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Should I worry about the side effects of proton-pump inhibitors?

People with esophagitis (esophageal inflammation) can use proton-pump inhibitors to manage their acid reflux. This kind of medication can protect against scarring and narrowing of the lower esophagus.

Heart attacks may speed cognitive decline

Accelerated cognitive decline may be more common after a heart attack, probably because the same factors that lead to narrowed heart arteries (the root cause of most heart attacks) can also cause tiny, silent strokes. An accumulation of these strokes shows up as bright areas (called white matter lesions) on an MRI scan. These lesions are markers of typical cognitive changes that occur with age. But people who have heart attacks likely have more white matter lesions and experience even greater cognitive decline.

Why do I feel dizzy after a meal?

Postprandial hypotension—low blood pressure after eating—is common in older adults. It occurs when blood flow is diverted away from the body, including the heart and brain, and instead gets routed to the stomach and intestines during digestion.

Sugary drinks appear to increase health risks for people with diabetes

A 2023 study suggests that people with diabetes have higher risks of developing cardiovascular disease or dying earlier if they regularly drink sugary beverages.

Magnesium-rich foods might boost brain health, especially in women

A 2023 study suggests that eating more magnesium-rich foods contribute to better brain health—especially in women—as people get older. This may lower the risk of dementia.

Physical activity may lower Parkinson's risk in women

A 2023 study suggests regular physical activity, including walking, climbing stairs, gardening, and cleaning, may help prevent or delay the onset of Parkinson's disease in women.

When everyday noises upset you

Misophonia is a sensory processing disorder characterized by extreme aversion to sounds people make, such as chewing, sniffling, throat-clearing, and heavy breathing. A 2023 study suggests one in five adults deals with misophonia, which can hamper family and social life. Treatment options typically blend behavior-based therapies with medication. Cognitive behavioral therapy is emerging as an evidence-based treatment. People with misophonia can also ease sound aversions by wearing earplugs or headphones and using white noise machines.

When fatigue leaves you drained, depleted, and dumbfounded

Fatigue affects up to three-quarters of older adults with chronic conditions. Some causes are obvious, while others are less well recognized. They include sleep disorders, anemia, poor diet, thyroid problems, mood disorders, and medication use. People with prolonged, unexplained fatigue should see a doctor, who will perform a physical exam, ask about medical history, and in some cases perform blood or other tests. People can boost energy levels by exercising more, optimizing diet, using caffeine strategically, and limiting alcohol consumption.

Steps to spot the signs of hoarding

Hoarding disorder is a mental health condition characterized by an inability to discard certain belongings to the point of unhealthy accumulation. While the types of hoarded items vary and might be useless to others—old clothes, boxes, papers, junk mail, or even spoiled food or garbage—the person hoarding the items is convinced they'll be needed one day. The mere idea of parting with them is extremely distressing. In time, stuff fills the home in mounds of disorganized clutter that jams rooms and hallways and threatens safety. Beyond clutter, signs of hoarding disorder include impaired behavior, such as social isolation, sleep loss, or indecision.

Leprosy in Florida: How worried should we be?

News coverage of a case of leprosy in central Florida may have made it seem like there is an increased threat the disease would spread. Misconceptions about this disease have persisted for a long time, but the facts are reassuring.

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