Geriatrics Q&A - Page 3

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Understanding Knee Pain and Swelling: Causes and Solutions for Seniors

Knee issues? This afternoon, while shopping, I suddenly experienced some pain in my left knee, making it difficult to walk. When I got home, I noticed that my knee was swollen. It hurts when I press on the sides of the knee, but the top and bottom are fine. The swelling did not g...


Dr. Liang Yinpan Reply:
Hello Chiaochen: The causes of knee swelling and pain include: 1. Strain from improper use, 2. Degeneration from prolonged weight-bearing, 3. Infection and inflammation. It is advisable to seek orthopedic treatment promptly. Wishing you a speedy recovery. Liang Yin-Pan, Departmen...

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Understanding Behavioral Changes in Elderly: Mental Health or Aging?

It is unclear whether it is a psychological disorder or symptoms of aging? Hello Doctor: My grandmother is 80 years old. She has always had a bit of a temper, but recently her condition has worsened. She often gets angry for no apparent reason, and it lasts for a long time. For e...


Dr. Liang Yinpan Reply:
Hello, DD: Grandma's change in temperament, inconsistent statements, and declining memory are likely symptoms of brain pathology, most commonly seen in dementia. Please take Grandma to a neurologist or psychiatrist for evaluation and treatment. Wishing Grandma a speedy recov...

[Read More] Understanding Behavioral Changes in Elderly: Mental Health or Aging?


Understanding Emotional Instability in Elderly: A Case Study of Grandma's Behavior

Grandma is emotionally unstable? Hello, Doctor: My grandmother is 98 years old. About a month ago, she mentioned feeling alternating hot and cold in the mornings, getting so hot that she needed a fan and wore short sleeves, then suddenly feeling cold and shivering. However, for t...


Dr. Liang Yinpan Reply:
Hello, My grandmother, who is 98 years old, has been experiencing emotional instability and mood swings. This could be caused by brain degeneration or pathology, with dementia being the most common condition. Please take her to a hospital for evaluation by a neurologist or psyc...

[Read More] Understanding Emotional Instability in Elderly: A Case Study of Grandma's Behavior


Is It Dementia or Just Age-Related Memory Decline?

Dementia or memory decline? Dear Dr. Liang, My father is 60 years old and generally maintains a regular routine with his meals and exercise. He plays mahjong with friends 2-3 times a week. However, he has a smoking habit that has lasted for 30 years (and is currently trying to q...


Dr. Liang Yinpan Reply:
Dear Ms. Chang, Your father, who is 60 years old, is experiencing symptoms of speech fluency issues, which may be caused by a neurodegenerative disease. Please take him to a neurology outpatient clinic for a thorough examination by a specialist to identify the underlying cause a...

[Read More] Is It Dementia or Just Age-Related Memory Decline?


Understanding Eye Issues in Seniors with Hypertension: A Case Study

Hypertensive eye problems A 64-year-old elderly female with a history of hypertension and hyperlipidemia for 14 years has recently experienced intermittent conjunctival injection in her right eye, occurring approximately every two to three months, without affecting her vision. Th...


Dr. Liang Yinpan Reply:
Mr. Lu: Hello! The cause of the intermittent conjunctival injection in the patient's right eye needs to be evaluated by an ophthalmologist for differential diagnosis. If blood pressure is normal during episodes, there may be other underlying issues. Please seek treatment fro...

[Read More] Understanding Eye Issues in Seniors with Hypertension: A Case Study


Diet and Care Strategies for Elderly with Moderate Dementia and Multiple Health Issues

What should be the dietary and care considerations for a patient with moderate dementia combined with hypertension, hyperlipidemia, diabetes, asthma, and a history of right joint replacement surgery? Hello, doctor. Regarding the topic... My mother-in-law started living with us af...


Dr. Liang Yinpan Reply:
Dear Madam, Thank you for your hard work! The love and care you provide for your mother-in-law, who is suffering from moderate dementia, is something that can only be fully understood by those who are directly involved. I recommend that you consider having your mother-in-law rec...

[Read More] Diet and Care Strategies for Elderly with Moderate Dementia and Multiple Health Issues


Understanding Memory Loss and Mood Changes After Stroke in Seniors

Memory and temper issues after a stroke? My father-in-law had a stroke two years ago, which resulted in memory decline and increased irritability. Recently, he has been repeatedly losing his temper over a land dispute. I would like to ask the doctor whether the following situatio...


Dr. Liang Yinpan Reply:
Mr. Eric: Your father-in-law is suffering from schizophrenia secondary to a stroke. Please take him to a geriatric psychiatry department for treatment. May God bless your father-in-law with a speedy recovery! Changhua Hospital, Geriatrics Department, Liang Yin-Pan, 2017-05-09.

[Read More] Understanding Memory Loss and Mood Changes After Stroke in Seniors


Understanding Sudden Leg Weakness in Seniors: When to Seek Help

Weakness in both legs while walking? Hello Doctor, my father is 78 years old. Recently, I suddenly noticed that his mental state has not been very good, and he has been experiencing weakness in both legs. For example, he struggles to get in and out of the car, and sometimes while...


Dr. Liang Yinpan Reply:
Hello Mr. Tsai: Your father's issues can first be evaluated by a family medicine or geriatrics physician to identify the problems, and if necessary, he can be referred to the appropriate specialty for treatment. Changhua Hospital Geriatrics Department, Liang Yin-Pan, March 1...

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Severe Sleepiness in Elderly: Understanding Causes and Next Steps

Severe somnolence? I would like to ask about my grandfather, who has been experiencing severe drowsiness for the past couple of months and is almost impossible to wake up. He was hospitalized for three weeks starting December 10th last year, during which he was somewhat more aler...


Dr. Liang Yinpan Reply:
Hello Deng Ting-Yu: Your grandfather is in the end stage of renal failure, most likely experiencing a state of lethargy due to uremia. Please take him to a large hospital for emergency care and nephrology treatment as soon as possible. Wishing your grandfather a speedy recovery. ...

[Read More] Severe Sleepiness in Elderly: Understanding Causes and Next Steps


Understanding Dementia and Delirium in Elderly Patients: A Caregiver's Guide

Dementia in the elderly with concomitant delirium? Hello, my grandmother is 78 years old. Five years ago, she collapsed suddenly due to lung cancer and exhibited seizure-like symptoms. After surgery (without chemotherapy), she suddenly displayed aggressive behavior towards others...


Dr. Liang Yinpan Reply:
Hello, Q: Grandma is suffering from severe dementia combined with delirium, and she should be taken to a psychiatrist for treatment. This is unrelated to her lung surgery five years ago; it is a result of rapid brain degeneration. Changhua Hospital cares about you; wishing Grandm...

[Read More] Understanding Dementia and Delirium in Elderly Patients: A Caregiver's Guide


Identifying the Type of Dementia: Symptoms and Stages Explained

Which type of dementia does it belong to? My grandfather is nearly 80 years old and has been experiencing a disrupted sleep-wake cycle in recent months, with increasing daytime sleepiness. He has also lost a significant amount of weight and takes a long time to eat, needing to ch...


Dr. Shen Zhengnan Reply:
If an elderly person's forgetfulness reaches a level that affects daily life, it may indicate dementia. Dementia is merely a clinical syndrome (a collection of symptoms) that requires further differentiation of its underlying causes. The two most common causes of dementia ar...

[Read More] Identifying the Type of Dementia: Symptoms and Stages Explained


Understanding Sudden Memory Loss in the Elderly: Causes and Solutions

Grandpa woke up in the morning and forgot everything? Yesterday everything was fine, but this morning at 5 AM, my grandmother tried to wake my grandfather, but he didn't respond. They discovered that he had wet the bed. When my mother and grandmother tried to help him change...


Dr. Shen Zhengnan Reply:
Hello, if an elderly person suddenly experiences memory decline and behavioral confusion overnight, the most common cause is delirium, which is an acute confusional state. The cognitive function of elderly individuals is not as robust as in their younger years, especially for tho...

[Read More] Understanding Sudden Memory Loss in the Elderly: Causes and Solutions


Addressing Abnormal Behaviors in Elderly Patients with Parkinson's Disease

Abnormal behavior in the elderly Hello Dr. Shen, My father is 79 years old and has been diagnosed with Parkinson's disease for about 10 years. In recent years, the effectiveness of his medication has decreased, and his mobility has become increasingly impaired. His cognitiv...


Dr. Shen Zhengnan Reply:
Hello, Ms. Xiao Guai. After a period of illness, Parkinson's disease patients, especially the elderly, have about a 20% chance of developing dementia. Based on your description, the changes in your father's orientation and behavioral control indeed warrant consideration...

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Understanding Grandmother's Mental Health: Coping with Anxiety and Depression

Grandmother's psychological issues? Hello, doctor. My grandmother has been experiencing symptoms of depression, panic, and anxiety. She has needed family companionship for many years, which has been a significant concern for us. I live in a single-parent household, and my fa...


Dr. Lin Jiannan Reply:
Dear Sir/Madam, Thank you for your inquiry and for your message. Since Dr. Lin has left our hospital to start a private practice, I am responding to your questions on his behalf. Based on your description, it is clear that you are concerned about your grandmother's conditio...

[Read More] Understanding Grandmother's Mental Health: Coping with Anxiety and Depression


Understanding Stroke Aftermath: Care and Recovery Strategies

Stroke sequelae and care? Hello Doctor, my grandmother suddenly had a stroke this week. There was a blockage in the blood vessels in her left brain, which caused her right side to be completely immobile at first. Additionally, it affected her speech and swallowing, so a nasogastr...


Dr. Shen Zhengnan Reply:
Hello, Grandma had a stroke just a week ago, and it is currently difficult to predict whether it will lead to dementia in the future. The most important thing right now is to actively follow the medical team's instructions for treatment and rehabilitation. If the treatment a...

[Read More] Understanding Stroke Aftermath: Care and Recovery Strategies


Understanding Frequent Bowel Movements in Elderly Patients: Causes and Care

Frequent urination in the elderly? Hello Dr. Liang, I would like to inquire about an elderly person (80 years old) who has a very low food intake, averaging about ten bowel movements a day, but actually has very little stool. They often feel bloated in the lower abdomen, but the ...


Dr. Liang Yinpan Reply:
Hello, regarding elderly patients in their eighties with multiple chronic diseases, they are prone to complications such as dyspepsia, which may present as abdominal bloating or abnormal bowel movements. If there is excessive accumulation of fecal matter in the colon, it can lead...

[Read More] Understanding Frequent Bowel Movements in Elderly Patients: Causes and Care


Addressing Cognitive Decline in Seniors: A Guide for Caregivers

Grandma's cognitive decline issues? Hello, doctor. I would like to ask about my grandmother. Due to her long-term lack of outdoor activity and minimal exercise, she is now experiencing cognitive decline and doesn't even chew her food anymore. What should we do now? I am...


Dr. Ouyang Wenzhen Reply:
Hello Annie, this is Dr. Chang. Since Dr. Ouyang has left our hospital, I will be responding to your inquiry. Based on your description, I would recommend that you find a way to take your family member to seek medical attention. It is essential to first assess their physical and ...

[Read More] Addressing Cognitive Decline in Seniors: A Guide for Caregivers


Understanding Weakness in the Elderly: Causes and When to Seek Help

Elderly lower limb weakness? Hello, Dr. Liang. I have an elder at home who is 66 years old. Recently, she has expressed that her left leg feels loose, as if the flesh is not firmly attached to the bone. The right leg does not have this sensation. Additionally, she often experienc...


Dr. Liang Yinpan Reply:
Dear Ms. Zhong, The loose feeling in your elder's left leg muscle is a symptom of nerve damage affecting the muscles responsible for contraction in that leg. Additionally, the tingling sensation in the fingertips of the left hand is also indicative of neuropathy. It is advi...

[Read More] Understanding Weakness in the Elderly: Causes and When to Seek Help


Managing Respiratory Challenges in Elderly Patients: A Case Study

Tracheostomy in the elderly? Grandma is already 82 years old and is currently in the hospital due to unexplained swelling of the esophagus, which is compressing her airway and causing difficulty in breathing. She has been placed on a ventilator and has received antibiotics, stayi...


Dr. Liang Yinpan Reply:
Grandma is currently relying on a ventilator to maintain her breathing. If she cannot be weaned off in the short term, the general physician would recommend a tracheostomy. However, even after the tracheostomy, it does not guarantee that she will be able to be weaned off the vent...

[Read More] Managing Respiratory Challenges in Elderly Patients: A Case Study


Managing Wound Healing and Swelling in Diabetic Patients

The wound on the foot has scabbed over but is swollen? Hello Doctor, my grandmother is 81 years old and has diabetes, requiring medication to control her blood sugar. She occasionally indulges but generally maintains good blood sugar levels and has regular follow-up appointments....


Dr. Liang Yinpan Reply:
Hello Chilly: My grandmother is 81 years old and has diabetes, which inevitably affects her lower limb circulation. She has a scab on her tibia, but the surrounding area is still red, and her ankle is somewhat swollen, with only the injured foot showing edema. We are concerned ab...

[Read More] Managing Wound Healing and Swelling in Diabetic Patients




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