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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Mental Confusion,hallucinations And Delusions

My mother who is 87 and has diabetes had her leg removed in April due to gangrene. She has been in rehab and doing very well and was given a prosthetic leg and is walking with a walker, the problem is that out of the blue she will become confused, hallucinate,and dillousinal. It seems to last for different amounts of times. She was fine on Sunday and today when I spent two hours with her then later this afternoon, she was inconsolable ,confused etc. she is checked for uti every time she gets like this and only had one the first time. She has had cat scan by neurologist which did not show any stroke. She was never DX with dementia or Alzheimer s . Please help we are at our wits end!
Wed, 30 Jul 2014
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Psychiatrist 's  Response
Hello,
Please get her electrolytes (Na, K, Cl, Mg) measured, blood sugar, renal function tests. This on and off presentation of psychpsis/confusion is more in favour of organicity rather than psyhiatric illness. So, we must first rule out any orgainicty and if tests come to be normal, she needs psychiatric help.

In psychiatric disorders of similar nature i have seen drugs like resperidone 0.5-1mg showing good results. Apart from this one may need someting to calm the patient during the episode for which etizolam 0.5mg appers to be quite helpful.

Please get the tests and start the above meds after taking with your family doctor.

Dont worry, she shold be fine in few days. Donot leave her alone at home till she gets well.

Wish you good health.

Dr. Manisha Gopal
MD Neuropsychiatry
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Suggest Treatment For Mental Confusion,hallucinations And Delusions

Hello, Please get her electrolytes (Na, K, Cl, Mg) measured, blood sugar, renal function tests. This on and off presentation of psychpsis/confusion is more in favour of organicity rather than psyhiatric illness. So, we must first rule out any orgainicty and if tests come to be normal, she needs psychiatric help. In psychiatric disorders of similar nature i have seen drugs like resperidone 0.5-1mg showing good results. Apart from this one may need someting to calm the patient during the episode for which etizolam 0.5mg appers to be quite helpful. Please get the tests and start the above meds after taking with your family doctor. Dont worry, she shold be fine in few days. Donot leave her alone at home till she gets well. Wish you good health. Dr. Manisha Gopal MD Neuropsychiatry