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SheltieLover

(66,970 posts)
Sat Apr 19, 2025, 05:59 AM Apr 19

Up to 13% of Dementia Cases May Actually Be a Misdiagnosed Treatable Condition

https://www.sciencealert.com/up-to-13-of-dementia-cases-may-actually-be-a-misdiagnosed-treatable-condition

Snip

Hepatic encephalopathy – cognitive impairment caused by liver failure – impacts more than 40 percent of patients with advanced liver disease (cirrhosis). The brain impairments it causes are hard to distinguish from dementia.

Our livers regulate the levels of most chemicals in our bodies, from filtering them from the blood to aiding with digestion.

Aside from the well-known liver-damaging effects of alcohol, other risks to the liver include the hepatitis virus, high cholesterol, obesity and diabetes, stress, and aging. But if caught early enough and with the right treatment, damage to our livers can be reversed.

Much of this can be mitigated through changes in diet and behavior, and there are even more potential drug treatments on the horizon as well.

Much more encouraging info at link.

12 replies = new reply since forum marked as read
Highlight: NoneDon't highlight anything 5 newestHighlight 5 most recent replies
Up to 13% of Dementia Cases May Actually Be a Misdiagnosed Treatable Condition (Original Post) SheltieLover Apr 19 OP
Most Excellent! We Could All Use A Little Good News Today! MayReasonRule Apr 19 #1
I hear you! SheltieLover Apr 19 #4
Unlnown & therefore untreated UTIs, esp in women can cause mental status changes as well irisblue Apr 19 #2
Many elders don't have UTI symptoms. SheltieLover Apr 19 #5
Be kind to your liver... justaprogressive Apr 19 #3
Absolutely! SheltieLover Apr 19 #6
Kickety Kickin' Faux pas Apr 19 #7
Thx! SheltieLover Apr 19 #8
Coincidentally PATRICK Apr 20 #9
Has she done a home sleep study? SheltieLover Apr 20 #10
That would be good PATRICK Apr 20 #11
In my experience, doctors never mention the sleep study SheltieLover Apr 20 #12

irisblue

(34,879 posts)
2. Unlnown & therefore untreated UTIs, esp in women can cause mental status changes as well
Sat Apr 19, 2025, 08:39 AM
Apr 19

source-https://www.alz.org/blog/2011/sudden-change-in-behavior-urinary-tract-infection-could-be-the-cause#:~:text=Sudden%20changes%20in%20behaviors%20and,%2C%20delusions%2C%20hallucinations%20and%20paranoia.

snip-"Sudden changes in behaviors and an increase in symptoms may indicate that your loved one has a UTI. Behavior changes and causes that seem to affect one’s personality may include sleeping issues, anxiety, depression, confusion, aggression, delusions, hallucinations and paranoia."

More there.

When my Mom had her final hospital admission, the lab staff got a sterile access urine sample from her urine bag. Mom said she had not been feeling the typical UTI symptoms.

PATRICK

(12,270 posts)
9. Coincidentally
Sun Apr 20, 2025, 06:51 PM
Apr 20

my wife has just been treated for this non-alcoholic liver condition when it advanced to cirrhosis(scarring) which is NOT reversible damage and sets the stage for failure if unaddressed. Luckily the condition of ammonia overload, especially in the brain is very treatable with the right laxative to help the poorly processed liver by-product out of the system. Only for some years has this been taken seriously enough in diabetics. So, for better or worse, the best thing to do is treat with diet, exercise.

IF you have fatty liver, THAT is the time to fight it immediately with every lifestyle change necessary. The ammonia creeping in can be very insidious and hurts the mental functions terribly and episodically, reinforcing behavior that leads to worse. For a year we thought it was diabetic fugue or some type of dementia. It did not even show up until the second hospitalization because they do not normally test for ammonia and the levels have to be fairly high to be good indicators.

So, yes fatty liver is reversible. Ammonia poisoning even if ingested is very rarely fatal. But liver damage, scarring, is not. Diet and exercise. Happy to recommend this without controversy. And your diabetic meds and statins are generally found to be helpful too, which seems good news.

SheltieLover

(66,970 posts)
10. Has she done a home sleep study?
Sun Apr 20, 2025, 06:55 PM
Apr 20

Lots of problems, including diabetes & NAFLD are caused by or significantly exacerbated by sleep apnea.

Thx for sharing!

PATRICK

(12,270 posts)
11. That would be good
Sun Apr 20, 2025, 07:40 PM
Apr 20

When we see a good hepatologist and PT in the aftermath we have a lot to discuss.

SheltieLover

(66,970 posts)
12. In my experience, doctors never mention the sleep study
Sun Apr 20, 2025, 07:45 PM
Apr 20

And, even if she has apnea & uses a cpap, that will not reverse fhe fatty liver, but it will kerp it from getting worse, normalize high blood pressure, drop high cholesterol, esp triglycerides, & bring sugar count down. Other less important effects include frequently regrowing hair & sense of smell returning.

How is it NIH & other credible sites have all this info & doctors don't know?

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