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What Do My Lab Test Reports Indicate?
Question: My father's medical record:
1978: Removal of stones form the gall bladder
2000: Total prostate gland removal because of appearance of cancer
2008: Invasive surgery to fixed asymptomatic abdominal aorta aneyrism
2011: MRI BRAIN scan revealed 2-3 deteriorate cells due to age. He took aricept 5mil for some months.Due to vivid dreams and other symptoms the neurologist diagnosed Lewy body dementia. However my father was fully functional and independent. He walked every day. he was able to drive, and he was 100% sane in conversation, and fully functional.
2013:July 2013 my father had a big shock after losing most of his money in bank bankruptcy.He fell down and broke his left hip. He was operated with total sedation (not epidural).
When he came out of the surgery room he was in complete confusion for many months and since then he has mobility problems like parkisonian shuffle and stiff joints. He was sen by a neurologist who said that the post surgery cognitive decline was probably due to worsening of Lewy body dementia.Was it the sedation that cause this damage??????????
Since then my father is taking the following medications:
Seroquel 25
Cretanil 1mg
Aricept 10
Clonotril 0.5 twice a day
2016: In May 2016 my father fell and broke his other hip flexor. He was operated with epidural sedation this time. Since then he has not recovered. He cannot walk,he has very low understanding of his suroundings, does not eat and apparently he is very aggressive. Very often he punches/hits caregivers something that he did not do before 2016. He has also GERD AND RECENTLY HE HAS BeeN BURBING A LOT ACCOMPANIED WITH PHLEGMS.
I would appreciate if you could advise us on how to help my father improve!
Regards Christis
1978: Removal of stones form the gall bladder
2000: Total prostate gland removal because of appearance of cancer
2008: Invasive surgery to fixed asymptomatic abdominal aorta aneyrism
2011: MRI BRAIN scan revealed 2-3 deteriorate cells due to age. He took aricept 5mil for some months.Due to vivid dreams and other symptoms the neurologist diagnosed Lewy body dementia. However my father was fully functional and independent. He walked every day. he was able to drive, and he was 100% sane in conversation, and fully functional.
2013:July 2013 my father had a big shock after losing most of his money in bank bankruptcy.He fell down and broke his left hip. He was operated with total sedation (not epidural).
When he came out of the surgery room he was in complete confusion for many months and since then he has mobility problems like parkisonian shuffle and stiff joints. He was sen by a neurologist who said that the post surgery cognitive decline was probably due to worsening of Lewy body dementia.Was it the sedation that cause this damage??????????
Since then my father is taking the following medications:
Seroquel 25
Cretanil 1mg
Aricept 10
Clonotril 0.5 twice a day
2016: In May 2016 my father fell and broke his other hip flexor. He was operated with epidural sedation this time. Since then he has not recovered. He cannot walk,he has very low understanding of his suroundings, does not eat and apparently he is very aggressive. Very often he punches/hits caregivers something that he did not do before 2016. He has also GERD AND RECENTLY HE HAS BeeN BURBING A LOT ACCOMPANIED WITH PHLEGMS.
I would appreciate if you could advise us on how to help my father improve!
Regards Christis
Brief Answer:
No cure for lewy body dementia till date.
Detailed Answer:
Hi Dear,
Firstly i am sorry for condition of your father.
Have gone through his details and i appreciate your concerns.
Initially lets start with problem of gastroenterology i.e GERD with lots of Burping.
At the junction of esophagus(Tube connecting mouth to stomach) their is a muscular band called lower esophageal sphincter.As age progresses the muscular band becomes week hence the acid formed in the stomach regurgitates back into the esophagus.The mucosa of esophagus gets eroded by acid leading to inflammation.This constant irritation of mucosa layer by acid causes the mucosa to secrete large amount of mucous leading to production of irritant phelgem.
Your father is on anti pyschotic drugs which increases the problem of acid reflux and gas formation.I would suggest you to give him Rabeprazole 20 mg once daily in morning in combination of Domperidone 30mg (prokinetic drug) this will slow down the reflux of acid and would provide him with symptomatic relief in GERD and Bloating(prescription medicine)
Now lets come to lewy body dementia.The presentation of lewy body dementia can't be sudden in onset usually the symptoms of Lewy. Body Dementia worsen over time, with intellectual and motor functions deteriorating, typically over several years. So sedation can just make things worse but it can not by itself cause this problem.Loss of cognitive functions over time is one of the most characterstic feature of this dementia and sad reality is that we can't stop it from progressing. Therefore treatments is aimed at controlling the cognitive, motor, and psychiatric problems associated with the disorder, including hallucinations, depression,aggression and sleep disturbances.He is already on medicines for dementia aggression and pyschosis. Apart from this therapy only supportive therapy can be given.
Try to understand him.
Give time to him.
Try to eat with him.
Aggression depression mood changes all are a part of the disease so just stay calm.
Show that you care for him.(Best thing that a child can do for his parents).
He is now just like a 2 year old kid vulnerable,adorable and stubborn. Handle him with love.How he will behave depends on how you understand him.
Hope you got your answers.
I wish you and your father a great luck.
Warm regards.
No cure for lewy body dementia till date.
Detailed Answer:
Hi Dear,
Firstly i am sorry for condition of your father.
Have gone through his details and i appreciate your concerns.
Initially lets start with problem of gastroenterology i.e GERD with lots of Burping.
At the junction of esophagus(Tube connecting mouth to stomach) their is a muscular band called lower esophageal sphincter.As age progresses the muscular band becomes week hence the acid formed in the stomach regurgitates back into the esophagus.The mucosa of esophagus gets eroded by acid leading to inflammation.This constant irritation of mucosa layer by acid causes the mucosa to secrete large amount of mucous leading to production of irritant phelgem.
Your father is on anti pyschotic drugs which increases the problem of acid reflux and gas formation.I would suggest you to give him Rabeprazole 20 mg once daily in morning in combination of Domperidone 30mg (prokinetic drug) this will slow down the reflux of acid and would provide him with symptomatic relief in GERD and Bloating(prescription medicine)
Now lets come to lewy body dementia.The presentation of lewy body dementia can't be sudden in onset usually the symptoms of Lewy. Body Dementia worsen over time, with intellectual and motor functions deteriorating, typically over several years. So sedation can just make things worse but it can not by itself cause this problem.Loss of cognitive functions over time is one of the most characterstic feature of this dementia and sad reality is that we can't stop it from progressing. Therefore treatments is aimed at controlling the cognitive, motor, and psychiatric problems associated with the disorder, including hallucinations, depression,aggression and sleep disturbances.He is already on medicines for dementia aggression and pyschosis. Apart from this therapy only supportive therapy can be given.
Try to understand him.
Give time to him.
Try to eat with him.
Aggression depression mood changes all are a part of the disease so just stay calm.
Show that you care for him.(Best thing that a child can do for his parents).
He is now just like a 2 year old kid vulnerable,adorable and stubborn. Handle him with love.How he will behave depends on how you understand him.
Hope you got your answers.
I wish you and your father a great luck.
Warm regards.
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Above answer was peer-reviewed by :
Dr. Nagamani Ng
Answered by
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