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re: Reverse Sundowning in the Elderly
Posted on 1/31/26 at 9:50 pm to KosmoCramer
Posted on 1/31/26 at 9:50 pm to KosmoCramer
quote:Interesting. I avoid liquids for the last hour or so before heading to bed because I hate getting up in the middle of the night with a full bladder. But I experience the morning fog until I get a cup of joe. I never considered the dehydration angle.
Dehydrate during the night, and as they get fluids they become more coherent.
Posted on 1/31/26 at 9:57 pm to deeprig9
It could be one of 5 things.
- Sleep Inertia
- Medication timing
- Blood Sugar/Blood Pressure Swings
- Delirium Pattern
- Sleep Apnea or poor oxygen overnight
Its likely not dementia because it doesn't work like that.. Only in the morning..
This is according to chatgpt
- Sleep Inertia
- Medication timing
- Blood Sugar/Blood Pressure Swings
- Delirium Pattern
- Sleep Apnea or poor oxygen overnight
Its likely not dementia because it doesn't work like that.. Only in the morning..
This is according to chatgpt
Posted on 2/1/26 at 12:48 am to yakster
quote:
People with dementia don’t know they have dementia. Are you suggesting euthanasia?
It would be a mercy. People sometimes don't know they have dementia. Often in the early stages they do. Even when they're too far gone to know it, they're suffering from distressing, frightening symptoms like hallucinations. They don't know who or where they are, they don't understand what's happening to them. The dementia doesn't only affect their mind, it affects their body, so their mobility is limited and simple things like eating and drinking puts them at risk for aspiration pneumonia.
It's not just a blissful childlike regression. It's bloody awful. If I'm ever in that state-and it's a possibility, as having a primary relative with it is a major risk factor- I hope euthanasia is available.
Posted on 2/1/26 at 9:56 am to Jim Rockford
My mother had dementia. I know personally the awful effects it has on a person. But never did the thought of euthanasia enter in the conversation. We have great memories of our mother even after the diagnosis. Some special times while she had moments of clarity. So no, euthanasia is not an option that should be so easily available.
Posted on 2/1/26 at 10:02 am to Jim Rockford
quote:
People sometimes don't know they have dementia.
my dad had Alzheimer's, at the onset he woud tell my mom that his thoughts were crystal clear but what came out of his mouth was often completely different than what he was thinking but he had no control over, further down the road when it was really bad, a doctor told me that they had reason to believe that the people with dementia/Alzheimer's were a lot more mentally aware of their surroundings, and internally cognizant tha they appear, which really made the situation even sadder to me, if true
This post was edited on 2/1/26 at 10:09 am
Posted on 2/1/26 at 10:24 am to 777Tiger
quote:
my dad had Alzheimer's, at the onset he woud tell my mom that his thoughts were crystal clear but what came out of his mouth was often completely different than what he was thinking but he had no control over, further down the road when it was really bad, a doctor told me that they had reason to believe that the people with dementia/Alzheimer's were a lot more mentally aware of their surroundings, and internally cognizant tha they appear, which really made the situation even sadder to me, if true
I think I have posted this before, so I apologize for the repeat.
My maternal grandmother died when I was 10. For as long as I can remember before that she had some form of memory loss/dementia. She didn't remember her husband had been dead almost 20 years. She would ask where he was and if you told her he was dead, she would react like it just happened. As she got older and it progressed, she would speak/think like she was a little girl. When it got dark she would start talking about how she needed to go home because her parents would be looking for her.
She spend probably the last 18 months of her life in a nursing home. My cousin and her husband went to visit her, and while they were there it was like the veil lifted. She was clear, cognizant, aware of her surroundings, etc. She told them the same thing - that she knew what she was saying and asking was wrong, but she had no control over them and that it was the most frustrating thing not being able to express your thoughts or feelings. After about 10 minutes the fog came back and she was like that for the remainder of her time.
Posted on 2/1/26 at 10:29 am to 777Tiger
There's a theory that consciousness exists outside the brain and the brain is just the interface that allows the consciousness to interact with the physical environment.
Posted on 2/1/26 at 11:14 am to deeprig9
quote:
My father has the reverse of Sundowning. He's pretty loopy in the mornings, rambly, dementia-y. But by noon and through the rest of the day and night, he's perfectly lucid and normal.
I dont have the mental affects but my spine/neck arthritis is worst in the morning when I get up. Fell much better after I get up and move around.
As a side note on this when I have bad issues with the back of my head/base of the skull I can feel a little loopy. I believe this is jaw muscle related and can make me dizzy and then I dont concentrate well.
But to answer your question, your spine discs fill with fluid at night and push out during the awake and upright periods. This is how your discs function. What can get complicated is when the nerve branches in the spinal nerves exiting the vertibrae get pressured. This changes as the spine goes through its extension/compression daily cycle.
And finally, this may not have a damn thing to do with it.
Posted on 2/1/26 at 12:16 pm to yakster
quote:
My mother had dementia. I know personally the awful effects it has on a person. But never did the thought of euthanasia enter in the conversation. We have great memories of our mother even after the diagnosis. Some special times while she had moments of clarity. So no, euthanasia is not an option that should be so easily available.
My father (referenced in OP) took care of my mother with alz.
As I shared a few years ago in the annual Thanksgiving Drama thread, one particularly bad Thanksgiving with my mother he said to me if he ever gets alz, "my Walther PP9 is in my top dresser drawer, back and to the right". He wasn't kidding.
Posted on 2/1/26 at 1:20 pm to deeprig9
quote:
"my Walther PP9 is in my top dresser drawer, back and to the right". He wasn't kidding.
that would be moida for you baw, but I've told my wife enough times that she now knows I'm serious, that if I get the slightest inkling of the onset, I'll take matters into my own hands, not going to be a burden and damn sure not going to a facility
Posted on 2/1/26 at 1:25 pm to 777Tiger
Pretty solid scientific evidence that sildenafil citrate significantly lowers Alzheimers risk.
Posted on 2/1/26 at 1:26 pm to N2cars
quote:
Pretty solid scientific evidence that sildenafil citrate significantly lowers Alzheimers risk.
then I'm good
Posted on 2/1/26 at 1:29 pm to 777Tiger
You can learn a lot when you're researching drugs. 
Posted on 2/1/26 at 1:31 pm to N2cars
quote:
You can learn a lot when you're researching drugs.
two things that would just not make it worth carrying on for me, mind won't work, or dick won't work
Posted on 2/1/26 at 1:32 pm to deeprig9
Please check with his Dr. regarding his doses of meds, etc. My Father In Law takes 21 pills a day, half of which I bet aren't needed but my Mother In Law hates having to deal with him so drugged and sleeping all the time is better for her.
Its truly disgusting and I can't change anything because my wife won't challenge her. She's happiest when she puts him to bed at 6:30pm. When she has to get him up by 10, she is a witch. I think all the meds are contributing to his dementia and general looniness sometimes. But in her world, her husband is done and she's trying to make it better for her instead of doing what is best for him.
Its truly disgusting and I can't change anything because my wife won't challenge her. She's happiest when she puts him to bed at 6:30pm. When she has to get him up by 10, she is a witch. I think all the meds are contributing to his dementia and general looniness sometimes. But in her world, her husband is done and she's trying to make it better for her instead of doing what is best for him.
Posted on 2/2/26 at 7:38 am to yakster
quote:
My mother had dementia. I know personally the awful effects it has on a person. But never did the thought of euthanasia enter in the conversation. We have great memories of our mother even after the diagnosis. Some special times while she had moments of clarity. So no, euthanasia is not an option that should be so easily available.
Many people who have the disease will eventually live and stay in a different reality, and in some ways that can be a blessing for them. They aren’t always aware of what they’ve lost or how impaired they are -- and often times, there is a peace that comes over them.
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