does tamsulosin cause dementia?
that is what the data suggests. "the tamsulosin cohort had a higher incident risk of dementia compared with both the no medication group and the alternative medication group." this was from a study of medicare data of over 250,000 men who were 65 or older. ref: https://www.practiceupdate.com/content/dementia-risk-associated-with-tamsulosin-in-benign-prostatic-hyperplasia/71451 see more...
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. 我會盡力若有誤請見諒

1.cellulitis 蜂窩組織炎

2.tb t 結核病uberculosis 

3.cva 肋脊角costovertebral angle 

4.fuo 

5.bed sore 褥瘡or床痛處(長時期的潰瘍)


6.chf 充血性心力衰竭congestive heart failure 

7.pneumonia 肺炎

8.copd 慢性肺部阻塞chronic obstructive pulmonary disease


9.liver abscess 肝膿腫

10.liver cirrhosis 肝臟等的硬化

11.oa 退化性關節炎疾病osteoarthritis, oa

12.gout arthritis 痛風關節炎

13.apn 急性腎盂腎炎 acute pyelonephritis,apn 


14.uti 泌尿道感染 urinary tract infection 

15.dm 診斷監控器diagnostic monitor 

16.sepsis (傷口化膿所致的)腐敗作用;敗毒病


17.dvt 血栓性靜脈炎deep vein thrombosis 

18.gastric ulcer 胃潰瘍

19.ileus 腸閉塞;腸阻塞

20.bph benign prostatehyperplasia良性攝護腺增生

21.htn 心肌肥厚;心室擴張 A.Insomnia is no joke. Not getting sufficient [sleep](https://psychcentral.com/disorders/sleep/) at any age, but especially as a teen, is serious business. Sleep disorders can cause [depression](https://psychcentral.com/disorders/depression/), [anxiety](https://psychcentral.com/disorders/anxiety/), diabetes, high blood pressure and heart disease. According to a poll done in 2005 by Sleep in America, people who were diagnosed with depression or anxiety were more likely to sleep less than six hours at night. A study done in 2007 showed that people with insomnia are 5 times as likely to be depressed as those who got sufficient sleep. At your age “sufficient” means 8 – 9 hours a night.

I urge you to go back to your medical doctor for more tests. I’m alarmed that you were drinking enough but not staying hydrated. There’s more to that than sleep deprivation. I’m also alarmed that apparently you were given a “diagnosis” but not then given a treatment plan to regulate your sleep.

If your primary care physician isn’t able to help you, get a referral to a sleep medicine clinic for a sleep study. Such clinics do a thorough evaluation of how much sleep a person gets and how often and for how long the person is awake. You may be sent home with a monitor to wear. More likely, you will be asked to spend the night at the clinic where they will monitor you throughout the night. You will sleep in a comfortable room in a comfortable bed. You can usually even bring your own pajamas.

Don’t be scared. A sleep study isn’t painful. Doctors or technicians will monitor you while you sleep. Little disks called electrodes will be temporarily glued to your head and attached to an EEG (*electroencephalogram*) machine. This will monitor the electrical impulses in your brain while you sleep and will show the technician how you are moving through the stages of sleep. It will measure possible interruptions in the pattern of your sleep. The technicians will also measure things such as eye movements, oxygen levels in your blood, heart and breathing rates, who much you snore, and how your body moves as you sleep.

The data from your sleep study will be evaluated by your doctor. You will then have a follow up appointment with your doctor to discuss the results and what may need to be done to help you have more regular and restorative sleep.

Please share this response with your parents. I don’t think you are lying or faking. I think you have an untreated medical condition that left untreated will only make things worse.

I wish you well.

Dr. Marie

 

How Do I Get my Parents to Believe I’m Depressed? coffee can make blepharospasm or twitching worse. try to switch to decaf. sick 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. brief answer: costochondritis and others as discussed. detailed answer: hi. thanks for your query, albeit short and specific. noted the history and understood the concerns. the commonest cause i can think of with the history you have provided is costochondritis. another/added possibility is... in bell’s palsy we focus on the main manifestation of paralysis, sensations of heaviness and pain, as well as underlying functional issues such as fatigue and poor sleep. acupuncturists aim to restore facial function by decreasing inflammation, restoring normal circulation to the face, and supplementing the body’s normal repair mechanisms. Hello. Diabetes comes with multiple issues but all are controllable and treatable. Pain is mostly caused by diabetic neuropathy. Feet are to be taken care as much as a face. Stict diabetes control and life style modification are the key to control diabetes related problems. Feel free to consult to get in details. Hello Yasmin



Pupils are small holes in the middle of the eyeball, so it is through the pupil that light can enter the eyeball until captured by the retina. Pupils can move / change their size to become larger or smaller in an effort to adapt to the lighting around you. Where if it is in a place where the lighting is bright enough or even glare then the pupil will change to be smaller, and vice versa when in the darkness the pupil size will become enlarged.



Pupil size can also change due to the influence of certain drugs (especially narcotics) or poisoning of a dangerous chemical.



So it needs to be ascertained whether Yasmin really meant the pupil or turned out to be another part of the eyeball ??? Because it is very far between the strabismus (crossed eyes) with pupillary abnormalities.



Strabismus itself is a condition where the position of the two eyes is not aligned, so that the eye looks at different points of view, the person may experience "double vision" because the two eyeballs do not point at the same point.



Vibrations / twitches in the eyes and surroundings can also occur as a result



Fatigue and lack of stress Stress of mind Due to excessive consumption of caffeine (coffee, chocolate, and energy drinks) Smoking Dry eyes Yasmin nerve disorders are expected to consult a doctor directly, from the information Yasmin conveyed can not be used as a strong basis for determining whether there is a problem the health of Yasmin himself, doctors still need additional information through examining Yasmin's eyes directly, and also assessing the overall health condition.



As for some tips for maintaining eye health is



It is better to avoid staring at the screen of a cellphone, tv, monitor, in a long duration and too close Do activities in a place with sufficient lighting, so avoid reading or working in a dim or glare room. Consuming more vegetables and fruits Istiraha and enough sleep information that can be conveyed