HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Dealing With Memory Problem. Unable To Concentrate And Recall Things. Problem In Creativity And Reasoning. Help?

Posted on Thu, 11 Jul 2013

Question: Hello Doc,

My name is XXXXX i am from XXXXXXX and currently leaving in Bangalore. I am doing my advance study in computer security and i left my job for the same (4 Years). I am dealing with memory problem and it's causing a great loss in my study and day to day life.I am 28 and i am having this problem from last 3-4 years . But at that time (job) i didn't thought much about the problem as there was same kind of work i was doing on daily basis . But now from last 1 year i am in Bangalore for my study and i am unable to concentrate on my study and i am unable to recall things related to my study or related to my day to day life.Need your help fro the same. Like spelling of words, people name,location name, unable to solve problem that can have some math or complex thing..Problem in creativity and reasoning. And suppose if i had studied or listen or seen something a night i its heard for me to recall it next morning ..Feel slippy ..Sometimes when i am reading something.. a normal person will be remembering what he has read...But i am unable to store or grab or think anything..Don't know what to say doc need your help..

Answered by Dr. Sudhir Kumar (4 hours later)

Hi Mr XXXXXXX

Thank you for posting your query and asking for medical help.

I have gone through your mail in detail.

At present, your symptoms are suggestive of mild cognitive impairment (MCI), in which memory impairment is the main problem. Other brain functions are either normal or only minimally affected.

Possible causes for your problem include:

1. Vitamin B12 deficiency- please check a blood test for serum vitamin B12 level.

2. Minor seizures- since you had tapeworm infection of the brain earlier, sometimes, the healed parasite infection (granuloma) can cause seizures. EEG test would help in that. Untreated seizures can give rise to memory problems.

3. Thyroid problems- please do a blood test- Thyroid profile.

4. Stress- if you have stress in day to day life, then minimize it, and your memory would improve.

5. Lack of adequate sleep can also cause memory problems.

I hope it helps. Please get back if you have any more queries.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology) XXXXXXX Consultant Neurologist,
Apollo Hospitals, Hyderabad

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sudhir Kumar (37 hours later)

Thanks for the reply doc. Just want to know all the test told by you can be done without prescription or i can have tests without it.And should i go for MRI also or only the test told by you are enough. And how many chances are there for the cure of MCI.

I was just searching on net and found all of my symptoms are referring to dementia..If so is there any chance that it can be cured.Hope you will help me out as my life is getting worse day by day..

Thanks in advance.

Answered by Dr. Sudhir Kumar (1 hour later)

Hi,

Thank you for getting back.

MCI may lead to dementia, but at present, you do not have dementia.

MRI of brain may also be done, which would be helpful.

You could get all these tests done at Bangalore, Elbit Diagnostics. For any help and appointments, please call Mr XXXXXXX at 0000.

Tests required are:

1. MRI BRAIN,
2. EEG,
3. Serum vitamin B12 level
4. Thyroid profile

Please take a printout of this and give my reference, these tests will be done.

Please send me the reports once you get them.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, Hyderabad

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sudhir Kumar (2 days later)

Thanks for the reply doc. I have one more query regarding MRI Scan as i said earlier i had CT Scan long time back at the time of test they given me some injection i think the XXXXXXX used to get clear images. I got reaction of that so just want to know do they give the injection in MRI Brain also...Getting kind of fear..

Answered by Dr. Sudhir Kumar (1 hour later)

No, for MRI, no XXXXXXX would be injected. For clarification, please tell them, it is

MRI brain- plain (non-contrast).

If they have any doubt, please ask them to talk to Mr XXXXXXX

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sudhir Kumar (10 days later)

Hello Doctor,

I have done all the test required and uploaded the reports only.Kindly check and guide for further treatment. And do you only required the reports or you also want the MRI Scanned films and EEG spikes reports also..

Answered by Dr. Sudhir Kumar (58 minutes later)

Thank you for getting back with reports.

The report shows severe deficiency of vitamin B12. This can explain all your problems.
MRI brain, EEG and thyroid reports are normal.

Following treatment would be beneficial in your case:
1. Inj. METHYCOBAL (vitamin B12) 500 micrograms on alternate days for 20 days (total 10 injections), taken in the muscle (IM)
2. CAP. NUROKIND PLUS 1 daily for one month.

You can get these prescribed by a general physician.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sudhir Kumar (7 hours later)

Thanks for the reply doctor just want to know is there any substitute of the injection. I mean can i have any other oral or nostril spray and the medication will for 1 month only or for life long as i was reading somewhere on internet that it is kind of life long process as i am a vegan ..

Thanks & Regards

Answered by Dr. Sudhir Kumar (6 hours later)

Thank you for getting back.

1. Taking injections are preferable, as many people can not absorb the vitamin in the gut, due to presence of antibodies.

2. Treatment would go on for about six months at least, and later on, depending on your symptoms, and vitamin B12 level, we could decide.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sudhir Kumar (40 hours later)

Hi Doc,

Thanks for the reply just want to know is there any side effect of mentioned medicines ? As i am allergic to analgesic medicine as i said ....

Thanks in advance.

Answered by Dr. Sudhir Kumar (6 hours later)

There are no side effects of the above mentioned medicines, as they are vitamins.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar