Can Medications Improve Vascular Dementia Symptoms?
Is there medication available to improve vascular dementia? Dear Doctor, My uncle, who is currently 52 years old, suffered a subarachnoid hemorrhage due to a ruptured cerebral aneurysm. He was urgently hospitalized and underwent surgery, followed by a second procedure for draina...
Dr. Lin Zijing Reply:
There are several medications for dementia: A. Acetylcholinesterase inhibitors 1. Donepezil (Aricept) 2. Rivastigmine (Exelon) 3. Galantamine (Reminyl) B. NMDA receptor antagonist 4. Memantine hydrochloride (Witgen) All of these require approval from the National Health Insurance...[Read More] Can Medications Improve Vascular Dementia Symptoms?
Understanding Alzheimer's Medication Costs and Insurance Coverage
Medication Issues in Alzheimer's Disease My father-in-law is receiving treatment for dementia at Hualien Tzu Chi Hospital. Recently, the doctor mentioned that there has been no improvement with the medication, and since the drugs are expensive, it feels like a waste to conti...
Dr. Lin Zijing Reply:
Currently, the medications used to treat Alzheimer's disease primarily include donepezil (Aricept), rivastigmine (Exelon), galantamine (Reminyl), and memantine (Witgen). Health insurance regulations require that these medications be prescribed only after blood tests, memory ...[Read More] Understanding Alzheimer's Medication Costs and Insurance Coverage
Addressing Sexual Desire in Stroke Patients: A Family's Dilemma
Sexual Life of Stroke Patients My father is 83 years old and has suffered from diabetes for many years. Last year, he had a cerebral embolism that led to a stroke, and now he is bedridden and completely unable to care for himself. Occasionally, he experiences delusions, and recen...
Dr. Huang Yongquan Reply:
Hello: After a brain injury, the control and coordination functions may also be impaired, leading to symptoms such as dementia, hallucinations, disrupted sleep cycles, binge eating, and even abnormal sexual behaviors as you mentioned. These conditions can be treated with certain ...[Read More] Addressing Sexual Desire in Stroke Patients: A Family's Dilemma
Understanding Epilepsy Treatment: Insights and Future Options
Epilepsy treatment My description may be somewhat complex, but I sincerely ask all physicians to provide me with detailed answers and suggestions. My birthday is October 11, 1970. During the summer vacation of my second grade in elementary school (around 1978), I experienced a fa...
Dr. Lin Zijing Reply:
Currently, there is no particularly effective method for treating epilepsy; the goal is to control seizures and minimize their occurrence. Good seizure control requires the following conditions: 1. Regular outpatient visits and adherence to the physician's instructions regar...[Read More] Understanding Epilepsy Treatment: Insights and Future Options
Understanding the Effects of High Blood Sugar on Neurological Health
High blood sugar can lead to several conditions, including: 1. Increased thirst and frequent urination (polyuria). 2. Fatigue and weakness. 3. Blurred vision. 4. Headaches. 5. Dry mouth and skin. 6. Unexplained weight loss. 7. Slow healing Hello, Doctor Gao: My father is a diabe...
Dr. Gao Chunde Reply:
Metabolic encephalopathy can occur if blood sugar levels are high or if there is renal dysfunction. Patients may present with altered orientation, memory issues, cognitive changes, and temporary neurological deficits, which can be severe enough to lead to coma. However, as long a...[Read More] Understanding the Effects of High Blood Sugar on Neurological Health
High Blood Sugar: Unusual Behaviors and Their Impact on Family
High blood sugar can lead to some unusual behaviors? Hello Dr. Lin: My father is a diabetic patient (blind in both eyes) and has recently been exhibiting repetitive speech and sometimes forgets our family members' names. Since my father cannot see, he used to know the locati...
Dr. Lin Zijing Reply:
High blood sugar levels can sometimes lead to metabolic encephalopathy, resulting in delirium. Once blood sugar is controlled, delirium typically improves. However, if your father's blood sugar is well-controlled but he still frequently experiences episodes of confusion or m...[Read More] High Blood Sugar: Unusual Behaviors and Their Impact on Family
Understanding Grandma's Health: Neurological Concerns After a Fall
Is grandma sick? Hello Doctor: My grandmother is eighty years old. She fell two months ago, and an X-ray of her knee showed a fracture. She was hospitalized for a week, and the doctor said she was fine before discharging her. However, after a month, she started to dislike moving ...
Dr. Lin Zijing Reply:
Hello: The issue with grandma may be related to a disruption in her sleep cycle. People spend about one-third of their lives sleeping, so sleep quality is significantly linked to physiological, psychological, and emotional health. Disrupted sleep patterns can lead to decreased al...[Read More] Understanding Grandma's Health: Neurological Concerns After a Fall
Understanding Parkinson's Disease: Symptoms, Medications, and Diagnosis
Parkinson's disease How can dementia in the elderly be identified? What are the potential side effects of medications? How long does it take for a doctor to issue a certificate after seeking medical attention? What types of examinations are required?
Dr. Zeng Kongyan Reply:
The diagnosis of Parkinson's disease and dementia primarily relies on clinical symptoms, supplemented by auxiliary examinations such as electroencephalograms and brain computed tomography scans. Patients with dementia undergo simple cognitive tests and clinical dementia asse...[Read More] Understanding Parkinson's Disease: Symptoms, Medications, and Diagnosis
Understanding Dementia: How to Help Your Loved One with Memory Loss
Dementia in the elderly Doctor: Hello! My mother is 68 years old and has been experiencing memory decline in recent years. Last year, we took her to Shin Kong Wu Ho-Su Memorial Hospital in Taipei for an evaluation, and the doctor said it was natural aging. She is still able to ta...
Dr. Zhang Yangpei Reply:
Hello, regarding your mother's condition, it is indeed possible that she is exhibiting symptoms of dementia, which is a concern shared by many families of patients. Based on your description, it seems that your mother may also be experiencing symptoms similar to depression. ...[Read More] Understanding Dementia: How to Help Your Loved One with Memory Loss
Understanding Left Upper Back Numbness: Possible Causes and Solutions
Numbness in the left upper back? Since January 3 of this year, I have been experiencing a tingling sensation in my left upper back, similar to low-frequency electrical currents, occurring several times a day for a few minutes each time. I consulted a neurologist once but received...
Dr. Ye Boshou Reply:
Hello: It appears to be more like a tendon condition, but a definitive diagnosis cannot be made at this time. Please continue with outpatient follow-up. Director Ye Bo-shou.[Read More] Understanding Left Upper Back Numbness: Possible Causes and Solutions
Can Hyperbaric Oxygen Therapy Improve Stroke Recovery in Elderly Patients?
excuse me? Hello, I would like to ask if hyperbaric oxygen therapy after a stroke can lead to better recovery. My grandmother, who is 96 years old, had a stroke a few months ago and had dementia prior to the stroke. She is currently experiencing mobility issues. Would it be benef...
Dr. Huang Yingzhe Reply:
Dear Dr. Huang Ying-Che, Department of Neurology, Tainan Hospital, Ministry of Health and Welfare: According to certain studies, hyperbaric oxygen therapy has shown some therapeutic effects. However, if a stroke has occurred some time ago, experience suggests that there may not ...[Read More] Can Hyperbaric Oxygen Therapy Improve Stroke Recovery in Elderly Patients?
Understanding Dementia: Causes, Symptoms, and Treatment Options
Dementia Hello, doctor. My mother has a benign tumor in her brain that was pressing on her optic nerve. She underwent surgery to remove it in 1989, but due to the complex location of the tumor, it could not be completely excised. In 2003, the tumor had grown larger, and she had a...
Dr. Xu Weicheng Reply:
Hello: Due to previous brain tumor surgery and the damage from a stroke, there will inevitably be a loss of function. If there are any other issues, please visit our outpatient clinic for follow-up treatment. Thank you! Neurology Department, Dr. Wei-Cheng Hsu.[Read More] Understanding Dementia: Causes, Symptoms, and Treatment Options
Does Hair Dye Really Increase the Risk of Dementia? Exploring the Myths and Facts
Question Dear Dr. Yeh, There are always rumors circulating that hair dyeing can lead to acquired dementia in later life. Is there any truth to this? It is undeniable that frequent perming and dyeing can damage hair quality and skin; however, is there a possibility that the dye i...
Dr. Ye Boshou Reply:
There are currently no reports in the literature regarding the effects of dyes on the brain.[Read More] Does Hair Dye Really Increase the Risk of Dementia? Exploring the Myths and Facts
Understanding Neck and Back Pain in Seniors: Neurological Insights and Dementia Links
Question Hello Dr. Yeh: For elderly individuals aged 60 and above, if they experience neck and back pain due to long-term work, could this be a result of muscle or nerve injury? Is it possible for the painful areas to also exhibit itching sensations, and what could be the potenti...
Dr. Ye Boshou Reply:
1. Neck and back pain may be due to tendon or nerve damage. If there is itching, you may consult a neurologist, orthopedic specialist, or rehabilitation specialist. 2. If selective amnesia is caused by psychological factors and is not dementia, you should see a psychiatrist. 3. I...[Read More] Understanding Neck and Back Pain in Seniors: Neurological Insights and Dementia Links
Understanding Post-Stroke Symptoms and Recovery in Elderly Patients
I'm sorry My grandmother has high blood pressure. Last Saturday, she fell and hit the back of her head. The doctor said that she had a stroke before she fell. When she first arrived at the hospital, she experienced vomiting. Later, due to fluid accumulation in her brain that...
Dr. Lai Lunxiang Reply:
I am most concerned about my grandmother's symptoms such as insomnia, talking to herself, and forgetfulness. These symptoms are definitely related to her inability to sleep at night, and I believe that medication adjustments for sleep by the physician would be beneficial. Ad...[Read More] Understanding Post-Stroke Symptoms and Recovery in Elderly Patients
Does Cooking with Aluminum Pots Increase Alzheimer's Risk?
Is cooking rice in aluminum pots linked to dementia? Hello Dr. Yeh, I would like to ask you about something I heard in the past. It was said that cooking rice and vegetables in aluminum pots might lead to dementia in old age. However, for those of us who eat out frequently, it se...
Dr. Ye Boshou Reply:
1. The theory that cooking rice in aluminum pots causes dementia has long been debunked, so there is no need to worry. 2. Lead contamination can cause poisoning, particularly in children, leading to cognitive impairments. Most exposure occurs in battery factories and from leaded ...[Read More] Does Cooking with Aluminum Pots Increase Alzheimer's Risk?
Understanding Dementia: Treatment Options and Recovery Insights
Dementia 1. My mother is experiencing memory loss regarding recent events, along with symptoms of urinary incontinence and difficulty walking. 2. On December 4th, after a medical examination, it was found that she had hydrocephalus, and she underwent surgery on December 6th to p...
Dr. Ye Boshou Reply:
Pharmacological treatment is generally less effective for memory impairment. The letter does not specify the formulation or duration of use for the sleep medication, so I will refrain from commenting on that.[Read More] Understanding Dementia: Treatment Options and Recovery Insights
Effective Treatments and Dietary Tips for Alzheimer's Disease in Seniors
Dementia in the elderly Treatment and prevention of dementia in the elderly can be supported by certain foods and supplements. Foods rich in omega-3 fatty acids, such as fatty fish (like salmon and mackerel), walnuts, and flaxseeds, may help improve cognitive function. Antioxidan...
Dr. Huang Yingzhe Reply:
There are various diseases that can cause dementia in the elderly, such as Alzheimer's disease (the most common), multi-infarct dementia, Parkinson's disease, subdural hematoma, benign brain tumors, hypothyroidism, and depression, among others. Treatment must be targete...[Read More] Effective Treatments and Dietary Tips for Alzheimer's Disease in Seniors
Gas Poisoning: Understanding Risks and Brain Health Concerns
Gas poisoning? The gas stove was accidentally turned off, and I didn't notice it until half an hour later when I felt something was off. The entire house was filled with a strong smell of gas, so I quickly turned it off. About half an hour later, the smell dissipated. Aside ...
Dr. Lai Lunxiang Reply:
Based on your description, I personally believe there is no issue: "you will not become less intelligent." If you have any other questions or symptoms, please visit the outpatient department of any hospital for diagnosis and treatment. Thank you! Sincerely, Lai Lun-Hsia...[Read More] Gas Poisoning: Understanding Risks and Brain Health Concerns
Understanding Hyperventilation: Anxiety, Brain Health, and Risks
Hyperventilation I often experience hyperventilation due to anxiety, which causes me to feel tingling all over my body and experience dizziness, although I haven't fainted. I'm concerned that this could lead to insufficient blood flow to my brain, similar to what elderl...
Dr. Du Haojie Reply:
Hyperventilation can lead to changes in the levels of oxygen and carbon dioxide in the blood, resulting in symptoms such as dizziness and tingling sensations. This condition is different from dementia in the elderly caused by cortical atrophy. If you are prone to anxiety, it is a...[Read More] Understanding Hyperventilation: Anxiety, Brain Health, and Risks