
I do not know.: I wouldn't presume to know, as I have never experienced it. I would wish for anyone who is dying, that the experience be as peaceful as possible. Take care. ...Read more
What criteria do I use to assess if my 79 yr old mom (dementia) can remain independantly in her home without my presence? She is clingy and lonely.
None for assurance: Just being realistic. There is no criteria that will give you confident assurance. Being elderly and demented she has definite probability of getting into trouble sooner or later. Certainly, she might get away with being alone for a while, maybe even a long while; but, there is no criteria you could use to guarantee this. Abrupt change can happen. Unfortunate, difficult, but true. ...Read more
How much of a risk is there for a 49 yr old man to develop dementia/alzheimer's from light to moderate use of Xanax (alprazolam) .25 to .50 mg once or twice a week?
Some studies suggest:
a connection between longer-term benzo use and dementia. Here's a link:
For more definitive info, go to the National Institute of Health (a gov. site that will give you the real deal on studies like this.
http://search.nih.gov/search?utf8=%E2%9C%93&affiliate=nih&query=xanax+and+dementia&commit.x=14&commit.y=9 ...Read more
My mom has dementia, i'm her caregiver, I am feeling stressed when i spend time with her. Her actions are that of a 3 yr old. I feel angry with her . ?
Is it wise to have a 90%coratid artery on the left side fixed by surgery on a 74 yr old male with mild to moderate dementia. Meds did not help?
Depends: there are important questions you need to consider. confidence from vascular surgeon based on experience and results as well as honesty. the quality of life - since this person has dementia, the outcome of surgery may not be great due to the possibility of delirium and complications from surgery such as stroke and others. ...Read more
89 yr old has dementia. On inderal (propranolol) for irregular heartbeat (10 mg daily). Would switch to another beta blocker ease her dementia symptoms?
Dementia: There are chances that changing Propranolol to another betablocker would not make great difference in dementia symptoms. Starting namenda, (memantine) aricept, reminyl, will reduce the progression of the illness and improve cognition and behavior. The best recommendation is to evaluate by psychiatrist or neurologist to determine the most adequate treatment plan. ...Read more
Should my 80 yr old father with significant back pain but normal activity have spinal fusion, since he has dementia w/little short term memory?
Spinal fusion is a: big surgery, so many factors need to be taken into consideration before undergoing such procedure. Can he withstand general anesthesia? Does he have too much dementia to understand instructions for recovery afterwards? Did he have good mobility before the surgery? Has he had other spinal surgeries before? How is his cardiac and pulmonary health? etc.. Thanks for trusting in HealthTap. ...Read more
88 yr old mother with dementia is more alert & talkative when she's sleep deprived. Is there a reason?
Activating effect: Sleep deprivation has a well characterized mood elevating quality as well as a capacity for changing behavior in ways that you may not predict. For example, if the inhibiting effect of the frontal lobe and higher brain centers is compromised in the context of sleep deprivation an individual with dementia may become more disinhibited and impulsive and could even lead to hyperactivity. Stay safe! ...Read more
83 yr old lady. Vascular dementia. Type 2 diabetes. Developed swollen big toe, red. Doc diagnosis: gout. Last 48 hrs turned to dark blue. Why? Help!
78 yr mom with dementia is numb on entire left side of body. Dr said not stroke but will send to get test. list of possible reason?
Mom has BV Frontotemporal dementia, gets btw. 3-6 UTIs a yr. because of poor hygiene practice. How will this affect her kidneys and overall health?
It's not good: This can certainly be difficult and can get worse. Discuss her needs w/ her doctor(s) and slowly prepare for care decisions. Her need for more complete care might become urgent as time passes and planning can help. A problem w/ UTIs is that they plus the antibiotics can both cause problems for the brain and tat can worsen the dementia, etc. It's a vicious cycle and help will help. Best wishes! ...Read more
Depends on the cause: The question you are actually posing is the trigger for the blacking out also a trigger for dementia. Obviously, this depends on the cause. Head trauma, especially when repetitive (think pro football player!), can cause concussions which have a cumulative effect. Dementia occurs more commonly in retired pro football players than the average population. Alcohol abuse may also pose concerns. See md. ...Read more
Depends.: It depends on how advance her dementia is. Alzheimer's dementia has mild, moderate and severe stages. During the severe stages, she may be more agitated , un able to do anything for herself so she is a total care and it will be a 24/7 responsibility. It maybe difficult to do this on your own and you will require help in bathing, changing , feeding besides your own needs. you will need help. ...Read more
Can a particular drug increase the manifestation of dementia in an old person ,, especially a pain reliever.
Is providing a temporary drip for dehydration for a 90 year old man with dementia considered to be an extraordinary measure ?
Probably not: In most cases, temporary IV rehydration measures would not be considered "extraordinary." but if the person has previously signed advance directives indicating s/he wants absolutely no iv's in such an instance -- and provided his/her physician with a copy -- the medical team could follow those directives. ...Read more
I am16 years old and for the past two months I keep forgetting things like my teachers names and I keep saying stuff I already said do I have dementia?
Unlikely : But you should discuss what the problem might be with your regular doctor ...Read more
Yes: One point in case is mad cow disease acquired recently in europe and other places by young people. Otherwise is rare. Probably other dementias or diseases like kuru kuru affect young people too. In youngsters we think first in delirium and not in dementia. Delirium is more acute or sudden, caused by drugs, medicines, toxins, alcohol etc. ...Read more
It depends on their:
Mmse level , if it is 20 or less than i tell
his family not to permit him to drive. Since
this can change any time people, with diagnoses need to have ongoing follow up and their family need to pay attention to any changes. ...Read more
Personality changes are common and an emotional "flattening" is often seen.
This should not be assumed to be "normal". Depression can cause the same effects and is very treatable-even in more advanced cases.
However, some introverted people become extremely extroverted and at times stop holding back the impulses to say and do what would normally be resisted when they were cognitive-be prepared ! ...Read more
How can I help a 92 years old lady, who has mild dementia, and she believes that she can still do everything?
Modify expectations : Often such stubbornness is a combination of cognitive deficits and pride. Tasks that she wants to do can be modified in reasonable ways so that she can accomplish parts of the tasks and retain her sense of independence/pride. ...Read more
She i about 80 years old. She has dementia and she dribble a lot why is this so and not on any dementia medication.
Confused: Your question is unclear, but.... If "she" has a doctor, ask for assistance to obtain a good exam, DX and treatment plan. If not - urge getting one involved. Excess saliva is not unusual with neurological impairment. If you are her caregiver, find medical and emotional support as soon as you can to help her through these times. ...Read more
88 year old with dementia started having body spasms, she is sitting in a chair with sides and starts yelling I'm falling. Lasts under 30 seconds time?
Dementia: You're describing part of dementia process whereby the body misinterprets sensations. Some people w/dementia are constantly eating b/c they can't remember that they just ate. Others refuse to eat b/c they feel full all the time. While you can't argue or use logic, you can try to reassure or distract. Ask pt's Family Doc or Geriatrician to evaluate for other/correctable causes of hallucinations. ...Read more
7 to 8 years: Most studies indicate that the average life expectancy after being diagnoses with Lewy Body Dementia is 7 to 8 years. However, other individual factors such as overall health condition, nutrition and lifestyle can have a positive (or negative) effect on the life expectancy of these patients. ...Read more
ACP: Advance care planning (acp) is highly important for us all.. Discussing your health care wishes, guides your decision-maker of how to care for you when you no longer are able to make your own decisions. You can document what interventions or level care is or is not acceptable. A great form is "5 wishes." it can serve as an advance directive in many states. Also see www.Advancecareplanning.Webs.Com. ...Read more
What could happen if i take my dad (89 yrs old) off Aricept (donepezil) after being on it for 6 yrs., if he really does have dementia?
Maybe very little: Research studies suggest that Aricept is of limited value after about 2 or 3 yrs in most pts, and might be no noticeable effect when stopped. In some, there is a precipitous deterioration over 6 weeks, and there is no way of predicting which way this will go. Maybe, substitute an Exelon (rivastigmine) patch if you are concerned. ...Read more
Is dementia/Alzheimer's a disease of modern times or always been around. I don't ever want to get it when I'm old anything I can do to lower risk?
Hopefully you won't: ....have anything to worry about by the time you get up to the typical age when people start having degenerative changes in their brains leading to AD. Hopefully, we will either have a vaccine, medication, or be able to do brain transplants to correct the problems! Yes, it's existed since the dawn of time though it was only named a century ago. Lots of things u can do now but none proven to work ...Read more
Grandpa cannot clear his secretions after stroke/dementia. Sats at 98%.Would the cough assist machine help him. 86yrs old. No other medical problem.Tx?
Tough: Poor coughing and swallowing can occur after stroke and increase the risk of aspiration/pneumonia. Options include doing nothing, using thickening agents in feeds or putting in a peg feeding tube to reduce the burden on swallowing. Unfortunately swallowing saliva may still be am issue. Tough problem. ...Read more
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