Beware this long-lasting side effect

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Here’s what the doctor didn’t warn you about…

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Beware this long-lasting side effect

A very real problem with surgical procedures is that they can cause brain fog for days, weeks, or months afterwards.

Or even for years afterwards.

It’s due to a hidden danger of anesthesia.

I had one friend who says that she was never quite the same after anesthesia.

But the reality is there are a few things you can do to minimize your risk — including making sure you are getting the right treatment for anesthesia.

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What is Postoperative Cognitive Dysfunction?

Postoperative Cognitive Dysfunction, or POCD, is the brain fog that people experience after surgical anesthesia.

Cognitive disorders common in the post-operative period, are the post-operative delirium (POD) and the post-operative cognitive dysfunction (POCD).

POCD can affect focus as well as memory.

POCD is defined by a range of changes in neurocognitive patients’ condition and behaviour, for weeks or even months after anaesthesia and operation. Usually, these problems concern difficulties in cognitive processes that patients were doing before operation, i.e. to focus on their work.

The question is, can you prevent POCD if you have to go in for surgery? 

If you understand the treatments that they use for anesthesia, then the answer is yes, you can help yourself by choosing the right treatments.

What Is the Underlying Cause of POCD

Scientists think the cause of POCD is an inflammatory response in your brain.

Though the precise etiology of POCD is yet to be understood, the underlying biological basis is believed to be a cholinergic failure within the central nervous system (CNS), and the cluster of symptoms is very similar to Alzheimer’s form of dementia. This is thought to be the result of a malignant neuroinflammatory response.

That means that in addition to choosing the less risky treatment — you can also be proactive with your diet BEFORE surgery in order to help mitigate the inflammation response. 

I find that when you treat internal inflammation as the systemic issue it is, then you have less overall problems with your health…

…including the potential to reduce POCD.

You Have to Have Anesthesia During Surgery

Now, back to the options for surgery.

You can’t do surgery without anesthesia, but anesthesia is directly related to POCD and can have massive short and medium term impacts on your brain function.

That’s why it’s important to choose the RIGHT treatment for anesthesia.

Propofol Anesthesia Has a Lower Incidence of Short Term Cognitive Dysfunction

There is some evidence that propofol has a much lower rate of causing POCD than treatments in the dexmedetomidine and midazolam groups.

In all, 60 of 164 patients (36.6%) were diagnosed with POCD 7 days postoperatively, POCD incidence in propofol group was significantly lower than that in dexmedetomidine and midazolam groups (18.2% vs. 40.0%, 51.9%, χ = 6.342 and 13.603, P = 0.012 and < 0.001). When the patients were re-tested 1 year postoperatively, the incidence of POCD was not significantly different among the 3 groups (14.0%, 10.6% vs. 14.9%, χ = 0.016 and 0.382, P = 0.899 and 0.536).

But.. if you are going in for surgery, they aren’t likely to tell you the treatments they are going to use for anesthesia. 

That’s why it’s up to you to ask. 

Knowing what treatments you are being given and asking for an alternative with fewer side effects is really going to be up to the patient.

Doctors aren’t likely to tell you because they simply don’t know.

So, if you are going in for surgery, do your research and advocate for yourself.

I also suggest plenty of orange juice, milk, eggs and ripe fruit…as these are anti-stress foods. 

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Matt Cook is editor-in-chief of Daily Medical Discoveries. Matt has been a full time health researcher for 26 years. ABC News interviewed Matt on sexual health issues not long ago. Matt is widely quoted on over 1,000,000 websites. He has over 300,000 daily newsletter readers. Daily Medical Discoveries finds hidden, buried or ignored medical studies through the lens of 100 years of proven science. Matt heads up the editorial team of scientists and health researchers. Each discovery is based upon primary studies from peer reviewed science sources following the Daily Medical Discoveries 7 Step Process to ensure accuracy.