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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Memory Problem

My dad is 84 years old AND HAS lots of health problems. he has b een getting confused sorta In last week. he keeps repeating same thing over and over, but knows who we are. his blood work is ok except tsh is 7.4and week ago is was 3.1. he has been on same dose of synthroid for yeas. you cant even leave room, he is asking where you are, I need you he says. doctor didn t redo blood work, just doubled synthroid dose, made him couldn t swallow very good, said felt like something in throat that night. went back to regular dose. he stays awake for 2 or 3 days and nights and then sleeps for 2 days and then does same thing again. please advise
Fri, 25 Jul 2014
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Psychiatrist 's  Response
HI THANKS FOR POSTING YOUR QUERY ON HEALTH CARE MAGIC.
AS PER YOUR CLINICAL HISTORY I WOULD LIKE TO TELL YOU THAT THE COGNITIVE AND MEMORY DISTURBANCES IN YOUR FATHER'S CASE ARE DUE TO AGE RELATED DEMENTIA MOST LIKELY TO BE "ALZHEIMER'S DISEASE.THIS CAN PRESENT WITH SUBTLE COGNITIVE CHANGES OR SLEEP DISTURBANCES,BOWEL AS WELL AS SPEECH DISTURBANCES.THE THYROID MEDICATION IS BEING RECEIVED WELL IN THIS CASE. A NON CONTRAST CT SCAN OF BRAIN PLUS MINI MENTAL SCALE EXAM WILL HELP TO DIAGNOSE THIS DEGENERATIVE BRAIN DISEASE.DRUGS LIKE RIVASTIGMINE,GALANTAMINE AND TACRINE WILL BE HELPFUL.CONSULT AN EXPERT NEUROLOGIST FOR FURTHER ASSISTANCE.
THANK YOU.
TAKE CARE.
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Suggest Treatment For Memory Problem

HI THANKS FOR POSTING YOUR QUERY ON HEALTH CARE MAGIC. AS PER YOUR CLINICAL HISTORY I WOULD LIKE TO TELL YOU THAT THE COGNITIVE AND MEMORY DISTURBANCES IN YOUR FATHER S CASE ARE DUE TO AGE RELATED DEMENTIA MOST LIKELY TO BE ALZHEIMER S DISEASE.THIS CAN PRESENT WITH SUBTLE COGNITIVE CHANGES OR SLEEP DISTURBANCES,BOWEL AS WELL AS SPEECH DISTURBANCES.THE THYROID MEDICATION IS BEING RECEIVED WELL IN THIS CASE. A NON CONTRAST CT SCAN OF BRAIN PLUS MINI MENTAL SCALE EXAM WILL HELP TO DIAGNOSE THIS DEGENERATIVE BRAIN DISEASE.DRUGS LIKE RIVASTIGMINE,GALANTAMINE AND TACRINE WILL BE HELPFUL.CONSULT AN EXPERT NEUROLOGIST FOR FURTHER ASSISTANCE. THANK YOU. TAKE CARE.