hi doctors 

i am so so weak i think i have a bile reflux i dranked mista alba but im not getting any better i dont have appetite as well ?
you'll need to be evaluated by your physician and possibly have blood tests. don't try to self diagnose. taking medication for mild constipation will not solve your weakness. see more...
brief answer: take probiotic, rifaximin detailed answer: hello! thanks for putting your query in hcm. i am a gastroenterologist. i can understand your concerns feeling of incomplete evacuation is a complaint to be treated symptomatically i will advise you to take a course of probiotic, lots of... coffee can make blepharospasm or twitching worse. try to switch to decaf. oatmeal made me feel ill, i don't get used to it. and made want to puke. but after eating it, i don't feel hungry fast. but it made me diarrhea she obviously has nothing better to do.
she has low self worth. some of mine do and some don't. i quit trying to explain to ppl who have no idea what it's all about. some will never truly understand this illness anyhow. hugs. take care 🌺 try doing a compression test Agree. It's rich in flavor and poor in nutrition. I'm so sorry. This is hard to accept. But sometimes people get to the point that they don't want to socialize. My mother - who was once very social - simply arrived at a point where she only wanted those close to her or the nursing home staff around. She was in a lot of pain which I think was much of it.   
  
If your mother was once social, then you could ask the doctor to experiment with her medications. There may be other options.  
  
However, sometimes we have to accept that these diseases take their course and we can only do so much. Forcing what the person obviously doesn't want isn't helpful.  
  
Offering suggestions - yes - so continue to do that. I'm certain that the AL staff does the same. But you can't make it happen if it's not going to happen. Offer all of the support that you can.  
Take care of yourself, too.  
Carol there are a number of possible reasons, but narcolepsy may well be what you have. you need to get a set of sleep tests (it takes about 24 hours in a sleep laboratory). then a proper diagnosis can be made, and all of the conditions can be treated.<br><br>you really need help asap. I think many of us have to depend more on observation and self-study than on diagnoses, given the expense of testing and the ugly fact that nothing short of an autopsy can give certainty. Here’s how we are coping with that uncertainty. Before my Mom came to live with us, she had fallen at night going toward the bathroom in her apartment. It was 3 days before anyone found her, and there was severe dehydration and some brain damage due to oxygen starvation. She recovered some functioning in rehab, but we had also noticed before the fall that there were more and more signs of cognitive decline. We were warned by a friend who is a geriatric psychologist to not accept the overall “Alzheimer’s” diagnosis which was bound to occur, but to be aware that there were dozens of dementias, some of which needed very different approaches from what is advised for Alzheimer’s. After she got out of rehab she went through a very bad AL situation and into a very good one. She had a GP who made housecalls but was not that knowledgeable about dementia. She had begun describing what could only be hallucinations and agitation, so her doctor put her on an anti-psychotic, an anti-anxiety and a depression medication. Wow! What a mess! Mom had rarely even taken an aspirin before that so maybe her body was super-responsive to the invaders. Anyway, it did more damage than good, and once we eliminated the meds, she slept all the time. We decided to move her in with us and her new doctor prescribed Namenda. We started with 10 mg, which was too much and increased her agitation. We cut back to 5 mg. once a day at nighttime and it was like a miracle occurred! Now don’t get me wrong, there’s still dementia and it’s still advancing. But my point is that sometimes when you don’t have a diagnosis, it’s useful to read up on the various kinds of dementias, do a checklist of the symptoms to determine which is the best match to the behaviors you are seeing, then become knowledgeable about the various RX’s physicians are likely to try, and get very good at monitoring the response to each and asking about/suggesting others you’ve read about. (I know, you thought that was what doctors did — me, too! Wrong!). I found that as long as I behaved as a fairly well-informed and non-judgmental problem-solving partner (and not as an over-protective, aggressive, critical, and sometimes hysterical relative), I got the same treatment back from the doctors. (Of course, if I did not get that, I did not hesitate to find a doctor with an attitude that worked better for us.). Over time, the troubles with balance, the hallucinations that occur immediately if she misses a dose of Namenda, the depth perception, the amount of activity and conversation that goes on while she’s “sleeping”, the extreme variability from “almost normal” to “almost unable to function”, etc. convinced me it is LBD. It’s not a formal diagnosis because we can’t afford all that testing either. But it’s enough for me to protect her from getting inappropriate medications. While there may come a time to move her to a memory care unit, I will also be able to be proactive with staff about what works with her LBD that is probably vastly different from what works with some of their ALZ patients. Summary: observe, study, and use your best and most loving judgment, with or without a diagnosis. Respect but don’t worship the doctors who are trying to help. And trust your gut. You spend more time with your LO than anyone else and your observations are valuable.