Problem:OPTIONS:
- Constipation
- Stress
- not enough information
- Hemorrhoids

Constipation is not a glamorous topic, but it's certainly important, especially in older adults. As anyone who has experienced occasional or even chronic constipation can tell you, it can really put a damper on quality of life and well-being. Constipation can also cause more substantial problems, such as: * Severe abdominal pain, which can lead to emergency room visits * Hemorrhoids, which can bleed or be painful * Increased irritability, agitation, or even aggression, in people with Alzheimer's disease or other forms of dementia * Stress and/or pain that can contribute to delirium (a state of new or worse confusion that often happens when older adults are hospitalized) * Fecal incontinence, which can be caused or worsened by having a hard lump of stool lodged in the lower bowel * Avoidance of needed pain medication, due to fear of constipation Fortunately, it's usually possible to help older adults effectively manage and prevent constipation. This helps maintain well-being and quality of life, and can also improve difficult behaviors related to dementia. The trouble is that constipation is often either overlooked or sub-optimally managed by busy healthcare providers who aren't trained in geriatrics. They are often focused on more "serious" health issues. Also, since many laxatives are available over-the-counter, some providers may assume that people will treat themselves if necessary. Personally, I don't like this hands-off approach to constipation. Although several useful laxatives are indeed available over-the-counter (OTC), I've found that the average person doesn't know enough to correctly choose among them. Also, although in geriatrics we often do end up recommending or prescribing laxatives, it's vital to start by figuring out what is likely to be causing or worsening an older person's constipation. For instance, many medications can make constipation worse, so we usually make an attempt to identify and perhaps deprescribe those. In short, if you're an older adult, or if you're helping an older... Question: Why might older adults suffer from abdominal pain? === The answer to the above question is
****
A: Constipation

Yes I definitely have. It was over ten years ago now I was diagnosed as Borderline Personality Disorder but presenting with symptoms of Bi Polar Mania. I was in hospital for treatment and of course the psychiatrist wanted to medicate me until the manic phase subsided so as to better stabilize me and get the right diagnosis, etc. It is an art, Psychiatry, as far as I'm concerned. I do not have the education to elaborate on say, Pharmaceuticals or Cognitive Science (other than a few college courses on Behavioral Psychology) nor can I comprehend these fields of reference as clearly as I'd like to, but what I experienced was GETTING THE WRONG MEDICATION!! for my presenting psychological manifestations. I was put on Seroquil; too sedating even in minute doses. Prozac. Sent me over the edge, and a complete 180 to the point where I was extremely delusional and dangerously suicidal. These mind-altering medications can be fatal. It was scary and literally ruined my life for a time I was worse than minorly-depressed or hypo-manic (conditions much more manageable than what I previously described) for a long time when I first started a regime with Zoloft, but it did wind up being the best drug to manage my depressive state and enable me to function in a more socially adaptive manner. Then they added Lamictal, which has truly kept me stable ever since. But yes, it is a trial and error method as far as I can tell... My Mother never wanted me to try any medication because she said "They" were using me like a guinea pig, but when the benefit outweighs the risk, they take the risk. You can't always trust medicine but if you have an experienced doctor you should trust them especially if you want to get better, whatever your ailment may be. I have osteoarthritis, DSP, and Sciatica also, so am familiar with drugs used to treat physical health issues too but no huge issues with these medications, not like psychiatric drugs that's for sure. Question: Who added Lamictal for the patient? === The answer to the above question is
OPTIONS:
- The psychiatrist
- The mother
- not enough information
- No one added Lamictal for the patient
The psychiatrist

Problem: OPTIONS:
- hopeful for the audition
- not enough information
- angry about the line
- annoyed with Craig
Q: Sondra arrived at 1:00 PM sharp. Billy-Eye's Arcade and Dance Barn was located on Highway 87, north of town. She was not impressed. It was nothing but a huge commercial metal building with the name painted in big lettering across the front. There were about fifteen cars in the small gravel parking lot--mostly older models like hers. She walked in, and saw a line of people standing at a closed office door. Clearly, they were band members waiting to register for an audition. A couple of the guys had their electric guitars strapped on their backs. Sondra was quite familiar with Billy-Eye and his two sons. She'd eaten her share of Buttard Biscuits growing up. And she still remembered the time in high school when Craig walked up to her in the hallway and asked her for a date. She had nearly laughed in his face. He was just a kid--three grades below her. A couple of years later, when she found out about his reputation as a stud, she wished she had accepted his offer. She would have given the little punk the ride of his life. While she was still thinking about Craig, the office door opened, and he walked out. He glanced at the long line of rockers. "Okay, we're about to get started, Guys." Then he spotted Sondra at the back of the line. The blonde six-footer was not easy to miss. "Sondra Crench? Is that you?" He walked up to her. "How are you, Craig?" "Well, I'm impressed that you remember me. So, you're here to sign up?" "Yeah." He checked out the young men standing in front of her. "Are these guys with you?" "No." "Well, where's your band?" "I'm working on it." "Follow me." She hesitated. There were at least thirty people in front of her in line. "Come on," he insisted. She followed him into the office. Question: After the end of this story, Sondra is probably === The answer to the above question is
Answer:
hopeful for the audition