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Doctor insights on: Chronic Diseases In Elderly

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Let me know the similarities and differences of disease manifestation in children and in the elderly in diabetes?

Let me know the similarities and differences of disease manifestation in children and in the elderly in diabetes?

Many: Older adults will often present with atypical symptoms of high blood sugar. Lethargy, dehydration, confusion. Younger people will present with a high level of acid in their blood(ketosis). Both are very serious and need urgent attention by a health care provider, as they both can result in death if not idnetified and treated early. ...Read more

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What are the causes of gum disease if elderly?

What are the causes of gum disease if elderly?

Follow below: The same criteria would apply to you as with someone half your age. We would still review your medical history, check your medications, illnesses, habits, genetics etc... Treatment can vary and might include laser therapy which is very effective and relatively conservative. ...Read more

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Which respiratory diseases are of concern for the elderly and infants?

Which respiratory diseases are of concern for the elderly and infants?

Immunocompromised...: Infants and the elderly in general have less robust immune systems to fight off infections. Respiratory illnesses are common and can progress to life threatening conditions. That is why flu shots are so important for the elderly to get, as well as the general population, so they do not spread the virus to these vulnerable populations. ...Read more

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What respiratory diseases are of concern for the elderly and infants and why?

What respiratory diseases are of concern for the elderly and infants and why?

For infants: I will answer part of your questions. For infants: rsv, human metapneumovirus, pertussis, influenza, and may be parainfluenza viruses. ...Read more

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What are the preventions for epidemiology cardiovascular diseases on elderly?

What are the preventions for epidemiology cardiovascular diseases on elderly?

Activity: Stay active, control your blood pressure and cholesterol levels, eat a healthy diet that keeps you at a healthy weight, and stay positive and optimistic. ...Read more

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Is Lyme disease more serious in the elderly?

Is Lyme disease more serious in the elderly?

In many cases yes: Lyme disease can be serious at any age, but has highly variable effects depending on many factors, including what strain of lyme & other conditions the person has.Someone with lyme who has other conditions such as parasites, co-infections like babesia & bartonella & heavy metal toxicity will become more ill than an otherwise healthy person. Elderly people often have more of these other conditions. ...Read more

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Besides pneumonia what contagious diseases affect the elderly?

Besides pneumonia what contagious diseases affect the elderly?

All of them: Elderly get all the same diseases as the young ones.. Sometimes immunity wanes and vaccines get forgotten so they are prone to many of the same illnesses as unvaccinated children. Most contagious disease though is mild and viral ( not amounting to a pneumonia) and there is no vaccine for that. ...Read more

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Is it unusual (even if possible) for overlap myeloproliferative-myelodysplastic disorder to lower an elderly person's oral temperature below 36C for about 50% of his temp readings over 2 weeks? The temperatures are highly likely to be accurate.

Is it unusual (even if possible) for overlap myeloproliferative-myelodysplastic disorder to lower an elderly person's oral temperature below 36C for about 50% of his temp readings over 2 weeks?  The temperatures are highly likely to be accurate.

Can be normal : You don't need anything at all to see this is older folks. Trusting they are not hypothyroid, but if they are getting around okay, I would draw no conclusion. Different folks have different baselines and some older folks normally run a bit cooler ...Read more

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Will legionnaires' disease effect children, the elderly, or adults differently?

Will legionnaires' disease effect children, the elderly, or adults differently?

Yes: The disease is a result of inhaling droplets or soil contaminated by the legionella bacterium. Not everyone who is exposed will get this. Risk factors include age over 65 years, low immunity, smoking, steroid treatment, chronic lung disease and occupational (air conditioner maintainers). ...Read more

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Do uti's that come back every couple of months in elderly need chronic suppression?

Do uti's that come back every couple of months in elderly need chronic suppression?

Sometimes : Sometimes we may have treat with long term antibiotics to suppress recurrent infections. ...Read more

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Is anti-retroviral medication often discontinued in elderly dementia patients? If so does disease progress fast or will they die of something else 1st

Is anti-retroviral medication often discontinued in elderly dementia patients? If so does disease progress fast or will they die of something else 1st

No: Experienced infectious disease physicians dealing with HIV can construct a cocktail with very few side effects now a days. I almost never discontinue the treatment. Id discontinued, the HIV dementia may worsen and the immune system will deteriorate. No one actually dies of aids..Its opportunistic infections or cancers that arise that cause increased morbidity and mortality. ...Read more

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What disease causes the bones tobecome so brittle in an elderly woman that they break?

What disease causes the bones tobecome so brittle in an elderly woman that they break?

Osteoporosis: Osteoporosis is a condition manifested by loss of total bone mass and which is a consequence of aging. Women develop the condition at an earlier age than men. Osteoporosis can be the result of other medical conditions and medications. It can result in hip fractures and vertebral compression fractures most commonly seen in elderly women. ...Read more

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How does a child develop aortic stenosis at such an early age, isn't this a disease for the elderly?

How does a child develop aortic stenosis at such an early age, isn't this a disease for the elderly?

Not Only Elderly: You are correct in that as is common in the elderly. But children are not little adults, and the process is different. In children with, the aortic valve itself usually did not develop normally. Or, they contracted a disease like rheumatic fever which affects heart valves (quite rare in the west). Please discuss your specific issues with your cardiologist. ...Read more

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Can you tell me what is the most common restrictive pulmonary disorder for an aging adult/ elderly?

Can you tell me what is the  most common restrictive pulmonary disorder for an aging adult/ elderly?

Cannot fill lungswit: Common cause pulmonary fibrosis, auto immune disease, obesity, neuromuscular disease- see pcp or pulmonologist. ...Read more

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Are there any treatments for acute transformation of overlap myelodysplascity/myeloproliferative disorder in an elderly patient If so, what are they?

Are there  any treatments for acute transformation of overlap myelodysplascity/myeloproliferative disorder in an elderly patient  If so, what are they?

Try hypomethylating: CMML is common form of overlap syndrome, can be treated with hypomethylating agent (VADAZA) as MDS. Efficay? If acute transformation to acute leukemia (AML), then should treat leukemia. If pt is older and not a candidate for intense induction, hypomethylating is also an option. For other acute transformation, treat them accordingly. Sometime, just supportive care or clinical trial consideration. ...Read more

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Need help for my elderly mom about kidney disease. Can dehydration make tests abnormal?

Need help for my elderly mom about kidney disease. Can dehydration make tests abnormal?

Absolutely: Dehydration is a leading cause of abnormal lab work in an elderly patient. Dehydration can cause an elevation in a person's BUN and creatinine. These two lab values can determine if a person had renal failure. If the cause of the renal failure is truly dehydration, it can be easily corrected with drinking lot of water and re-testing. ...Read more