Tag Archives: Urinary Tract Infection

What to look out for in Alzheimer’s

Alzheimer’s disease is a slow brain disorder the eats away the brain functions little by little. The disease develops completely between seven to 10 years. As it progresses, the disease affects various brain functions like memory, movement, judgment, abstract reasoning and even one’s behavior.

Because of the long development stage of the disease, Alzheimer’s has been categorized into three levels which described its progression. These are mild, moderate and severe. These categories defined the disease from early (mild) to middle (moderate) until the final (severe) stages of the disease.

During the early stages of the disease, the symptoms are less noticeable and are often times left unchecked and considered trivial by family members and even the patient themselves. Among the early and classic signs Alzheimer’s disease is the gradual loss of short-term memory.

At times, they find to be at lost while performing normal activities. Or they might get disoriented and get lost in places that they have been before. Also, at this stage, people afflicted with the disease may experience lapses of judgment and slight changes in personality. Mood swings and personality changes will start to worsen as the disease progress.

Moreover, attention span is reduced because of the presence of the brain disorder. People with Alzheimer’s tend to be less motivated to complete activities or tasks. Furthermore, they become more stubborn and would oppose changes and new challenges set forth before them.

These are the general conditions or symptoms of people with the disease. The symptoms vary from person to person. Moreover, some other symptoms include speech problems, failure to identify or recognize objects, no recalling how to use simple, ordinary things like a pencil, and not remembering to turn off the lights, stove, or even lock doors and windows. As the disease progresses so do the symptoms.

However, if one acquires or notice the presence of some of the symptoms it does not necessarily mean that one has already been afflicted with the disease. Loss of memory for example might be just a normal cause of aging or other normal factors. Memory loss in Alzheimer’s is more frequent.

People with the disease will more frequently forget words or names during conversations. And because they become conscious of their forgetfulness, they tend to avoid conversations and would rather keep quiet in order to avoid mistakes and embarrassments. They will then become withdrawn which can cause a myriad of other problems like depression and anti-social behaviors.

Other things that might happen are the discovery of things in odd places. One might find books inside freezers, clothes in dishwasher and even plates in washing machines. People with Alzheimer’s will ask questions repeatedly up to the point that it becomes irritating. They can be provoked quite easily and can surprisingly flare up in anger.

Even though no cure has yet been discovered or developed for Alzheimer’s, there are ways that have been created to delay the progression of the disease. Earlier symptoms of the disease respond well to various treatments.

Because the rate of progression differs from person to person, severe dementia occurs within five years to a decade after diagnosis. Because of present treatments and medications, some people diagnosed with Alzheimer’s can live more than 10 years after diagnosis. Some even live up to 20 years after the initial diagnosis was made.

It is a fact that most people with Alzheimer’s don’t die of the disease itself, but of infections and other tertiary diseases like pneumonia, or urinary tract infection or complications resulting from concussions.

Drugs to Fight Alzheimer’s

Although there is no known cure yet for Alzheimer’s disease, there are already a number of drugs available worldwide that can help slow down a patient’s cognitive deterioration. The main aim of these Alzheimer’s medications is to try and improve cognitive ability or the person’s capability to think, perceive, judge and recognize.

There are currently five drugs approved by the Food and Drug Administration (FDA) that can be used to treat Alzheimer’s. There is ongoing research done all the time to test the effectiveness of such medications since they do not serve as a cure-all for the disease.
These medications may not have the same effects on all patients that are suffering from Alzheimer’s. But such prescription drugs can have significant effects on some of the patients with Alzheimer’s disease and should be given consideration as a possible treatment.

The 5 FDA Approved Medications are:
Aricept
Cognex
Exelon
Razadyne
Namenda

The first four drugs listed above belong to a group of drugs known as Cholinesterase Inhibitors. They work by trying to delay the break down of a substance known as acetylcholine in the brain which helps in bridging communication between nerve cells and has an important role in a person’s memory.

Nameda on the other hand acts on another neurotransmitter called glutamate and shields the brain from then said substance which contributes to the death of brain cells in people with Alzheimer’s disease. This drug is more effective in treating moderate to severe forms of Alzheimer’s disease, improving the day to day life of the person with Alzheimer’s disease.

The most common side effects associated with the drug Nameda include dizziness, confusion, constipation, headache and skin rashes. Some patients may experience less common side effects such as tiredness, back pain, high blood pressure, insomnia, hallucinations, vomiting and occasional shortness of breath.

The drugs Aricept, Exelon and Razadyne are seen to be most effective in treating the early stages of Alzheimer’s disease. This group of prescription drugs has been shown to have some modest effect in slowing down the degeneration of a patient’s cognitive abilities.

These drugs can also help in trying to reduce certain behavioral problems usually exhibited by people suffering from Alzheimer’s. When these drugs are administered effectively on an Alzheimer’s patient, they can significantly improve one’s quality of life and more able to cope up with the disease.

Alzheimer’s patients taking these medications may experience some side effects which may not be the same for all patients. Common side effects observed in patients using the drug Aricept include nausea, vomiting, excessive tiredness, sleeping troubles and muscle cramps.

Less frequent observed side effects of the drug are headaches and dizziness with rare cases of patients suffering from anorexia, gastric or duodenal ulcers, gastro-intestinal hemorrhage, bladder overflow obstruction, liver damage, convulsions, heart problems and psychiatric disturbances while using Aricept as medication.

The usual side effects seen in using Exelon as treatment for Alzheimer’s are nausea, vomiting, weight loss, stomach upset and fatigue. Less usual side effects observed with the use of the said drug are abdominal pain, sweating, diarrhea, headaches, tremor, and psychiatric disturbances such as anxiety or depression with rare cases of patients experiencing gastro-intestinal bleeding.

The drug Cognex is used less frequently for Alzheimer’s treatment as it can cause serious liver damage to most patients. Other side effects of the drug include nausea and vomiting. Some patients may also experience some abdominal pain, sore muscles, headache, dizziness, rapid breathing, increased urination, insomnia, runny nose or mouth, swelling in legs and feet when taking Cognex. Some of the most severe side effects associated with using Cornex are liver damage, heart problems and seizures.

The common side effects often reported with the use of Razadyne are nausea, vomiting, appetite loss and weight loss. Less common are fatigue, dizziness, tremor, headaches, abdominal pain, urinary tract infection, blood in urine, runny nose. There are no serious side effects with this drug.

How Do You Treat Kidney Stones

How do you treat kidney stones? This depends on its severity so it may or may not involve surgery. The good news is that 90% of the time, your body will be able to expel the stones on its own. But what if you are one of the unfortunate who belong to that 10%?

Should that happen, then your doctor will have to recommend surgery. This procedure may be the only option if the size of the kidney stones is too big which means they cannot get out of your body through the bladder. If you do undergo surgery immediately, you will experience constant pain or cause complications like kidney tissue damage or UTI also known as urinary tract infection.

There are 4 procedures that can help get rid of kidney stones.

There is ESWL or extracorporeal shockwave lithotripsy. In this procedure, a device that produces non-electrical shock waves is used to turn the kidney stones inside your body into sand. You dont lie down in an operating table for this because this is done in a tub filled with warm or purified water.

The second option is PNL or percutaneous nephrolithotomy. This is done when the first option is not successful. The procedure begins by making a small incision in your back so a tunnel can be created all the way to your kidney. An instrument known as a nephroscope will then go in to remove the stone. If this instrument cannot do the job, an energy probe will be used and there are currently two types namely the ultrasonic and the electro hydraulic.

Third, the doctor may recommend ureteroscopic stone removal. This procedure is done by using a small fiber optic instrument that travels through the urethra and bladder to reach the ureter. Once the instrument is in position, it will emit a shockwave to destroy the stone.

The last option which is the oldest of the 4 is open surgery. The doctor will cut you open and remove the kidney stone. To make sure that all the kidney stones are collected during the operation, you may first be injected with a solution consisting of calcium chloride, cyroprecipitate, thrombin and indigo carmine so it will be easy to remove using the forceps.

Even if surgery is successful, kidney stones can once again appear in the body. To prevent this from happening, you should now take preventive measures.

The simplest way is to drink 6 to 8 glasses of water a day which is about 3 liters as this will make your urine look clear instead of yellow.

Some dietary changes may also be recommended. You dont have to stop eating certain foods but simply limit your consumption on items like apples, black pepper, chocolate, coffee, cheese, grapes, ice cream, oranges, tomatoes and yogurt.

The same goes for fish, meat or poultry products because it helps increase your uric acid. Since kidney failure has been associated with alcohol consumption, you should also cut this down as well.

You can treat kidney stones the hard way or the easy way and you dont get to decide how this will be done. Sadly, we only learn our lesson when it is too late so you should be thankful if you dont have to go under the knife.

How Are Kidney Stones Diagnosed

Do you have kidney stones? You will never know until you are examined by a doctor because the symptoms associated with this problem are very similar to UTI or urinary tract infection.

So, you have to set an appointment with the doctor. While there, he or she will review your medical history and conduct a physical examination before running some tests.

If you are a regular patient of the doctor, it will be easy to pull your file out. However, if this is your first time, you will have to fill up the form and get your medical files.

Your medical history does not say much about kidney stones especially if you have never had this before which is why the next step is to conduct a physical examination. Here, the doctor will look at you physically and touch certain areas. This is hard for the doctor to do if the patient is in extreme pain.

So the best way to confirm initial findings is through laboratory tests. The doctor will either extract blood or ask a urine sample from you.

You may also have to be scanned and there are a variety of machines for that. These include a computed tomography (CT) scan, intravenous pyelogram (IVP), retrograde pyelogram, and the regular X-ray.

The CT scan is used for various examinations. A scanner and a computer are used to create images of the urinary system. The only problem is that it has difficulty detecting small stones if they are located near the bladder. If a stone is found, an x-ray follows to determine the orientation, shape and size of the kidney stone.

Intravenous Pyelogram or IVP is done after a contrasting agent is injected into the vein. Within minutes, the test will show if there is a kidney stone blocking the ureter. This is perhaps the best method to check if you have kidney stones even if there is a slight risk for an allergic reaction to the fluid that was injected into the vein.

If you think that the ultrasound is only used to see the baby growing inside the womb, think again because it can also be used to detect a dilated upper urinary tract and kidney if the stone is lodged in the ureter. Its limitation is that it cannot detect kidney stones that are no longer in the kidney area.

Another term for retrograde pyelogram is a cytoscopy. The test begins by inserting a telescopic instrument into the bladder. Then, similar to the IVP, a contrast agent is injected into this opening and an x-ray is done to find the kidney stone.

Some doctors say this is better than IVP because there is no way to get an allergic reaction from the contrasting agent. This is because you will first be injected with anesthesia so in essence, you dont feel anything.

Among the different tests done to detect kidney stones, this is only used when other tests have proven to be inadequate or unsuccessful.

It is only after careful diagnosis that doctors will be able to tell if you have kidney stones or not. From there, they can treat you by giving some medication or advising you to drink lots of water because you may be able to expel the stones on your own. But if this does not work, then surgery is the next option.