### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi Hi My father is suffering from NPH- Normal Pressure hydrocephalus . His actions and responses have become very slow since last 2.5 years doctors have diagnosed NPH. He is unable to hold urine. He has tendency to fall forward, getting up form bed is very difficult for him. He suffers from Diabetese since 1983(~ 29 years). He is advised to take GlicidM tablets twice a day for the same. He is also having enlarged Prostate . He feels constipated most of the times also his urine smells very bad. Please let me know if any medical reports of his are required. I have his MRI, ultrasound and other clinical reports. Please let me know if I should scan and send them to you. He feels slightly better after taking Vitamin b12 injection. Regards, Abhinav YYYY@YYYY If you can tell us any treatment without using shunt of CSF drain analysis please let me know. I think I have checked with lot many Allopathy doctors and their suggestion is to go for shunting. specifically if you can help me with alternate therapy I will be greatfull. Other Information: Person s Gender: Male Person s Age: 71 Already Tried: 1).CSF drain through lumbar puncher-year 2010- helped him feel better for a month 2).Lechesis1M one dose followed by Avina sativaQ for a month or so - gave positive result for short duration 3).Some homeopathic doctors gave him medicines which made his condition worse 4).Sabal Serulata for prostate enlargement 5). Acetazolamide medicine for few months- not much difference 6) He is not interested in going for a shunt in the Brain

### output:

Hi, Normal Pressure HY Chat Doctor.  If the diagnosis of NPH is confirmed, then CSF diversion using either a VP shunt (tube from the brain fluid to the abdomen) or TP shunt (from the spinal fluid to the abdomen) will be the choice. I would encourage you to consider the surgical option since it can produce good results in patients with NPH. Age of 71, well controlled diabetes is not a contraindication for the operation. If not operated, the dementia is likely to progressively get worse. A lumbar puncture and 