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Short-Term Memory Loss: Common Causes and When to Worry

Forgetting what you just read, why you walked into a room, or what someone told you this morning can have many causes, from stress and poor sleep to medicines, vitamin problems and dementia. Here's how to tell everyday lapses from warning signs, and what a doctor will check.

By Jim Pavlish, Editor · Last updated: · Editorial policy

"I can remember my wedding day perfectly, but not what I had for breakfast." Short-term memory trouble is one of the most common worries people bring to a doctor. The good news is that it has many possible causes, and a lot of them are treatable. The important thing is to notice the pattern and get it checked when it's new or getting worse.

This page is general information, not a diagnosis. If memory problems come on suddenly, over hours or days, or come with weakness, trouble speaking, a severe headache or confusion, call 911 or get urgent care.

What "short-term memory" means

People use "short-term memory" to mean two related things. One is holding information in mind for a few seconds while you use it, like a phone number you're about to dial. Scientists call this Working Memory. The other is remembering things from the last few minutes, hours or days: a conversation this morning, where you parked, whether you took your pills. That's recent memory, and it depends heavily on a brain area called the The Hippocampus.

Older memories are stored more widely in the brain and are often better protected. That's why someone with early Alzheimer's may tell vivid stories from decades ago but repeat the same question within an hour.

Normal lapses vs. signs worth checking

Some forgetfulness is normal at any age, and some slowing is a normal part of aging (see Normal Aging vs. Memory Problems). The National Institute on Aging gives examples of each.

Usually normal: - Occasionally misplacing keys or glasses - Forgetting a name, then remembering it later - Walking into a room and forgetting why, when you're busy or distracted - Missing a monthly bill once in a while

Worth talking to a doctor about: - Asking the same questions over and over - Forgetting recent conversations or events entirely, not just the details - Getting lost in familiar places - Having trouble following a recipe, directions or a conversation - Repeatedly missing bills or medicine doses - Others noticing a change, even if you don't

The difference is usually whether the problem is getting worse and whether it gets in the way of everyday life. The Alzheimer's Association's list of 10 Early Warning Signs of Alzheimer's and Dementia goes into more detail.

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Common causes

Stress, anxiety and depression. Worry and low mood use up attention, so information never gets stored properly. This is one of the most common causes in people of all ages. See Stress, Anxiety and Memory and Depression and Memory ("Pseudodementia").

Poor sleep. The brain uses sleep to lock in new memories. Ongoing short sleep, insomnia or untreated sleep apnea can make recent memory noticeably worse.

Medicines. Some sleep aids, allergy pills, bladder medicines, anxiety medicines, strong pain medicines and others can affect memory, especially in older adults or when several are combined. Our page on Medications That Can Affect Memory lists common ones to ask about. Don't stop a prescribed medicine on your own.

Alcohol. Heavy drinking can cause blackouts and, over time, lasting memory damage. See Alcohol and the Brain.

Vitamin and hormone problems. Low vitamin B12 and an underactive thyroid are classic treatable causes, which is why doctors often check them with simple blood tests.

Infections and other illness. In older adults, a urinary tract infection, pneumonia or dehydration can cause sudden confusion. This is called delirium and needs prompt medical attention. See UTIs and Sudden Confusion in Older Adults.

Head injury and stroke. A concussion or a stroke can affect recent memory, sometimes suddenly.

Hearing and vision loss. If you didn't hear something clearly, you can't remember it. Untreated hearing loss is also a risk factor for dementia (see Hearing Loss and Dementia).

Mild cognitive impairment and dementia. When short-term memory loss keeps getting worse over months, it can be a sign of Mild Cognitive Impairment (MCI) or an early stage of Alzheimer's disease or another dementia. Trouble with recent memory is often the first sign of Alzheimer's.

What a doctor will check

According to the Mayo Clinic, a memory evaluation usually includes:

Our guide to Preparing for a Memory Appointment has a checklist to bring.

Things that help day to day

For more ideas, see Memory Aids and Tools and How to Improve Your Memory.

The bottom line

Short-term memory lapses are common and often caused by stress, sleep, medicines or other treatable problems. Memory loss that's new, getting worse, or affecting everyday life deserves a checkup, and the sooner the better: if the cause is treatable, it can be fixed, and if it's an early sign of dementia, an early diagnosis gives you more options and time to plan. See Reversible Causes of Memory Problems and Getting a Diagnosis.

Sources

  1. National Institute on Aging: Memory Problems, Forgetfulness, and Aging
  2. NHS: Memory loss (amnesia)
  3. Mayo Clinic: Memory loss: When to seek help
  4. Alzheimer's Association: 10 Early Signs and Symptoms of Alzheimer's

Not medical advice. This article is general information, not a diagnosis or treatment plan for any individual. Talk with a doctor about your situation.

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