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Dementia Overview (cont.)

What diseases or conditions may worsen dementia?

Treatable disorders revealed by the diagnostic evaluation should receive prompt attention.

  • Common, treatable conditions that cause or worsen dementia include high blood pressure, high cholesterol, heart disease, diabetes, infections, head injuries, brain tumors, hydrocephalus, anemia, hypoxia, hormone imbalances, and nutritional deficiencies.
  • Treatment varies by disorder, but some treatments (for example, stopping infections, correcting electrolyte or glucose levels) may rapidly reverse the dementia symptoms.

What is the treatment for symptoms and complications of dementia?

Some symptoms and complications of dementia can be relieved by medical treatment, even if no treatment exists for the underlying cause of the dementia.

  • Behavioral disorders may improve with individualized therapy aimed at identifying and changing specific problem behaviors.
  • Mood swings and emotional outbursts may be treated with mood-stabilizing drugs.
  • Agitation and psychosis (hallucinations and delusions) may be treated with antipsychotic medication or, in some cases, anticonvulsants.
  • Seizures usually require anticonvulsant medication.
  • Sleeplessness can be treated by changing certain habits and, in some cases, by taking medication.
  • Bacterial infections require treatment with antibiotics.
  • Dehydration and malnutrition may be treated with rehydration and supplements or with behavioral therapies.
  • Aspiration, pressure sores, and injuries can be prevented with appropriate care.
Medically Reviewed by a Doctor on 6/20/2016

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Read What Your Physician is Reading on Medscape

Delirium, Dementia, and Amnesia »

Delirium, dementia, amnesia, and certain other alterations in cognition are subsumed under more general terms such as mental status change (MSC), acute confusional state (ACS), or organic brain syndrome (OBS).

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