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Dr. Radhika R provides answers that are sensible. Thanks
With age, most body organs begin to deteriorate in their function. This happens to the brain also, thereby reducing the overall speed of functioning of most organs. While slowing of bodily movement is visible, the internal organs functioning also slows down, which is not that obvious. Memory loss or dementia is one of the main manifestations of this degeneration of the brain.
Alzheimer’s is the most common form of dementia, and the associated symptoms includes reduced reasoning abilities and cognitive defects. Though it is seen only in the elderly, not all elderly people will have Alzheimer’s. The overall quality of life of the affected person is reduced with difficulty remembering things that were recently learned. It is a progressive disease and as it gets more severe, a full-time caretaker may be required.
Causes: The brain cells are affected by protein masses known as plaques and tangles. These hamper the way communication between the brain cells happens as well as affect nutrition from reaching all parts of the brain. This leads to shrinking of the brain, eventually leading to memory loss and other problems. There is also a strong genetic linkage, as most people with Alzheimer’s have the lipoprotein A gene.
Symptoms: Though memory loss is the most common symptom, there are other symptoms:
- Being confused about places, people, and times
- Inability to find the right words during conversations
- Regular objects are misplaced
- Becoming irritable, (in someone who was not so previously)
- Mood swings
- Personality changes
- Inability to organise thoughts
- Not able to make the right decisions
- Repetitive talks and actions
- Forgetfulness (not something the person always does)
- Difficulty with numbers (again, not something calculations
- Difficulty managing everyday tasks and minor problems
- Suspicion of others (like immediate family members and friends)
Risk factors: While age is definitely a risk factor, the fact that not all aged people develop Alzheimer’s is to be borne in mind. Other risk factors include the history of stroke, high cholesterol, high blood pressure, diabetes, smoking, obesity, and poor lifestyle choices.
Diagnosis: While there is no definitive way to diagnose Alzheimer’s, symptoms along with brain scans and neuropsychological function testing are useful ways to confirm the diagnosis.
Cholinesterase inhibitors improve cellular communication in the brain and also manage depression and agitation. Memantine is used to slow the pace of disease progression.
In people with the disease, small changes are useful to help them with the symptoms. These include keeping essential things like keys and wallet in the same place, keep a daily diary to help them remember things, keep pictures of friends and family within visible distance.
It is essential especially for the self employed to have a structure to their day and allocated time for adequate balance of work and life. This goes a long way in managing stress.
Star charts are a good and healthy way to motivate children to do their tasks and homework. It helps with discipline and rewarding healthy behaviour positively
Internet and social media have now become a part and parcel of life. Not only youngsters but every age group is at risk of excessive screen usage and even addiction. Being mindful of regular use, taking a break after 1-2 hours of continued use and also spending more time outdoors, reading books , socializing with family and friends will all help to curb the habit of excessive screen time.
Hello Dr. I am 26 years old I am taking sizodon tab past 3 month. As my case I had harrshment in past and I am depressed my parents think I am in physcosis. So they take me to physctrist they prescribed me. So my question is taking sizodon tab for 3 month is my brain and body is good or something bad for me. Help.
I am a petition of depression so I am taking stablon. Now I am feeling sadness so I want to take Alprazolam also. Can I take this.
Several people have asked me how can they control their anger. Now even recognizing that one needs help with anger is a big step. First I would say start with having a diary for at least a month and see what triggers your anger and how it makes you feel afterwards and what makes it better. This recording in a diary will be a small step in a big way to start thinking about your anger issues.
I am 28 years old male I have Undergone kidney transplant on 2014 october. Now my creatinine level is 2.3 ive psychiatric issues too (anxiety, Social anxiety, depression) I am on clonotril .25 mg and oleanz 2.5. Does oleanz usage make creatinine increase and lead to Kidney failure? If there what is the substitute?
I am 56 year old male suffering from depression for more than 30 years. I have been on antidepressants since then. Starting with tricyclic medicine-imipramine 150 mg, and settled with paroxetine 12. 5 mg and clonazepam 0.25 mg. (Zaptra 12.5 CR). I am taking this medicine since 17 years and having no problems. Now my question is will the medication cause any health issues in future. Any new antidepressants which has more efficacy to cure this disease.
It is now known that not getting adequate restful sleep at nights can contribute to an increasing waist line. There are several reasons for sleep disturbances. Good sleep hygiene, avoiding caffeine before bedtime, lowering the lights, having a routine that helps you settle down is all important when it comes to a good nights sleep. If sleeplessness is still a problem a psychiatrist could help you