Doctor insights on:
Dialysis Dementia Syndrome
Would you say my mom is in stage 5 of renal failure? She is 84 with dementia and dr say dialysis is not an option. How much time does she have?
Depends: If she was told that she has end stage renal disease, then she is in kidney failure. How functional the individual is is a better reflection on whether the person should recieve dialysis. In older adults, if there are no dangerous urgent symproms, then dialysis is delayed until absolutely needed. If mom is having these symptoms and not to be dialyzed, she may have only a few weeks. ...Read more
Simple answer is that it is a medical technology used primarily to provide an artificial replacement for lost kidney function in people with renal failure. Hemodialysis remove wastes and excess water from the blood by circulating blood outside the body through an external filter, called a dialyzer. Blood and dialysate flow through in opposite directions and the ...Read more
See below: Look for any change of personality, memory loss and loss of functional activity such as bathing, dressing. The new onset of dementia varies by age. For down's syndrome, it is best diagnose by looking at the clinical symptoms - behaviorally, functionally and cognitively - almost same way as someone diagnosis for alzheimer's disease. ...Read more
Great Question: Serotonin syndrome is an acute toxicity due to medications which enhance serotonin in the brain. The treatment is supportive and requires stopping the offending drugs. I have not seen anything in the medical literature linking this syndrome with the development of dementia. Usually the syndrome resolves with appropriate treatment resulting in a favorable prognosis. ...Read more
What are some ways to help my mom enjoy life after diagnosis of dementia (bensons syndrome, Lewy bodies, cbd)?
I feel sorry for U: These r chronic progressive illnesses, just be ;loving and supportive and pray for her.. ...Read more
Pt. Dx'd with wernicke korsakoff syndrome, but has developed into late stage dementia. What would causes be and could dementia have been arrested?
Vit B1 deficiency: It is also known as thiamine deficiency which is related to nutritional issues. It cause to change the structure of the brain and thus affecting dementia. The most common cause is the chronic alcoholism. Other conditions include stomach cancer, prolonged starvation (such as prison of war, anorexia nervosa, aids and chronic psychiatric illness) and intestinal obstruction. ...Read more
F/u q: the dementia is wernicke-korsakoff syndrome (alcohol induced). Dx'd mid-2010, now late stage, what is development rate? Life expectancy?
No telling: It's hard to predict what course it will take. It will depend on a lot of factors such as general health, whether he continues alcohol consumption or not and comorbidities. People usually don't die from dementia itself but rather from other complications such as pneumonia, urinary tract infections, fractures, heart issues to name a few. ...Read more
Diabetes, hi bp, hi chol, rheumatoid arthritis, sjorgren's syndrome, am overweight and suffered a stroke, can I be a caregiver to mother w/dementia?
Depends: Depends on how you feel. If you feel physically able to do this then I do not see why you could not. ...Read more
Can serotonin syndrome cause brain damage/dementia/heart damage? Took high dose ADHD meds and effexor (venlafaxine).
Serotonin Syndrome may cause fevers and seizures but unlikely dementia or heart failure.
Speak with your doctor if you are concern of the dosage and quantity of your medications
More info on serotonin syndrome:
http://www. Mayoclinic. Org/diseases-conditions/serotonin-syndrome/basics/definition/con-20028946 ...Read more
A proven skin punch biopsy diagnosis of small fiber neuropathy, and you possess one of the many causes of such an entity. Could be pre-diabetes, but with the ANA issues, might look further into collagen vascular categories. Other considerations, include Celiac disease, Sjogren's, HIV, paraproteinemias, B-12, etc.
Would check anti-GM-1 with IgG, IgM, as you might have an autoimmune sensory neuropathy, and might respond to a course of IVIG. Can you visit a neuromuscular specialist? ...Read more
This is classical 10 warning signs and symptoms from web site of Alzheimer's association.
http://www. Alz. Org/alzheimers_disease_know_the_10_signs. Asp
once you identify signs and symptoms, then please contact your primary care physician, geriatrician, neurologist or geriatric psychiatrist. ...Read more
Reduce risk: There may be ways to reduce the risk of developing dementia such as regular exercise and treating vascular risks such as hypertension, high cholesterol and diabetes. However, there is no way to absolutely prevent dementia (other than dying young, which is not a good option). ...Read more
No: Dementia is usually differentiated into two types: vascular type, and non-vascular type. Vascular dementia is due to disruption in the vascular supply causing degeneration of neurons. Non-vascular dementia, such as Alzheimer's dementia, Lewy body dementia are cause by mechanisms involve amyloid plaque depositions and neurofibrillary tangles, and accumulation of Lewy body in the neuron. ...Read more
It depends on Early!: Dementia is a syndrome presenting with significant decline in cognition, including short term memory, leading to behavioral problems and decline in ability to care for self. The onset is usually subtle, gradual and must be differentiated from other causes of imparement, like depression, delirium and normal aging. ...Read more
First, see your: Family doctor to rule out any medical illnesses that can cause memory problems. If medically cleared, make an appointment with a geriatric psychiatrist for an evaluation. Memory problems can be caused by a number of things. The most important thing is to get the right diagnosis so you will get the right treatment! ...Read more
There are many: Dementia can be thought of as a cognitive disorder or as a behavioral illness. Nearly everyone with dementia will have behavior problems at some time. Psychomotor agitation, anxiety, sleep disturbances, appetite disturbances, depression, paranoia/delusions, hallucinations, aggression, mood lability, and apathy are some of the most common symptoms. Most of these symptoms are treatable. ...Read more
Step by step: Good diagnosis starts with history and medical exams by your doctor or neurologist. If general medical is fine, usually neurologic exam and tests are geared toward ruling and diagnosis treatable forms of dementia. Early stages may not be evident on medical tests, and neuropsychological testing can play an important role in early diagnosis, treatment and differential with depression. ...Read more
Symptoms may vary: In each person, but they include memory loss, trouble communicating, difficulty learning or remembering new information, trouble planning or organizing, trouble with coordination or motor functions, personality changes, inability to reason, inappropriate behavior, paranoia, agitation and hallucinations. These must be severe enough to interfer with daily life. ...Read more
There are many.: Alzheimer's dementia is the most common type of irreversible dementia. Others include multi-infarct or vascular dementia, lewy body dementia, frontotemporal dementias, huntington's disease, creutzfeld-jakob disease. Approximately 1 percent of dementia cases are reversible. They include operable brain tumors, vitamin B12 deficiency, thyroid disease, alcoholism or depression. ...Read more
A form of dementia: Dementia are conditions marked by decline in cognitive function & difficulty with daily activity. Alzheimer' s disease, characterized by problems with memory is one type. Exact cause unknown but good general health is better. Risk factors include old age & it runs in some families. Some reversible conditions such as depression or low sodium can mimic symptoms so careful diagnosis is the first step. ...Read more
Seven: Different type of dementias will have different stages and the time course for each stage will vary per individual patient. There are technically 7 stages including pre-dementia, but in clinical practice doctors really focus on mild, moderate, to severity of symptoms. ...Read more
A combination of physical exercise plus mental challenges does appear to slow the onset and progress of dementia (but cannot prevent it). See http://www. Ncbi. Nlm. Nih. Gov/pmc/articles/pmc1151037/
the physical activity component is crucial, as the brain is itself a physical organ. Indeed it consumes 25% of our energy production, so it the organ most sensitive to energy depletion. ...Read more
Very rare, but yes: Early-onset dementia can strike in the thirties and perhaps late twenties. This is especially true for adults with down's syndrome. It is quite rare in any case. Chemically induced brain damage from illicit drug/substance abuse can also present as dementia in young people. ...Read more
Cognitive decline: Losses in mental functioning beyond normal aging - often short term memory may come first but other abilities may also be affected - planning, judgement, personality, temper, etc. There are several types with different profiles and they can progress fast, slowly or not at all. Alzheimer's, vascular (stroke), trauma, hiv/aids, lewey body are some very distinct types you might have heard of. Be well. ...Read more