Unusual Behaviors in My Father: Signs of Possible Health Issues? - Family Medicine

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Some strange behaviors of my dad?


Hello, my father is 53 years old and has a long history of smoking and drinking.
Recently, he has been exhibiting some strange behaviors, and I am concerned that there may be some changes in his health.
He has developed an uncontrollable craving for a specific food (boiled corn), to the point where he feels he must eat it almost every night.
Even after having a full dinner and snacks like corn, he still gets up in the middle of the night to buy food, claiming he wants hot soup.
He spends most of the night searching for food, yet his weight has not significantly increased.

What is particularly strange is that he often sits up in bed unconsciously while sleeping, repeatedly doing this many times throughout the night, and sometimes he even falls out of bed.
Recently, he has also been experiencing severe insomnia, with sleep lasting less than three hours.
He has been struggling with an inability to control his desires, feeling compelled to act on whatever comes to mind.
He heavily relies on alcohol and smoking, and when intoxicated, he becomes irritable and exhibits a completely different personality compared to when he is sober.

I have researched online and found that my father exhibits some symptoms associated with dementia (particularly in terms of emotional and behavioral aspects), which makes me worried that he may be experiencing some form of brain pathology.
Additionally, his complexion has been quite dull lately.
Given these various symptoms, do they indicate a potential illness?

M, 20~29 year old female. Ask Date: 2008/09/17

Dr. Lai Junlong reply Family Medicine


Response: The public should seek medical attention promptly to investigate the symptoms mentioned regarding their father.
Alcohol overdose could potentially lead to neurological disorders, or there may be an underlying condition such as diabetes.
It is recommended to first consult a neurologist for a symptom evaluation.
If no neurological abnormalities are found, then consideration can be given to seeking assistance from a psychiatrist.
Thank you, Dr.
Lai Junlong.

Reply Date: 2008/09/17

More Info


Based on the description of your father's recent behaviors, it is understandable to be concerned about his health. Several factors could be contributing to the unusual behaviors you have observed, and it is essential to consider both physical and mental health aspects.

Firstly, your father's long-term habits of smoking and drinking alcohol can significantly impact his overall health. Chronic alcohol consumption can lead to various health issues, including liver disease, neurological disorders, and cognitive impairments. Additionally, smoking is known to contribute to cardiovascular diseases and respiratory problems, which can further complicate his health status.

The specific behaviors you mentioned, such as an uncontrollable craving for food (in this case, boiled corn), waking up frequently during the night, and experiencing severe insomnia, could indicate underlying issues. These behaviors may suggest a possible disruption in his sleep patterns, which can be caused by anxiety, stress, or even a sleep disorder. The fact that he is waking up multiple times at night and has difficulty returning to sleep could be indicative of a condition such as sleep apnea or restless leg syndrome, both of which can lead to excessive daytime sleepiness and irritability.

Moreover, the changes in his eating habits and the compulsive need to consume certain foods may point to a psychological component. This could be related to stress or emotional issues that he may not be addressing. It is also worth noting that some individuals develop food cravings as a coping mechanism for emotional distress.

The mention of his mood swings, particularly the drastic changes in personality when under the influence of alcohol, raises concerns about potential alcohol use disorder. This condition can lead to significant mood changes, aggression, and impaired judgment, which can affect his relationships with family members and friends.

Regarding the possibility of dementia or other cognitive impairments, it is essential to recognize that while some symptoms may align with early signs of dementia, such as memory loss or confusion, other medical conditions could also present similar symptoms. For instance, metabolic imbalances, vitamin deficiencies (such as B12 deficiency), or even infections can lead to cognitive changes. Given your father's age and the behaviors you described, it would be prudent to seek a comprehensive medical evaluation.

I recommend that you encourage your father to visit a healthcare professional for a thorough assessment. A doctor can conduct necessary tests to rule out any physical health issues, such as liver function tests, blood tests to check for vitamin deficiencies, and possibly imaging studies to evaluate brain health. Additionally, a mental health evaluation may be beneficial to assess for any underlying psychological conditions, including anxiety or depression, which could be contributing to his behaviors.

In the meantime, it may be helpful to create a supportive environment for your father. Encourage open communication about his feelings and concerns, and consider involving other family members in discussions about his health. If he is resistant to seeking help, you might suggest that he visit a doctor for a routine check-up, framing it as a way to ensure he is in good health rather than focusing solely on his unusual behaviors.

In conclusion, your father's behaviors could stem from a combination of physical health issues, psychological factors, and lifestyle choices. A comprehensive evaluation by a healthcare professional is crucial to determine the underlying causes and to develop an appropriate treatment plan. Your proactive approach in seeking help for your father is commendable, and with the right support, he can receive the care he needs.

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