Doctor insights on:
Chronic Diseases In Elderly
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
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 moreSee 2 more doctor answers
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
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 moreSee 1 more doctor answer
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
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
Varies: Often would depend on the stage and interventions. ...Read more
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 moreSee 3 more doctor answers
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 moreSee 2 more doctor answers
Can you tell me what is the most common restrictive pulmonary disorder for an aging adult/ elderly?
Is it likely that the chronicity of overlap myeloproliferative-myelodysplastic disorder would by itself cause this rising CRP (30.5 mg/L 37.8; 54.3 ; 66.0; 110.0; 126.9; 148.5; 89.6; & 147.3)? It will be investigated bit I still desire an opinion now
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
Low dose: Once daily at a dose of 125mg/day should be safe. ...Read more
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
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