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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Could a lightened area in a brain MRI be an infection or a tumor?
Query: Hello doctor, I had an MRI performed on my brain due to my visual perception being off and not seeing and understanding my location correctly while driving.I did hit someone and almost got into a larger accident. The right side of my head feels like there is a cyst or something there. My skull on t... Read Full »
Answer: Hello, Welcome to icliniq.com. I would like to review your MRI report for a more professional opinion directly. A hyperintense lesion could be related to low blood perfusion area or migraine headaches (if you have suffered before). The meningioma is a benign tumor, which grows slowly without causing... Read Full »
On stopping the intake of Prevacid, will the risk for dementia vanish?
Query: Hello doctor, I am a 49-year-old male. I took Prevacid for 17 years. One or two pills a day. I stopped five months ago after I read about that it increases the risk of dementia. If I do not have dementia now, and I have stopped the medication do my risks of dementia remain elevated for the rest of ... Read Full »
Answer: Hello, Welcome to icliniq.com. After careful review, I understand you are worried about the side effects of Lansoprazole (Prevacid). Now as you have stopped taking it, the risk of side effects do not remain the same as with taking the drug. The reversibility of effects is based on the extent and t... 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 p... Read Full »
Dr. Samer Sameer Juma Ali Altawil
Answer: Hi, Welcome to icliniq.com. 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 or ... Read Full »
Kindly tell me the symptoms of frontotemporal dementia.
Query: Hello doctor, My mother has recently received a diagnosis of frontotemporal dementia. Here is a history of her: She had what we believed to be a nervous breakdown four years back. This was after a year of stress from a pending court case. After this breakdown, she displayed some psychotic symptoms.... Read Full »
Answer: Hi, Welcome to icliniq.com. I read carefully your question and would explain that fronto-temporal diagnosis is a very challenging diagnosis, which is determined by the neuro-psychological tests and the progression of the disease. Sometimes, the radiological findings are not typical of this disorde... 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 »
Answer: Hello, Welcome to icliniq.com. I 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 ... 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 »
Answer: Hi, Welcome to icliniq.com. 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 »
Why does my 83-year-old grandfather hear sounds that others cannot hear?
Query: Hello doctor, My father aged 83 years is physically healthy but he is hearing some of the old friends sound continuously which we cannot hear, for 10 days. So, kindly give us some advice as soon as possible. Read Full »
Dr. Saraswat Kumarshri Shriniwas
Answer: Hello, Welcome to icliniq.com. This symptom of hearing things when there is no sound is known as an auditory hallucination. At his age, there could be a number of causes of the same as: 1. A stroke which has affected the blood supply of the part of the brain responsible for hearing. This is likel... Read Full »
My friend suffers from memory loss, and it worsens when he drinks. What should we do?
Query: Hi doctor, My friend takes the tablets Metformin, Lisinopril, Atorvastatin, and Allopurinol. He is suffering from memory loss. He got lost for 30 minutes last night while walking to a restaurant without drinking. When he drinks, he becomes even worse. He has no recollection of speaking with his brot... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. It appears that his memory loss worsens after a drink. So perhaps a period of abstinence will be beneficial to him. 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 »
Answer: Hello, Welcome to icliniq.com. 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 »
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. Sometim... Read Full »
Answer: Hello, Welcome to icliniq.com. 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 present nea... Read Full »