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Any treatment to reduce symptoms of Azheimer + NPH ?

Hi,

My dad is 77yo and ALZ dementia was suspected some 5yrs back but not diagnosed definitely. 3yrs back he started showing some symptoms that were mis-diagnosed as Parkinsons (feet-dragging, shuffle-walking, body tilted forward) as well. Later with MRI (contrast) and CT-scan (contrast) Neuro-Surgeons (confirmed by 2 very senior NS from reputed hospitals) determined his condition to be NPH (Normal Pressure Hydrocephalus), with possible comorbidies including ALZ dementia. His condition and symtoms have been worsening, and in last 3-4 months it has picked up tremendous speed of detoriation.

His current symptoms are:
1. Excessive and continuous talking, very loudy,
2. Getting extremely agitated and taking very long time (sometimes an entire-day) to cool down
3. Punching, pinching, kicking his care-givers but having no recollection of having done it.
4. Significant incontinence -- especially stools. He thinks that he needs to urinate, but passes stool as well when seated on chair, on bed or standing. Somedays are terrible, as he soils himself, bed and everything 3-4 times a day.
5. Not following instructions - he seems to be able to hear us, but unable to follow instructions. He'd sit for an hour on bed, having wetted his clothes, while saying that he is standing in the bathroom. If he sits down, it is very difficult to get him to stand up and vice-versa.
6. His appetite is okayish (not great) and needs to be fed. He stopped eating by himself almost a year back.
7. Somedays he just doesn't go to sleep and will stay up all night and keep talking, shouting agitatedly, loudly until almost dawn, in spite of having done the entire day. Some days however he sleeps for 3-4 hours at night, but keeps muttering something in sleep.
8. Refuses to take allopathic medication, refuses to allow his nails to be cut, or his beard/hair to be groomed -- violently pushing the care-give away.

Wanted to see if there is any medication that could improve his situation somewhat. Especially the agitation, lack-of-sleep and reduce the incontinence, is able to rest.

Apart from this, he has been a long term patient of hypertension, has had one angioplasty in left coronary artery (after a brief spell of Angina pain -- 6-7 years back), for both of which he was on lifelong medication post event and also had Cronhs Disease (under control with medication). Of course, now a days, most days he just throws away the medicines.

Guidance, advise on how to relieve some symptoms if possible, deeply appreciated.

cheers,
f74
 
  falcon74 on 2020-01-24
This is just a forum. Assume posts are not from medical professionals.
Try the following remedies;

Hyoscyamus 6c twice daily to control his behaviour and stool incontinence.
Zincum metallicum 3x or 6x and Calc Phos 6x every 3 - 4 hours for NPH.

1 dose is 2 pills or 2 drops. If it's difficult to give him the remedies, you can just put it in his water and let him drink.

Also, use Ashwaganda tincture for sleep and massage his foot (if he let you touch him) with coconuts oil.

Report back anytime if you see any changes.
 
Tui 6 months ago
Thank you Dr.Tui, so much for responding and prescribing remedies.

Since I have none of these remedies at hand, I shall be ordering these.

For Zincum Metallicum, could I use it is '6 CH' potency (as dilution) ? If so still 2 drops in water ? I am unable to find '3X' or '6X' potency.

As for Ashwagandha Tincture, how should it be used ? I am assuming that I'd need to put a drop or two in a glass (250ml) of water, and get patient to drink it ? Or any other way ?

Normally how long do you think, I should expect before I might start noticing positive changes ?

regards,
f74
[Edited by falcon74 on 2020-01-26 10:37:07]
 
falcon74 6 months ago
You can use zincum met 6 c and 1 dose is 2 pills or 2 drops.

Ashwagandha - just follow the label of the bottle for dosage. You probably need to mix with some water.

People respond to a remedy in a different way so it's very difficult to tell you exactly when you will start noticing a positive change. You just have to keep an eye on him and keep a record of any changes because I can only suggest what to do next based on your observations.
 
Tui 6 months ago
Thank you sir. Have ordered the medidines. For Ashwagandha tincture I was told that one needs to consume 5 drops in a cup of water. Will observe for changes and report back.
 
falcon74 6 months ago

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