Doctor insights on:
Dementia Stages Timeline
My Grandmother has been diagnosed with the early stages of Dementia. Is this disease hereditary and if not, what can I do to prevent it?
Incomplete data: Research seems to suggest a genetic contribution but it is of uncertain strength and not to a single or even simple set of genes. Living longer has increased the numbers of people who decline cognitively but causes differ. Some are gradual and easier to deal w/. Some rapid and frightening. Healthy living in all respects is the best prevention-like strategy, but no one knows. If we did, Wow! ...Read more
Depends: End stage dementia usually means the individual can no longer nourish them selves by mouth and are completely dependent on others for care. Most people with end stage dementia die lf illness related to infection or complications associated with immobility or swallowing difficulties. If one can no longer eat or drink and there is no artificial nutrition or hydration, death usually occurs within 2 wk. ...Read more
When a dementia pt is transferred to another facility, how much time should be given for the pt to settle in before resuming visits?
My grandma is 85 with dementia and for the last week every time she finishes eating she moans like if something hurts what can it be?
Needs evaluation: Unfortunately sometimes with dementia, there is a loss of ability to explain or communicate well. This is often due to loss of language functioning. Thus the groans and moans signal something wrong. Medical examination will be needed. Perhaps as simple as indigestion or possibly constipation or some other GI or bowel problems. ...Read more
Question or query repeatition very often in short time - what kind of dementia and remedy if any for.
Common: Repetitive questions are common in several types of dementia. Remember that the person asking the question has no memory of previous questions or answers so try to patiently answer as if it is the first time you heard the question. Joining a support group can be very helpful. ...Read moreSee 2 more doctor answers
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
Fish Oil : The dementia that is reversible is vitamin B12 or Folic Acid defiency dementia, . Vascular dementia is irreversible. I know for sure that there are a lot of good tangible results about fish oil being very helpful to improve cognition, sleep, anxiety, depression. These are all associated common symptoms of dementia too. It also reduces clotting, which is common with vasuclar dementia. ...Read more
Depends: Patients with brain damage from any cause can have drops in their mental status ... delirium, which can be from any number of reversible causes. If the cause of delirium is treated there can be a sudden improvement as well, relatively speaking. As an example, urinary tract infections can cause a sudden drop. With treatment of the underlying infection the mental status should improve over time. ...Read more
Why is the clock drawing test a test for dementia when most of my teenage friends can't even tell the time on an analog clock?
Are there any other conditions that can cause fluctuating cognition besides dementia with LB? I've been to a few doctors and no conclusions were ever made but my symptoms just keep worsoning with time
How to address: Cognition normally fluctuates on a day to day basis, and can change secondary to sleep patterns, emotional stresses, contact with infections or allergies, side effects from medication, use of alcohol or recreational drugs, and even reactions to foods. I seriously doubt you have any issues with Lewy Body Dementia, and suggest some counseling to deal with this pre-occupation. ...Read moreSee 1 more doctor answer