by Dennis Townsend, Contributing Writer
Do we take life for granted? When you’re young you have the feeling of invincibility and you see yourself living for a long time and retiring at an age where you can still enjoy the fruits of all your labor. You expect your health to be at a point that while you may feel the early stages of arthritis, it’s nothing that’s going to incapacitate you. But what if life throws you a curve ball and right at the time you were ready to retire, you have a stroke? My sister-in-law was the unfortunate victim of a "apoplexy", better known nowadays as a stroke, at the age of 67. On November 21, 2013 the person that we all knew, the person that was so full of fun and laughter, the person who kept us amazed at the way she could emulate Patsy Cline at her impromptu concerts at the kitchen table, was unable to communicate.
Sandra Kaye Lambdin was the last person we thought would become a total invalid and as a matter of fact, we thought she would be the one rocking on the front porch telling the old stories to the grandchildren long after most of us had gone.. There were no signs of heart trouble prior to the stroke so needless to say we were all caught by surprise. Truth is, more than 200,000 Americans die of strokes each year and hundreds of thousands are incapacitated by this sudden “striking down” affliction. It’s times like these that we really come to grips with our vulnerability and realize just how fragile the human brain is. Each part of the brain is involved with a different part of human activity; one part controls speech, one part controls the arms and legs on one side of the body, another controls the muscles in the mouth and so on. A stroke is the stoppage of blood to certain parts of the brain and it can be caused by a number of disorders or malfunctions in the blood vessels. There are different kinds of strokes and they go from mild, little strokes, to massive in which it may not be fatal, but it will immediately be reflected in some parts of the body. It is said that a non-fatal massive stroke patient has a life expectancy of 3 to 5 years of unrecognizable faces, lost memories and constant seizures.
Sandy was the one spoiling all the grandchildren and knew exactly what each one wanted for Christmas. Grandchildren who now are just shadows in her mind. She spends her days straining to understand what her daughter Tina is trying to tell her, but after a while she becomes so frustrated that she lashes out in what can only be described as a damnation of her solitary confinement inside of a now irreversibly damaged brain. She cannot speak and for us to see someone who spent her life as a saleswomen, and who possessed the proverbial “gift of gab” with a singing voice that could give Dolly Parton a run for her money, it’s heartbreaking. And even though it looks like Sandy’s brain is permanently afflicted, there is the thought that she can think clearly but she just doesn’t have the ability to communicate. That could be the main reason for her bouts of anguish and despair that has become her constant companion. Recovering from a massive stroke sometimes requires months or even years of intensive physiotherapy to prevent the deterioration of muscle. Sandy now requires constant care which required moving her out of her home where she lived alone and into her daughter’s house where she could be easily cared for. That officially gives her daughter Tina the title of caregiver and we all know, especially military families, the gamut of difficulties that goes with that title.
Are there warning signs that a stroke is imminent? They say that many of us have warning signs in the form of unnoticed “little strokes”. Dr Walter Alvarez, an authority on these little strokes once stated ; “One of the commonest diseases of man, is that in which, over the course of 10 or 20 years, a person is gradually pulled down by dozens or scores of thromboses (clots) of little arteries in the brain .” In reality these little strokes are common but physicians are not familiar with all the peculiar things that happens to individuals who have these little strokes, and therefore they go unnoticed. Little strokes are an indication that all is not well inside the blood vessels that feed oxygen to the brain. Recognizing little strokes and acting swiftly could prevent the “big stroke”, the one which leaves the permanent injuries including paralysis.. Strokes do not discriminate and age makes very little difference so everyone should be familiar with the warning signs of a possible stroke. The American Heart Association uses the acronym F.A.S.T., Face drooping, Arm numbness, Speech difficulty, Time to call 911. Time is the enemy here, and you want to get medical attention immediately if you feel any symptoms that you think is associated with a stroke.. Whether one recovers from a stroke depends on the severity of the stroke and how long the brain was without oxygen.. Sandy survived the stroke in the sense that she is still breathing, and her heart still beats, but how do you define her quality of life? We are all happy that she is still with us, but it shows in her face everyday that she is not. We may call it a blessing, but knowing Sandy as I do, she’d be quick to call it a curse. And I would have to agree with her.
Bentyl (dicyclomine) is a prescription drug that is most often given to patients as a treatment for irritable bowel syndrome (IBS), an intestinal condition. Some patients report that Bentyl causes dry mouth. Bentyl is prescribed to relieve gastrointestinal muscle spasms associated with IBS. Bentyl is one brand name for dicyclomine. Dicyclomine is also available in generic form. It is an antispasmodic and anticholinergic agent.
Bentyl and Xerostomia (Dry Mouth, Cotton Mouth)
According to MedicineNet and Drugs.com, Bentyl has varied side effects, including a moderate instance of xerostomia, also known as dry mouth or cotton mouth. As stated on Drugs.com, in regards to pharmacological data involving a group of clinical trials, a little more than one third of patients taking Bentyl (dicyclomine) for IBS reported experiencing xerostomia.
Dry mouth happens when the body is not producing enough saliva. Symptoms of xerostomia can include a dry feeling in the mouth, the frequent need to drink fluids, mouth sores, cracks in the lips, a dry throat, burning or stinging in the mouth or throat, a red or dry tongue that may also be raw, difficulty with normal mouth functions (tasting, chewing, speaking, swallowing), hoarse voice, dry nasal cavities, bad breath and a sore throat.
How to Get Rid of Xerostomia Caused by Bentyl
To cure xerostomia, there are varied choices. The right one will depend on the individual. One might want to first try using a fluoride mouth rinse, as well as being sure to brush the teeth with fluoride toothpaste.
Sucking on hard candies or chewing gum may also help dispel the xerostomia. Just be sure that it is sugarless. A more obvious option is to also drink plenty of water and even suck on ice chips. Sometimes breathing through the mouth can cause or worsen xerostomia, so try to concentrate most breathing to the nasal area.
There also are saliva substitutes sold over the counter at most pharmacies. In addition, using a room vaporizer to moisturize the air could help reduce xerostomia.
If none of these options is working, another way to get rid of the xerostomia is to reduce the dosage of the medicine being taken. However, this may also reduce the efficacy. Discuss this and other options with your doctor.
Switching to a Bently alternative, such as glycopyrrolate, methscopolamine bromide or propantheline bromide, might help as a last resort. Be sure to weigh the pros and cons with your physician. Getting rid of xerostomia is of course one possible benefit. However, be sure you discuss possible downsides to switching as well.
*The author is not a medical professional. This guide is intended for informational purposes only. Be sure to consult your physician for any medical concerns and advice..
**I originally published a version of this via Yahoo Contributor Network
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