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Suggest Treatment For BP, Mild Sugar And Vertigo

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Posted on Mon, 17 Aug 2015
Question: my mother is around 88 years of age. she does not have any other problem except Blood pressure ( whihc is well under control with tenaclor 50 mg). Mild sugar which is fasting 126 and PP 200 (which again on taking blisto 1 mf one in the morning and one at night before food). Her memory is very sharp and she does all her routine by herself. On last monday suddenly she had memory lapse ( we are surprised as it was very sudden) and from then on she talks irrelevant things and she is not able to co-ordinate and she forgets everything. She forgot to take her daily tablets and we had to give her. Her speech is also not coherent. She herself says that she can recall things at times and does not remember things sometime. She has vertigo for which occasionally she took vertin. She watches soaps on computer ( not on TV) with earphones ( as she is little hard of hearing). She looks very depressed and does not talk much and not involved in household talks. Please let me know whether it is depression or Alzheimer. (As far as my knowledge goes Alzheimer is gradual but this is sudden). Please let me know if I can give her any tablets by which she regains her memory and does her daily chores.
I want to know if the headset/earplugs have done something to brain or it is something else. She has also lost her concentration.
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Answered by Dr. Prakash H Muddegowda (1 hour later)
Brief Answer:
Not depression. Dementia, cause requires evaluation.

Detailed Answer:
Hi,
Thanks for asking.
I am Dr. Prakash HM and I will be answering your query.
Based on your query, my opinion is as follows:

1. It appears to be dementia, rather than depression.
2. Loss of memory, incoherent speech, both points towards dementia.
3. It may be vascular dementia, probably not Alzheimers. However, Alzheimers cannot be ruled out because of the age.
4. She will need to be started on Aricept. However, confirmation by clinical examination by a neurologist will be necessary. If any treatable cause is identified like vascular on MRI, she could recover completely.
5. No, headset or earplugs damage only the hearing. They do not cause any damage to the brain.

Meet a neurologist for clinical and radiological investigations along with administration of dementia tests for management.

Hope it helps.
Any further queries, here to help again.

Dr. Prakash HM
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Prakash H Muddegowda

Geriatrics Specialist

Practicing since :2004

Answered : 2138 Questions

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Suggest Treatment For BP, Mild Sugar And Vertigo

Brief Answer: Not depression. Dementia, cause requires evaluation. Detailed Answer: Hi, Thanks for asking. I am Dr. Prakash HM and I will be answering your query. Based on your query, my opinion is as follows: 1. It appears to be dementia, rather than depression. 2. Loss of memory, incoherent speech, both points towards dementia. 3. It may be vascular dementia, probably not Alzheimers. However, Alzheimers cannot be ruled out because of the age. 4. She will need to be started on Aricept. However, confirmation by clinical examination by a neurologist will be necessary. If any treatable cause is identified like vascular on MRI, she could recover completely. 5. No, headset or earplugs damage only the hearing. They do not cause any damage to the brain. Meet a neurologist for clinical and radiological investigations along with administration of dementia tests for management. Hope it helps. Any further queries, here to help again. Dr. Prakash HM