My Father's Health Issues: Symptoms and Concerns

I don't know what happened to my father?

Hello, my father (67 years old) recently took cold medicine and then ate mangoes, after which he experienced dry heaving 5-6 times.
He thought the cold medicine caused it and discarded the medication! I'm not sure if this is drug toxicity or something else, since he took the medicine and then ate mangoes.
Later, I noticed my father behaving strangely! Aside from having a slight hearing impairment, his mood has been unstable at times, and he forgets things quickly, often misremembering what we just talked about! Ever since he caught a cold, he has had a poor appetite and can only eat a little before feeling full! Moreover, he can't tolerate the fan in this weather! Today, I found a bottle of cold medicine and learned that he went to the pharmacy to buy over-the-counter medication.
My father exercises daily and has benign prostatic hyperplasia, for which he has regular check-ups.
My mother passed away ten years ago.
I personally feel that my father may be experiencing some symptoms of mild dementia in addition to age-related changes! I don't know much else.
I would like to understand what is happening with my father.
Thank you!

Jason, 30~39 year old female. Ask Date: 2018/06/20

Dr. Liao Yaopan reply Family Medicine

Hello, based on your description, it is recommended that you take your father to a medical facility for a physician to evaluate whether there are any physiological abnormalities, and then consider the possibility of a dementia state.
Please note: online consultations are not equivalent to in-person visits and cannot provide diagnoses or treatment recommendations.
Changhua Hospital cares about you.

Reply Date: 2018/06/20

More Info

It sounds like you are deeply concerned about your father's health and well-being, and rightly so given the symptoms you've described. Your father's age, combined with the recent changes in his behavior and physical health, suggests that there may be several factors at play that could be affecting his mental and physical state.

Firstly, the episode of dry heaving after taking cold medicine and eating mangoes raises some questions. While it’s possible that the combination of the medication and the fruit could have caused a mild gastrointestinal reaction, it’s also important to consider other factors. For instance, if your father has a history of gastrointestinal issues or if he is taking other medications, these could contribute to his symptoms. It’s crucial to monitor any adverse reactions to medications and consult a healthcare professional if such events occur.

The emotional instability, forgetfulness, and decreased appetite you mentioned could be indicative of several underlying issues. Given your father's age, it is possible that he is experiencing early signs of cognitive decline, such as mild cognitive impairment or even early dementia. These conditions can manifest as memory problems, difficulty concentrating, and changes in mood or behavior. It’s important to note that emotional changes can also be linked to depression, which is not uncommon in older adults, especially those who have experienced significant life changes, such as the loss of a spouse.

Additionally, the fact that your father has been diagnosed with benign prostatic hyperplasia (BPH) and is on regular medication could also play a role in his overall health. Some medications can have side effects that impact mood and cognitive function. It’s essential to review his current medications with a healthcare provider to ensure they are appropriate and not contributing to his symptoms.

Given these concerns, here are some steps you might consider taking to help your father:
1. Encourage a Comprehensive Medical Evaluation: It would be beneficial for your father to undergo a thorough medical evaluation. This should include a review of his current medications, a physical examination, and possibly cognitive testing. A geriatrician or a neurologist could provide valuable insights into his cognitive health.

2. Monitor Dietary and Medication Interactions: Since you mentioned he had a reaction after taking cold medicine, it’s important to keep track of any medications he takes and any food interactions. Encourage him to consult with a pharmacist or doctor before taking any new medications, especially over-the-counter ones.

3. Promote Healthy Lifestyle Choices: Encourage your father to maintain a balanced diet, stay hydrated, and engage in regular physical activity. These factors can significantly impact both physical and mental health. If he enjoys exercise, help him find activities that he can do safely.

4. Support Emotional Well-being: Since your father lost your mother ten years ago, he may be experiencing feelings of loneliness or grief that could affect his mental health. Encourage him to engage in social activities, whether it’s joining a club, participating in community events, or simply spending time with family and friends.

5. Consider Professional Support: If you suspect he may be experiencing depression or anxiety, it might be helpful for him to speak with a mental health professional. Therapy can provide him with coping strategies and support for his emotional health.

6. Be Patient and Understanding: Changes in behavior can be challenging for both the individual and their family. Approach conversations with empathy and patience. It may take time for your father to open up about his feelings or to accept help.

In summary, your father's symptoms warrant a careful and comprehensive approach to his health. By encouraging medical evaluation, promoting healthy habits, and providing emotional support, you can help him navigate these challenges. Remember, it’s important to address both physical and mental health to ensure his overall well-being.

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