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Dementia and Alzheimer's

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Is this normal age-related impairment, or could it be early dementia?

13 replies

QuercusQuercus · 05/02/2018 17:48

My father is in his mid-60s. He's been in bad health for quite a while - he's very overweight, has had a heart attack, has a stent, is on statins, and drinks a lot too much (he's a functioning alcoholic, to be honest). He sleeps very poorly and I'm pretty sure he has sleep apnoea. My brother and I both think he's depressed. He's utterly resistant to changing his lifestyle, and I've given up trying to persuade him.

My dad divorced my mother years ago, has had a few partners but now lives alone, quite a long way away from me. He's a difficult man, and can be high-handed and dismissive. He's never been a good listener. He still works, in a job that requires a lot of mental effort, training and reading.

I've been wondering lately whether some of his behaviour might be signalling early dementia. But it's really hard to tell whether it's normal and age-related, caused by his lifestyle, or something more serious. It would be really useful to have perspectives from those who've experienced family members with dementia.

He repeats himself a lot. This has been going on for years. He'll tell you the same information phone call after phone call. It feels like it's got worse recently. On a recent visit I noticed him tell me the same thing twice in the space of fifteen minutes. He hadn't had a drink at the time. He also rang me recently to tell me he'd double-booked himself for a visit with us, something he'd already told me. He sounded surprised when I told him he'd already mentioned it.

His house is squalid. Again, it's never been in great nick but now it's actually filthy.

He can't remember names. Once again, this has been going on for years (I remember my mum complaining about this when we were small), but on his last visit he couldn't remember what a kind of fruit in the fruit bowl was called. He can't recall the names of any of my long-term friends, let alone short term (but this could well be indifference). He can recall the names of people he went to university with, and their families, instantly and in full.

He has terrible spatial awareness. Walking together along a pavement he'll edge towards you and then walk into you, repeatedly.

He's an adventurous cook, but told me at Christmas that he doesn't like to make recipes with 'great long lists of ingredients'. That never used to be the case. I wondered if he is actually finding it difficult to follow complex instructions.

He tunes out in group conversations, and gets very ratty if things aren't predictable, planned and limited to a few people. We spent some time with extended family over Christmas, around 10 other people, and he didn't join in the conversation. It was like he couldn't follow it.

On the flip side of all this, he is obviously holding down a complex job. Although it's really hard to tell whether there are any problems occurring there as I don't know anyone he works with - so for all I know there may be issues, and I'm just not aware.

All advice welcome.

OP posts:
retirednow · 06/02/2018 14:04

Maybe it could be drink related, alcohol has a lasting effect on the brain. Mid 60s is young these days. Would he go to the doctor to have blood tests and a memory test.

QuercusQuercus · 06/02/2018 15:09

Hi retired, thanks for the response. Mid-60s is young, it's sad to see him in this condition at his age.

We (my brother and I, there's no-one else) could possibly raise it with him and suggest going to the doctor, but my experience is that he's very resistant to admitting any health problems at all. My brother and I have tried telling him we're worried about his drinking/overeating, and nothing changes. He's never sought help voluntarily, only had it when things have gone very wrong (i.e. heart attack).

I'm not at all sure he's honest about the medical opinions he has received (for instance, he'll tell us that the doctors said his diet sounds healthy and his lifestyle's OK). I think he's selective in what he tells the doctors to start with.

Would the blood tests test for markers of dementia? I don't know anything about the diagnosis path.

OP posts:
retirednow · 06/02/2018 15:18

There is a lot of info on the alcohol concern uk site which you may find helpful, it may not be relevant but he should see a Dr, blood tests can show up any vitamin deficiencies, anaemia things like that.

QuercusQuercus · 06/02/2018 15:56

OK thanks, I will take a look at the AC website.

I think our chances of getting him to a doctor for a general checkup are, sadly, nil. If it looks like his problems are alcohol-related then I'm not going to try to address it. I know that sounds awful, but he's dismissed our concerns for years and I now accept that there's nothing more I can do. He's an adult, he makes his own choices.

I just don't want to miss signs of an underlying illness, if there are any. Because if he is ill, or is getting ill, then we will need to talk to him and try to get him help.

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QuercusQuercus · 06/02/2018 16:04

Actually I've just read that info retired and I see that heavy drinking can cause a form of dementia, or make it more likely for someone to get Alzheimer's.

So it's not just an either/or, booze or illness scenario

Could well be alcohol-related dementia

OP posts:
retirednow · 06/02/2018 16:13

Yes, I have a lot of experience of looking after someone with alcohol related brain disorder, I hope you manage to sort something out. Sometimes the behaviour gets worse when they havent had a drink .

QuercusQuercus · 06/02/2018 17:03

He is certainly at his most difficult when he hasn't had a drink. Afterwards, he usually perks up and interacts more.

Thanks for the insights.

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retirednow · 06/02/2018 17:15

Blood tests can reveal vitamin deficiencies which can be replaced and do slow progress down a bit. Terrible thing alcohol dependency.

Samesituation · 19/02/2018 21:06

I'm currently going through a dementia / Alzheimer's diagnosis process with my mum. Slightly different situation to You, she has had memory / confusion problems. The blood tests and or urine sample test check heart, liver and kidney functions to rule out other things which could display similar symptoms. E.g. a water infection can make you confused. The GP also does a very simple memory test and then if necessary makes referral to memory clinic for more detailed assessment.

Samesituation · 19/02/2018 21:08

The NHS website is very good at explaining the symptoms.

Heliophilous · 19/02/2018 21:40

I think you could be looking at early dementia. My mother who is 70ish has frontotemporal dementia (semantic variant) and some of her early symptoms, around six to seven years ago, sound quite similar. This is a type of dementia that can have an early onset more frequently than other kinds. If you look it up, you can see a list of symptoms which may or may not sound familiar to you. One of the more annoying features of this type of dementia is a total lack of awareness of or insight into the difficulties caused by it.

The things that sound similar to me are:

lack of spatial awareness
difficulty following conversations
forgetting/not recognising really common ordinary words
difficulty with recipes
sleep disturbance
difficulty with things not being predictable

Is he very intelligent? I ask because my mother is highly intelligent and I think her intelligence enabled her to mask her dementia for longer than she could have done otherwise. One of the early assessments she went to was one where they asked her to do mental arithmetic. She has a degree in Maths and performed really well which made her get very cross with us as she assumed this meant she was fine and so did the doctor at the time.

hatgirl · 19/02/2018 21:44

I've worked with a number of adults with Korsakoff Syndrome, which is kind of an alcohol related dementia.

www.alz.org/dementia/wernicke-korsakoff-syndrome-symptoms.asp

He needs to see his GP, I would see if someone could go with him.

QuercusQuercus · 22/02/2018 13:39

Thanks everybody for your replies.

heliophilous yes he is smart. He does a medical (MH) job which requires academic and emotional intelligence. I find it really hard to understand how he's doing it given it requires him to listen to and remember complex personal histories. The fact that he's carrying on with it is one of the things that seems to count against him having dementia. But then again he may be doing it quite poorly. I don't know.

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