Dementia is a term that describes the loss of memory, language, problem-solving, and other thinking abilities that remains severe, interfering with daily life. It is caused due to damage or changes in the brain. The common cause is Alzheimer's disease. Taking medications and therapies helps in controlling it.

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My mother has had undiagnosed repetition and forgetfulness for the last six years. Why does it happen? Is it dementia?

Query: Hi doctor, My mother is in her 60s and has a tube in her heart. She is on medication for diabetes, cholesterol, and blood pressure, and everything is under control. However, she has had undiagnosed repetition and forgetfulness for the past six years. Also, she does not sleep well and usually stays u...  Read Full »

Dr. Ramchandra Lamba

Answer: Hello, Welcome to I understand your concern. The description is most likely the result of dementia, recent memory loss, and preserved memories from the distant past. The main risk factors include age, diabetes, and hypertension. I recommend taking her to a psychiatrist or a neurologist...  Read Full »

Does rapidly declining memory mean Alzheimer's disease or vascular dementia?

Query: Hello doctor, My father is experiencing rapidly declining memory and cognitive function. He was taken to the hospital a year back due to confusion and memory loss and was treated for diabetic ketoacidosis and had a quadruple bypass performed. They also did various scans and MRIs and found nothing t...  Read Full »

Dr. Aida Abaz Quka

Answer: Hello, Welcome to Your father's symptoms are indicative of dementia. I would like to review his brain MRI report, to give a more professional opinion if it is Alzheimer disease or vascular dementia. As he is diabetic, vascular dementia cannot be excluded. Anyway, you should know that ...  Read Full »

I am 45 years old and suffering from dementia. What can I do to save myself?

Query: Hello doctor, My mother started showing symptoms of dementia in her early 40s and died when she was 62 years old. She had two brothers who died of it at 65 years. I am 45 years old now and waiting for a doctor's appointment scheduled for the next month. I am a registered nurse and cannot continue my...  Read Full »

Dr. Florilyn Joyce Chulsi Bentrez

Answer: Hello, Welcome to I suggest you consult a doctor for cognitive testing. The doctor might order magnetic resonance imaging (MRI) of the brain, blood tests, thyroid hormone, and vitamin D tests to know the causes because reversible causes can be addressed early. The doctor might also refe...  Read Full »

My symptoms of hyponatremia are not improving even after taking tablet Tolvaptan 30 mg. What to do?

Query: Hello doctor,I am suffering from hyponatremia, senile dementia, and insomnia. I am presently taking the following medicines:1. Tablet Lamez (Lamotrigine) 12.5 mg.2. Tablet Bisoprolol 2.5 mg.3. Tablet Memantine 5 mg. 4. Tablet Nexito Plus (Clonazepam + Escitalopram Oxalate).5. Tablet Tolvaptan 30 mg ...  Read Full »

Dr. Arpit Varshney

Answer: Hello,Welcome to have read your concern in detail and will surely help you out. I would suggest that rather than focusing on curing hyponatremia, we should focus on its cause. Hyponatremia is a known complication of tablet Nexito plus. You are taking tablet Tolvaptan 30 mg, which is he...  Read Full »

Will degenerative dementia cause memory lapses with aggressive behavior?

Query: Hi doctor,My wife is 90-year-old. She suffers from memory lapses. Sometimes wakes up at odd hours and steps into the kitchen thinking it is morning to prepare tea.She forgets where she keeps the money, keys, etc., then gets upset or blames the workers. If I reorient her, she gets agitated. Sometimes...  Read Full »

Dr. Hitesh Kumar

Answer: Hello, Welcome to I would like to know some further details about the symptoms: 1) Since when symptoms of forgetting started? 2) Since when she started to become agitated and harming caregivers? 3) Does she have self-talking or talking with someone (without anyone being pre...  Read Full »

My father keeps pulling out his Foley catheter. How to stop this?

Query: Hello doctor, My 86-year-old father with dementia has an indwelling long-term Foley catheter (approximately five years). He has pulled it out several times, but yesterday completely pulled it out and is in the hospital with sepsis. He is in a memory care unit. Is there anything that can be done to ...  Read Full »

Dr. Samer Samer Juma Ali Altawil

Answer: Hi, Welcome to Is it that he was unfit for surgery, a catheter was placed due to urinary retention, or is it placed as he is bedridden and cannot go to the toilet? If it was the first case, it is best to place a simple urethral stent procedure that can be done under local anesthesia o...  Read Full »

Please suggest a medicine to control aggression in bipolar disorder.

Query: Hi doctor, My mother has been diagnosed with bipolar disorder, and no medicine help with her aggression. She is currently on Zolam and Clonafit. I have also attached her other prescription reports for your reference. My mother beats and abuses our maid. She defecates in the room whenever she wants ...  Read Full »

Dr. Ashok Kumar Choudhary

Answer: Hi, Welcome to I have read your query and I understand your concern. First of all, I feel that she is developing dementia as defecating in the room is not a characteristic of bipolar disorder. I understand she punishes other family members, especially maid, but this is not someth...  Read Full »

Will there be hospital delirium after surgery in patients who had dementia?

Query: Hi doctor, I am concerned about drug interaction for my father. He is experiencing hospital delirium after surgery. My concern is he has been taking Cymbalta, Gabapentin, and Tramadol, as well as numerous other medications. I have read about serotonin syndrome as well as other interactions. He has ...  Read Full »

Dr. Ashok Kumar Choudhary

Answer: Hi, Welcome to I read your query and saw the attachments (attachments removed to protect the patient's identity). First of all, I like to inform you that serotonin syndrome occurs on the addition of new medication or increasing the dose of a serotonergic medicine. Since he was fine on...  Read Full »

Is thinking and asking about a person or situation repeatedly a sign of dementia?

Query: Hi doctor, I am asking about my mother-in-law's health condition. She had a stroke a few months back. After a week, she got discharged from the hospital with continued medications to keep her blood pressure under control and some antibiotics to cure her UTI. She can talk few words. Sometimes, it se...  Read Full »

Dr. Penchilaprasad Kandikattu

Answer: Hi, Welcome to She may suffer from dementia with perseveration. Repetitive words, comments, questions, and actions are called perseveration. It occurs due to right hemisphere stroke or traumatic brain injury. You have to divert her while talking and ask her some questions. Giving emot...  Read Full »

How to help a patient who is suffering from a mental disorder for 24 years?

Query: Hi doctor, My mother has been suffering from a mental disorder for 24 years (from my birth). My dad took her to the hospital and gave her the treatment, but no use even after two years of prescribed medicine. It had been 20 years of not using any medicine and treatment. Since my birth, I did not ha...  Read Full »

Dr. Ruhi Satija

Answer: Hello, Welcome to I am sorry to hear about your situation. I can imagine how hard it must be for you. You have not mentioned the diagnosis in your query, so I cannot suggest what needs to be done, but I will explain how it works. The fact that you mentioned that she does not remember ...  Read Full »

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