Doctor insights on:
Colonoscopy Elderly Persons
Possibility of colorectal cancer in younger people. Which persons should get colonoscopy <50 years?
Colonoscopy <50 y o: There are several nationally-recognized colonoscopy screening guidelines. Most agree the following patients under 50 year old should undergo colonoscopy:1) afro-american males at age 45; 2) familial syndromes that predispose to early colon ca (fap, lynch syndromes, etc.); 3) inflammatory bowel of longstanding; 4) history of colon ca or adenomatous polyps at young age; 5) other select settings. ...Read moreSee 2 more doctor answers
Could an elderly diabetic who's 80 years old, with high blood pressure, survive colon cancer treatment?
Yes: It is an excellent choice for elderly people with or without vascular dementia who have sleep onset insomnia. It does not have the high fall risks associated with the other sedative hypnotics. It also can strengthen the circaidian rhythm that is weakened in dementia patients. ...Read moreSee 1 more doctor answer
Patience/compassion: It is hard to watch a viable adult dwindle in to memory loss as with alzheimer's. Most people who communicate with them have patience, understanding, and can read body language and facial cues. Caregivers remember what these patients liked and how to help them and communicate that to nurses. Art, music, and old pictures reach the long term memories of these patients and that helps. ...Read more
On-line doctor writes that colon cancer is extremely common among healthy people in their sixties. So, everyone in age group will get colon cancer?
Colon Cancer: The lifetime risk for developing colon cancer is about 4.5%. The median age at diagnosis is about 70. It is the 3rd most commonly diagnosed cancer. So, relatively speaking, it is a common cancer, but it is not extremely common. Most people won't get colon cancer. ...Read moreSee 1 more doctor answer
Usually safety issue: Preferable to use restraints than have an elder fall out of bed or chair or go wandering off and find themselves in dangerous situations. Most hospitals and nursing homes do not have enough staff to have one on one caretakers all the time. Restraints are thus often necessary for economic reasons. Abuse would be the use of restraints purely as a punishment. ...Read more
If acute and serious: There are many causes for delirium. Most common would be drug toxicity. This can be very serious and need acute medical care. Withdrawal from alcohol produces delirium that can cause serious medical complications. Infections of the brain can present with delirium and progress to coma. Patients with long standing psychiatric disease or dementia do not need hospitalization. ...Read moreSee 1 more doctor answer
Yes they can: No reason not to have cats unless subject or family is allergic to them. ...Read more
Senior transplant: Depends not so much on chronologic age, but rather physiologic age and overall performance status/co-morbidities. ...Read more
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
Multiple issues: Older adults on dialysis tend to be sicker and have more associated health problems. This may adversely affect how well they do on dialysis. In addition, placing a good fistula for access may be more challenging as their veins may be small and scarred or "used up" from previous ivs or medical procedures. ...Read moreSee 1 more doctor answer
Disinhibition: There are various reasons: just as one can be paralyzed and unable to move the muscles of the arm or leg, they may be unable to maintain sphincter control due to muscular weakness. Or they may not be able to feel that they need to evacuate. Or there may be higher cortical disinhibition in which they do socially unacceptable things they would never do if they had their full mental capacity. ...Read moreSee 1 more doctor answer
Do people who suffer clinical depression throughout their lives die younger than the average person does?
More than youths: Elderly, compared with young people, have additional risk for ulcers: 1) higher incidence of helicobacter pylori; 2) greater sensitivity to nsaid's; 3) underlying co-morbidities with associated increased risk of "stress gastritis;" 4) poly-pharmacy (they take more drugs that can hurt the gut including cardio-prophylactic aspirin); 5) greater likelihood of past ulcers; more. ...Read more
Yes.: Yes if in remission. It's not a blood-borne disease so the recipient will not be adversely affected. A person with untreated or incompletely treated celiac disease should not donate because it would be detrimental to their health. Once celiac disease is controlled through diet a person should be able to handle the rigors of blood donation. ...Read moreSee 2 more doctor answers
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