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Understanding Alzheimer's Disease: Symptoms, Causes, and Treatment

Alzheimer's Disease (AD) Overview

An irreversible, progressive brain disorder—the most common dementia. It impairs memory, thinking, behavior, eventually requiring full-time care.

Risk Factors

  • Age (>65 primary risk)
  • Family history
  • Genetics (APOE-e4 allele)
  • Cardiovascular disease (HTN, high cholesterol, stroke)
  • Head trauma
  • Type 2 diabetes
  • Midlife obesity
  • Smoking

Symptoms by Stage

Early (Mild): Short-term memory loss, repetitive questions, subtle personality changes.

Middle (Moderate): Worsening memory, confusion, difficulty with language/calculations, poor judgment, behavioral changes (agitation, anxiety).

Late (Severe): Profound memory loss, cannot recognize family, loss of speech, total care dependence, hallucinations, aggression.

Diagnosis

  • History, physical, cognitive testing.
  • MRI/PET scans for brain structure/function.

Treatment

No cure. Symptom management: cholinesterase inhibitors, memantine. Non-drug: cognitive stimulation, exercise, social engagement to support function and well-being.

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