Doctor insights on:
Hrt And Dementia
Helpful in LBD: I routinely use donepezil effectively in my lewy body disease patients. Although only 40-50% of them actually have cognitive improvements in the here & now, but we suspect it slows the progression of cognitive deterioration anecdotally. Can't comment on personal experience with vascular dementia. ...Read moreSee 4 more doctor answers
Usually done to provide the hormones that would be deficient upon surgical removal or inactivity or malfunction of a hormone producing gland or organ. The endocrinologist is the medical specialist that specializes amongst other things , in doing just that. Insulin/glucagon-pancreas, thyroid hormone-thyroid, ovaries, testicles, hypothalamus, ...Read more
No - very different: Anxiety includes emotions of dread, apprehension ; worry, and physical symptoms such as pounding heart, sweating, tremors/twitches, nausea, dizziness, shortness of breath, muscle tension, and headaches. Dementia is completely different -- it's a loss of brain function affecting memory, thinking, language, judgment, and behavior. A person with dementia may certainly feel anxious, though. ...Read moreSee 1 more doctor answer
Alzheimer, Dementia: Mental status examination including memory impairment, disorientation to time , place, and person, decline in intellectual functioning and impairment of attention and concentration helps in diagnosis of alzheimer, and dementia. At times blood tests and ct scan of brain help in the diagnosis. ...Read moreSee 1 more doctor answer
Estrogen2use or not: Estrogens are like any other med. They have side effects some good, some bad. If your family history is strong for cardiac or osteoporosis estrogen is a good option to keep you healthy. If you have a family history of breast cancer or a personal history of blood clots it would be better to pass on the estrogen use. Discuss all of this with your md and make an informed decision for you :). ...Read moreSee 1 more doctor answer
Complex issues: Female hormones increase thromboembolism, deep venous thrombosis--progesteron is blamed, more than estrogen--because at menopause, there is changes in blood coagulation?Increase weight, arteriosclerosis, metabolic syndrome all of this increase risk of cardiovascular disease-- estrogen can be given at low dose for brief periods. ...Read moreSee 2 more doctor answers
Brain disorders both: one does not cause the other but they can co-exist, or if you have one you could have symptoms that resemble the other. For instance, patient with end stage dementia could have psychosis, but it is not schizophrenia. Likewise, a person with schizophrenia could have trouble remembering things, resembling dementia. ...Read more
How strong is the link between HRT and breast cancer? Maternal grandma is bc survivor and was diagnosis after being on HRT for many years.
Increased risk: Using combined hormone therapy after menopause increases the risk of getting breast cancer. It may also increase the chances of dying from breast cancer. This increase in risk can be seen with as little as 2 years of use. Combined ht also increases the likelihood that the cancer may be found at a more advanced stage. ...Read moreSee 2 more doctor answers
What is the life expectancy for an 83 year old man with diagnoses of alzheimer's, parkinson's, and lewey bodies dementia?
Depends: Depending on how severe the above conditions are, and what other medical problems he has, it may be anywhere from 6 weeks to 5+ years. For your loved ones, particularly if they are mentally incapacitated, you would want to address end of life issues such as would they want to be maintained on a respirator, live in a nursing home etc. A social worker can help you with that. ...Read moreSee 1 more doctor answer
Testosterone: At the present time, the FDA has NOT concluded that there is an increased risk for heart attack and stroke if prescribed properly. Testosterone is a hormone essential to the development of male growth and masculine characteristics. Testosterone products are FDA-approved only for use in men who lack or have low testosterone levels in conjunction with an associated medical condition. http://www.fda.gov/Drugs/DrugSafety/ucm383904.htm ...Read more
Alzheimers: Mild cognitive impairment is a label for the earliest memory or cognitive loss. Memory loss may occur initially in alzheimer's, organizational skill loss may occur early in other dementias, such as lewy body, and these are varieties of mci. Prodromal alzheimer's is now preferred term. Still use mci to denote early symptoms which lead to diagnosis. ...Read more
55 y.O. Post heat stroke with loss of most speech, ambulation, and history of paranoid schizo. Episodic mania, crying jags. On risperidone , ? Other meds
?: Not sure what your question is. Please don't ask health tap docs to prescribe a new med for you - your condition is far too complicated for 300 or so characters! ...Read more
My mum 92 is currently on glutamine for dementia and protos for osteoporosis. Can it worsen her dementia as protos can cause memory loss?
Maybe (not) . . .: I suspect that your mum isn't being cared for in the states by your pronoun choice and medications being used. Please understand that most if not all physicians on this website practice in america which makes it difficult to keep track of & up-to-date on drugs used outside of states. In researching your question, it appears that some people are worried that glutamine & strontium might worsen ad. ...Read moreSee 1 more doctor answer
My husband has Lewy body dementia. He is on Aricept 23 and namenda for many years. The new doctor advises trying exelon (rivastigmine). I am afraid to change. Is one better than the other?
Perhaps: The fda has approved Exelon (rivastigmine) for use in parkinsonian dementia, which is very similar to "lewy body dementia", and the difference is very subtle. Aricept has never shown significant benefit consistently in research studies on lewy body and is not my preferred agent either. Namenda has shown poor results for the most part also. Would definitely heed your doc's advice. ...Read moreSee 3 more doctor answers
Names of most suitable ssri antidepressant needed for multiinfarct stroke dementia patient, 67, with minor congestive heart failure, atrial fibrillation, diabetes. Dosage and duration info appreciated.
SSRIs: There is some evidence that ssris help with post stroke remodeling where the brain works on regrowing connections between brain areas that were not killed by the stroke. There is also evidence they help prevent post stroke depression that is very common. Not much reason to think one ssri is better than another. See your prescriber for specific dosage recommendations. ...Read moreSee 2 more doctor answers
Mom in mid-stage ft dementia. Gets bloodshot eyes every 3-4 wks. On namenda, (memantine) aricept, 0.25mg risperdal. Most likely drugs or disease the cause?
Let me explain: Vascular dementia is a general term describing problems caused by brain damage from impaired blood flow to your brain. Alzheimer's is a type of dementia that causes problems with memory, thinking and behavior. Symptoms usually develop slowly and get worse over time, becoming severe enough to interfere with daily tasks. ...Read more
SAFE for many women: Hrt (and its reputation and safety) constantly changes as new studies come out. Here is the best review: in patients with no increased risk of breast cancer, heart disease, or blood clots, trans-dermal hrt (patch, cream, gel) is relatively safe, and safe for just a few years, but as few as necessary. An even better review: talk to your own doctor. ...Read moreSee 2 more doctor answers
Yes and no: If there is an illness that runs in your family you should speak to your doctor about it. There are many many types of dementia. Some of them are genetically passed on while others aren't. The most common type of dementia is alzheimers disease and there are 2 forms. The early onset form is highly heritable. Alcoholic dementia is not inherited though a propensity for alcohol dependence can be. ...Read moreSee 1 more doctor answer
May be challenging: We do accept that subjective cognitive impairment may be a valid complaint of an impending dementia. But many medications can cause cognitive clouding, especially in older folks, and thyroid problems, vitamin deficiency, and elevated homocysteine could be issue. Small strokes and early onset of alzheimers perhaps. Neuropsych testing is best approach, but start with your doc. ...Read moreSee 3 more doctor answers
Early dementia: Behavioral and psychological symptoms (bps) are common in the older population and may be an indication of early dementia. Van der linde rm et al 2012 found that wandering and persecution were independently associated with progression to dementia. Early co morbid conditions include obsessive compulsive disorders with evolving paranoid symptoms such as fear of stealing behaviors. ...Read moreSee 1 more doctor answer
Incontinence: As dementia worsens, not only does their cognition decline but their body muscles weaken so it becomes more difficult to get out of bed/chair and walk to the bathroom. There's usually a progression from having a difficult time in getting to the bathroom in time, to using a bedside commode, then to diapers. All dementia patients progress to complete incontinence of bowel and bladder at some point. ...Read moreSee 1 more doctor answer
Answer below: Alzheimers (60% - 65%), less common are vascular dementia, lewy body dementia, picks disease (frontotemporal), alcoholic, B12 deficiency, hiv, dementia pugilistica (head trauma), a few rare prion diseases such as jacob kruetzfeld (spongioform encephalopathy), and mixed. Some reversible encephalopathies are occasionally classified as dementias, but not true dementias. ...Read moreSee 1 more doctor answer
Behavior and dementi: Behavioral disturbances are frequently the most challenging manifestations of dementia and are exhibited in almost all people with dementia. Common behavioral disturbances can be grouped into four categories: mood disorders (e.g., depression, apathy, euphoria); sleep disorders (insomnia, hypersomnia, night-day reversal); psychotic symptoms (delusions and hallucinations); and agitation. ...Read moreSee 1 more doctor answer
Earliest Symptoms: Short term memory loss, difficulty performing familiar tasks, changes in mood, behavior, or personality, language problems, word-finding difficulties, decreased judgment, loss of initiative, problems keeping track of things, disorientation to time or place, if you’re experiencing any of these symptoms or are concerned about a friend or relative, talk with your doctor about your concerns. ...Read moreSee 1 more doctor answer
Personality change: There are several distinct types of ftld or fld. One type presents with apathy or disinhibited personality changes. This can slightly resemble depression or mania. Other types present with the gradual loss of the ability to speak starting with nouns. Finally a third form involves speech becoming more telegraphic then finally the person is mute. ...Read more
For symptoms : Dementia cannot be treated directly. There are medicines for many symptoms or interventions involving the environment or training caregivers. Dementia specific medicines like aricept, namenda, Exelon (rivastigmine) can help prevent or treat anxiety, agitation and aggression. ...Read moreSee 2 more doctor answers
Definition: In most kinds of dementia, autopsy reveals widespread degeneration in the cerebral cortex - such as the plaques and tangles which are the hallmark of alzheimer's disease. Alzheimer's disease and frontotemporal dementia are therefore sometimes classed as "cortical dementias." in other kinds of dementia, there is targeted damage to regions lying under the cortex, giving rise to sub cortical dementia. ...Read moreSee 2 more doctor answers
Sundowning is a: Symptom that can occur in dementia patients. It refers to misperceiving the environment or outright halliucinations whch usually occur at or after sundown, hence the name. Dementia is a degenerative illness which effects the brain and inhibits a person's ability to function. ...Read moreSee 1 more doctor answer
Commonly, infection: Patients with advanced dementia develop worsening swallowing difficulties; they aspirate while eating/drinking. Can even aspirate on their own saliva, leading to pneumonia. Common causes of death = infection (e.g. Pneumonia, bladder, blood stream), dehydration and malnutrition. Main thing to understand: decline is natural progression of dementia and to keep loved ones comfortable when end is near. ...Read moreSee 1 more doctor answer