Senility: Or something else? Differential Diagnosis

Endocrine, nutritional, and metabolic diseases (E00-E90).

  • Obesity (overweight).
  • Adrenopause – increasing decline in adrenal (originating from the adrenal cortex) DHEA(S) production in adults.
  • Andropause (male menopause)
  • Diabetes mellitus type 1 and 2 (also called “adult-onset diabetes”).
  • Malnutrition
  • Menopause (female menopause; climacteric)
  • Somatopause – increasing decline in STH secretion (somatotropic hormone (STH); growth hormone) with immediate subsequent STH deficiency in middle-aged and advanced adults.

Cardiovascular system (I00-I99).

  • Apoplexy (stroke)
  • Atherosclerosis (arteriosclerosis; hardening of the arteries)

Liver, gallbladder, and bile ducts-pancreas (pancreas) (K70-K77; K80-K87).

  • Hepatic insufficiency – dysfunction of the liver with partial or complete failure of its metabolic functions.
  • Liver cirrhosis – irreversible damage to the liver leading to gradual connective tissue remodeling of the liver with restriction of liver function.

Mouth, esophagus (food pipe), stomach, and intestines (K00-K67; K90-K93).

Musculoskeletal system and connective tissue (M00-M99).

  • Sarcopenia (muscle weakness or muscle wasting).

Psyche – nervous system (F00-F99; G00-G99)

  • Dementia
  • Depression
  • Alzheimer’s disease
  • Parkinson’s disease

Symptoms and abnormal clinical and laboratory parameters not elsewhere classified (R00-R99).

  • Fragility (frailty; geriatric syndrome); sequelae of sarcopenia and cachexia; affects physical performance, walking speed, mobility, mental health, and cognition; a balanced diet rich in protein and vitamin D, as well as strength and balance training, can counteract muscle loss and functional decline and help maintain mental health and cognition.
  • Cachexia – emaciation of the organism (emaciation) due to profound disturbance of one or more organ functions.

Genitourinary system (kidneys, urinary tract – sex organs) (N00-N99).

  • Chronic renal failure – process leading to a slowly progressive reduction in renal function.

Medication

  • Hematotoxic drugs (see under drug side effects).
  • Hepatotoxic drugs (see under drug side effects).
  • Nephrotoxic drugs (see under drug side effects).

Further

  • Consumption of stimulants
    • Alcohol (woman: > 20 g/day; man > 30 g/day).
    • Tobacco (smoking)
  • Physical activity
    • Physical inactivity
  • Psycho-social situation
    • Stress
    • Lack of social inclusion/contacts (social environment).
  • Environmental influences – environmental pollution (pollutants) including traffic noise.