With age, just like other body functions, the mind too begins to slow down. This could lead to problems in communication, focus, recall, reasoning, and thinking. So with dementia, the person faces problems which are a combination of above-mentioned activities. Dementia is a symptom associated with many diseases and is not a disease on its own.

Alzheimer s is the main cause of dementia, followed by stroke or brain injury, Huntington s disease, and Lewy body disease. However, there are some symptoms that can be indicative that a person is gradually progressing into dementia. Watching out for these symptoms can help one seek help at an early stage, thereby helping the affected person, and slowing down its progress.

Short term memory loss: With age, people tend to forget what happened recently, and this can even be something as recent as the previous day. However, they can very clearly recollect events from the past. They might forget things like where they have placed their glasses, where the television remote control is, etc. They may also ask for the same information repeatedly, even after it is answered.
Mood changes: Rapid mood swings is observed in a person suffering from dementia. Their emotions keep changing within a matter of seconds, and they may show also less emotion than what they used to show previously.
Personality changes: Since dementia affects reasoning and judgment, someone who was earlier shy could suddenly become outgoing. Their inhibitions which led to a shy personality are lost, making them more outgoing.
Difficulty in performing regular tasks: Be it forgetting things like laying out tables, keeping things back in their places, or organising medical kits, with dementia setting in, these tasks slowly become more difficult to do. Also, learning new tasks, even simple ones, seem tough and are often not accomplished.
Losing storylines: The elderly would usually be good with telling and appreciating stories like telling tales to their grandchildren or following television soaps and stories. However, as dementia begins to set in, they tend to lose storylines, both when observing and telling.
Repeating actions: As they are not able to register things, they tend to repeat things, both in words and in actions.
Feeling lost: Things like heading out to a store to buy something and then wondering why they came there are common. Short-term memory loss can cause such situations. This confusion, especially with regard to time and things, is very common.
Spatial and time orientation: There could be problems relating to space and time, seasons, and they may often ask questions like what time it is, etc. Routine tasks like paying bills, cooking using recipe books, which were easily managed, suddenly begin to look difficult.
Apathy: Losing interest in people, hobbies, or other things like puzzles, which they once enjoyed, become boring and unenjoyable.

9 Early Symptoms of Dementia!

Chromosomal abnormality happens when a cell has too many or too few chromosomes. The most common form of chromosomal anomaly is Down s syndrome. If a parent has a chromosomal anomaly, she/he will pass it on to the child. PGD or Pre-implantation Genetic Testing aims to select only the embryos with normal chromosomal count and only these embryos are implanted to achieve a healthy pregnancy and bring down the number of children affected with a chromosomal anomaly.

The risk of Aneuploid pregnancy:

The older a woman is when she tries to conceive (aged 35 or more), the higher the risk of Aneuploid pregnancy (carrying a baby with genetic or chromosomal abnormality). Most of these pregnancies end in miscarriages and the few that come to term produce babies with chromosomal abnormalities.

Causes of Chromosomal Abnormality:

Usually, chromosomal abnormalities occur due to an error in the cell division. Meiosis refers to the cell division, which the sperm and the egg undergo during the development procedure. Normally, meiosis breaks the chromosomal material into two equal halves, so that each of the parents contributes 23 chromosomes to the pregnancy. However, when the number of chromosomes in the cell goes up or down than the normal, it results in genetic/chromosomal anomalies.

PGD Procedure for a Chromosomal Anomaly:

If a couple elects to go for Pre-implantation Genetic Diagnosis, they have to undergo ICSI Cycle. ICSI cycle initiates a fertilization cycle to produce embryos. When the embryos reach upto day 5 and blastocyst are formed, they are biopsied and further sent to genetic lab for detecting the chromosomal abnormalities. The embryos are incubated for the entire duration of the genetic screening. Only the embryos that the genetic test clears are implanted. PGD never reveals the gender of the embryo.

PGD can help detect the single genetic disorders that may lead to the following ailments:

  Cystic fibrosis
  Muscular dystrophy
  Tay-Sachs
  Sickle cell anaemia
  Thalassemia
  Turner syndrome

PGD is a revolutionary science that can help root out incurable disorders linked to genetics. It ensures that pregnancy is sustained until term and a healthy baby is born.

Suffering From Genetic & Chromosomal Anomalies - Know About PGD!

Every smoker knows smoking is not good, yet the addiction stays. This addiction can lead to a variety of problems that can damage their body in  at times, irreparable ways. The tar in cigarettes is particularly damaging. It can lead to reduction in oxygen consumption and replenishment in the body and makes open or more susceptible to diseases such as emphysema and bronchitis. However the biggest killer is 'nicotine. There are ways to offset nicotine intake.

Adopt these methods to detox your body of nicotine.
 
1) Drink lots of water -  Having a lot of water helps. Lime water, chamomile or green tea help a lot in flushing out the nicotine that has accumulated your body for over the years.

2) Take diet rich in nutrients and fibres - Nicotine addiction and if you quit, smoking withdrawal may lead to unbalanced diet and weight gain. So, ensure that you consume enough fibre for regular bowel movement to clean out your system. Berries, grapes, mangoes and a variety of antioxidants are a must have.

3) Avoid these foods - There are certain foods you should consider avoiding. For instance, alcohol. Also, avoid soda, caffeine and fried foods as well.

4) Exercise - Strengthen the capacity of your lungs through deep breathing and other cardio-strength training exercises.

5) Make 'No Smoke' a Goal - The only long term help in detoxifying your body from nicotine is to remain smoke free. While your determination plays the most important role here, some people can leave it without many hassles, while others witness severe withdrawal symptoms. You can also opt for a nicotine patch or gum to help you with it.

If you have any further questions on issues related to smoking or other general health queries, click on 'consult.

From Lybrate: If you found this tip useful, please thank the doctor by clicking on the heart icon below. Also, spread good health by sharing this tip with your loved ones over WhatsApp, Facebook and other media.

Can't Stop Smoking? Atleast Follow This Advice.

Don t like social gatherings? Have you always been the one who avoids family get together? If your answer is affirmative, then you are probably suffering from Avoidant personality disorder.  Avoidant personality disorder is a psychological condition wherein, one feels extremely shy. Becoming overly sensitive to rejection and developing feelings of inadequacy are common signs of this disorder. This disorder can lead to problems in your work life and relationships. 

Symptoms
With APD, the commonly surfacing symptoms would include disapproval and disregard of situations and people, rejection and embarrassment. It generally gets very difficult for the one to get acquainted with new people and form intimate relationships. One generally ends up misinterpreting people s comments and criticism thus, feeling angry and frustrated all the more. 

Causes
The exact cause of APD has not been established yet. It is believed that environmental and genetic factors play a role in this disorder. People who are inherently shy and reserved are usually prone to developing this psychological anomaly. 

How do you treat APD?
In order to treat APD, you can opt for the following modes of treatment:

Psychotherapy: Cognitive behavioral therapy is a treatment option for APD wherein, the doctor counsels on how to change one s thinking patterns and thought process, thus, influencing his/her actions.
Psychodynamic psychotherapy: Psychodynamic therapy involves you becoming aware of the unconscious thoughts. It helps you figure out how your past experiences frame your behavior. Your past emotional pains can be resolved with this technique so that you can move ahead with your life. 
Medications: Anti-depressant medications used to treat depression and anxiety can be used to treat APD.

Prefer Social Isolation - Can it be a Sign of Avoidant Personality Disorder?

Vertebroplasty means shaping the backbone i.e. vertebra for backbone and plasty is related to shape. This is an outpatient procedure done to treat compression fractures of the spinal cord. The backbone is made up of multiple small bones which are stacked one on top of the other with a filling material in between that is known as vertebrae. The stack of bones are held in place by the soft, elastic vertebral material. 

Vertebroplasty & similar procedure called kyphoplasty is a non-surgical procedure where collapsed vertebrae is brought back to shape by injecting medical bone cement under fluroscopy / image intensifier in OT, thereby relieving pressure on the spinal cord or spinal nerves with special canula directed to the core of vertebral body. Indicated in osteoporotic vertebrae, spinal fracture, metastatic tumour or primary tumour of spine. This technique has replaced major surgery done earlier to reshape & fix vertabrae.

Technique: Bone cement, in a semisolid state, is injected into the weakened or fractured bone space. Once this solidifies, it provides additional support to the spine, enabling normal movement. It also helps in reducing the pain significantly and improves the overall mobility.

Procedure:

In what takes about an hour, the following steps are done. Earlier, a few decades ago, this would be an open surgical procedure. However, with advance technology, now it is done using a small incision

Local anesthesia is given in the area that needs to be operated
A biopsy needle is inserted into the fractured space with the help of an X-ray
The acrylic bone cement is injected into the bone space with a needle to fill up the space, once it solidifies, it stabilizes the vertebral space
The needle is removed and the incision is covered with a bandage
Usually the patient is sent home in an hour s time unless the overall condition is really bad
There could be some soreness at the site where injection is given, but one can notice a significant reduction in pain from the day of the procedure
There is also improvement in mobility while doing daily chores
The pain relief can last up to 3 years after the procedure
Returning back to normal activities takes about 3 to 4 days after the procedure
When to use this procedure?

Vertebroplasty is usually done in case of non-radicular pain that is intractable. In most cases, they do not respond to traditional therapies including physiotherapy, pain medications and even surgery. The pain could be due to:

Osteoporosis
Cancer metastasis
Myeloma
Spinal hemangiomas
Traumatic fractures
Benefits of using vertebroplasty for managing pain 

Minimally invasive
Effective way to get relief
Improves mobility
Cost-effective
Reduces need for long-term use of painkillers
Stabilizes the spine and prevents further collapse

Vertebroplasty - How It Can Help Manage Pain?

Borderline personality disorder (BPD) is a type of personality disorder characterized by an ongoing pattern of varying moods, self-image and behaviour. This often results in impulsive actions and problems in relationships and at work. You may experience intense episodes of various emotions like anger, depression and anxiety that may last for a few hours to a few days.

Diagnosis of BPD
If you experience the following 10 symptoms for a long time or if they have had a huge impact on your daily life, you may say that you are suffering from BPD:

Feeling of being abandoned. You feel that people may abandon you and are constantly worried about that. You would do anything to stop it.
Frequent mood swings. You experience intense emotions that last from a few hours to a few days. E.g. You suddenly start feeling low and depressed after feeling very happy and confident for a while.
Lack of identity. You don t know who you are and do not have a strong sense of your being.
Unable to sustain relationships. You find it very hard to retain relationships and make new ones.
You feel empty from within all the time.
Make impulsive decisions and show sudden reactions. You do things to harm yourself like binge eating, drug abuse or driving dangerously.
You inflict pain on yourself or have suicidal feelings.
You have anger issues which are very difficult to control.
You get paranoid or dissociate when you re stressed.
You experience all your emotions very intensely be it anger, happiness or sadness.
Self-Care - How can you help yourself?
If you start feeling overwhelmed, focus on one feeling at a time. It will help channelize your energy and thoughts into finding a solution for that emotion. Different therapies help different people at different times. You are the best judge to decide what benefits you the most.

Follow these tips to get through the various emotions that you may experience.

When you are angry and frustrated
Rip a newspaper
Hit a pillow
Listen to your favourite music
Go for a walk or do some vigorous exercise
When you are depressed and lonely
Wrap yourself in a blanket and watch your favourite movie or TV show.
Write all the negative feelings on a piece of paper and tear the paper.
Use positive affirmations to comfort yourself.
Cuddle a pillow/pet/soft toy
When you are tensed and anxious 
Try to shift your focus to something else like music, yoga or meditation.
Take a deep breath, use relaxation techniques and focus on your breaths.
Take a warm bath to help soothe your mood.
When you want to harm yourself
Rub ice over the parts where you want to hurt yourself.
Take a cold-water bath to cool yourself.



Borderline Personality Disorder (BPD) - Tips To Help You Diagnose The Problem!

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