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Wednesday, June 17, 2009 Miranda asks

Q: How can you tell if someone is in early Alzheimer's

My father in law has recently had some disoriented spells and some unusal emotions. I was wondering should we have him be seen by a doctor? or could he have had a mild stroke? he had no headaches or any pain, he does remember some of the episode, like being lost and not knowing where he was. I am just wondering if this could be a sign of Dementia or Alzheimer's

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6/18/09 9:47am

Hi Miranda,

This could be early Alzheimer's, but it could be a different dementia or it could be mini-strokes. He definitely needs a checkup with a specialist. Make a list of everything you can (with his help if possible), and then have the testing done. Also, make sure they check his medications for reactions and/or interactions. These can mimic dementia. Early detection is valuable, and knowing what he is facing will help.

 

Take care,

Carol

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6/18/09 10:29am

Your father-in-law should be seen by a healthcare professional as soon as possible to determine the cause of the behaviors you mention.  Concerning symptoms might include memory troubles, confusion, mood swings, changes in personality, difficulty completing certain tasks, and difficulty finding the correct words.  You stated he does not have headaches or pain; however, his symptoms still indicate the need for medical attention.  
 
Your father-in-law needs to have a formal assessment in order to determine what is causing his change in behavior.  Typically, this type of assessment includes testing memory and thinking skills by doing a verbal interview.  This interview allows the doctor to determine if there are any symptoms of dementia, such as memory loss or disorientation.  The doctor will then conduct a physical examination and draw blood for testing.  The physical examination is used to decide if there are any medical problems that are currently affecting your father-in-law’s ability to think correctly, such as brain tumors, brain injuries, stroke or even dehydration.  The blood test is used to assess for several potential problems including medication side-effects, infections, a hormone imbalance, and malnutrition.  The doctor may also recommend seeing a neurologist for a brain imaging such as an MRI or CT scan. All of these tests help diagnosis probable Alzheimer's disease or other conditions contributing to memory loss, some of which may be reversible.

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