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Dr Karthiyayini

Dr Karthiyayini Mahadevan  |886 Answers  |Ask -

General Physician - Answered on Aug 09, 2023

Dr Karthiyayini Mahadevan has been practising for 30 years.
She specialises in general medicine, child development and senior citizen care.
A graduate from Madurai Medical College, she has DNB training in paediatrics and a postgraduate degree in developmental neurology.
She has trained in Tai chi, eurythmy, Bothmer gymnastics, spacial dynamics and yoga.
She works with children with development difficulties at Sparrc Institute and is the head of wellness for senior citizens at Columbia Pacific Communities.... more
Srinivas Question by Srinivas on Jul 31, 2023Hindi
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My Mother 73 yrs old is a physiatric patient from last 10 yrs. From last 2 months she started bed wetting at night. Day time no issues only at night she has issues, we started giving her diaper but she is removing or probably not using

Ans: Restrict her fluid intake after 7 pm
Only sips if needed After 8 pm totally avoid unless it is essential. This means her medication need to be given before 8 pm with optimum water.
Bedwetting happens when the bladder control is lost its connections from cortex.
This happens in demyelinating disorders, drug interactions, where there is a confusion in autonomic nervous system.
Meet up with a neurologist and address it
DISCLAIMER: The answer provided by rediffGURUS is for informational and general awareness purposes only. It is not a substitute for professional medical diagnosis or treatment.
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Dr Karthiyayini

Dr Karthiyayini Mahadevan  |886 Answers  |Ask -

General Physician - Answered on Apr 23, 2024

Asked by Anonymous - Apr 11, 2024Hindi
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My grandmother has Parkinson's and got a tube in her nose that extends to her stomach that so we can inject liquids easily as she completely avoids eating food and doesn't even swallow a sip of water. She snatched the tube out of her nose completely and now it cannot be used again. We cannot keep a check on her for full 24 hours but we try our best. Please suggest anything to avoid the snatching as once a tube has been taken out it cannot be re-inserted. And please one more thing that she keeps wetting the bed despite of using diapers. The diaper always leaks out and then my mom has to clean grandmother, her clothes, the bed sheets etc. She gets tired by doing this twice a day as it is a lot of work. Pls suggest something about the bed wetting to how to minimise it. She is around 70 kgs and cannot even get up herself so my mom has to pull her out of the bed which requires a lot of strength. My mom feels pain in her back and shoulder a lot. All of this happening around the house is too much. I will be grateful if you reply.
Ans: To avoid bed wetting you need to make her wear the correct size diaper. Undersheets can be used as an added protection.
Normally soaking happens if we do not change the diaper adequately.
Please ask your Mom to do some upper body work outs through a physios, help.
With respect to the Ryle's tube, it is an irritant that one gets used to. If your Grandmom does not like it and non cooperative not much can be done. But you could check up with her Physician if now and then Parenteral nutrition can be given by hospitalising her

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