How JustAnswer Works:
  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.
Ask Dr. K. Your Own Question
Dr. K.
Dr. K., Board Certified MD
Category: Medical
Satisfied Customers: 4835
Experience:  Board certified with experience in primary care.
Type Your Medical Question Here...
Dr. K. is online now

99 year old with Alzheimer's but no history of clinical

This answer was rated:

99 year old with Alzheimer's but no history of clinical illness, recently presented with cold and chest infection (cough). Chest is 'clear' but cough stubborn, risk of dehydration as drinks and food have been difficult to administer. Layman (relation) interested in what is appropriate follow-up. Patient in care home with 24 hr attention.

Persistant cough in patients with dementia is often due to dysphagia, or dysfunctional swallowing. Alzheimers patients lose the ability to swallow as the disease progresses and nears the end. This leads to coughing and aspiration of food or fluids. Offering small amounts of food or fluids at regular intervals helps. It sounds like it may be very appropriate to consider palliative care and hospice services at this point. I hope this helps.

Dr. K. and 6 other Medical Specialists are ready to help you