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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Memory Loss, Confusion. Prescribed Donep. Diagnosis? Tests Required?

Sir ,.my father is 76 years old.For last 7years had had been suffering from the problem of recent memory loss .Now it is developed to the extend that eveytime he cofused regarding place and prson. He was shown to Doctor .at the time of examination he was just asked certain questions. In some questions he answered properly and in some not.After diagnosis doctor did not tell us whether he is suffering from dementia or alzimer or any other problem. and prescrimed certain medicine like donep

Sir can it be diagnosised properly actually to know what is the problem of my father?
Is it necessary to do CT scan or MRI and
Is It necessary to see whether he has any infection in urinary track?
I am waiting for your answer
Bijit Choudhury

E-mail: YYYY@YYYY
Tue, 23 Apr 2013
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General & Family Physician 's  Response
Dear Bijit,

i persume that you father's memory and other higher mental functions like cognition speech etc were normal before 60 yrs of age. Then this looks like a case of Alzhiemer's Type DEMENTIA, which is usually treated with first line medication as DONEPEZIL which in a way acts as a booster (prevents destruction of Neurotransmitter inside the brain ). And Ct scan wont show any thing unless he has some problems like an Evolving stroke which is unlikely. MRI however could Determine Changes in his Grey matter which may point to the cause.
No Need to do check for UTI if he doesnt have any trouble in urinating do not complain of pain while urinating.
Hope this Helped you
THank you
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Memory Loss, Confusion. Prescribed Donep. Diagnosis? Tests Required?

Dear Bijit, i persume that you father s memory and other higher mental functions like cognition speech etc were normal before 60 yrs of age. Then this looks like a case of Alzhiemer s Type DEMENTIA, which is usually treated with first line medication as DONEPEZIL which in a way acts as a booster (prevents destruction of Neurotransmitter inside the brain ). And Ct scan wont show any thing unless he has some problems like an Evolving stroke which is unlikely. MRI however could Determine Changes in his Grey matter which may point to the cause. No Need to do check for UTI if he doesnt have any trouble in urinating do not complain of pain while urinating. Hope this Helped you THank you