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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Makes A Person Think Of Worms Coming Out Of Head, Mouth And Skin?

Doctor, I have a sister who is seeing worms coming out of her head , mouth and skin. she have never had
any psychotic problem. she's on medication for high blood pressure and seizures and blood thinner. she have had several
minute. strokes. she is 64 years old. this being going on for a couple of weeks the doctors act as if this is
not happen they say the medication she taking is not causing this but I know something is wrong. they prefer her
to a psychology doctor he gave her medicine for hallucination and a antidepressant
Mon, 27 Oct 2014
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Internal Medicine Specialist,  's  Response
This sounds like a psychotic episode to me. It could be that she has had brain damage from the seizures and strokes, and this is what is causing the hallucinations. Side effects from medicines might also do this, although your doctors seem to feel that is not the problem and they know what medicines she is on. If she has recently been in the hospital and this started during that time, it is possible she is delirious. This is a not uncommon problem among elderly people with significant chronic disease who are stressed out from the hospitalization. It generally clears up pretty quickly, so if you say it's been going on 2 weeks, it's probably not delirium. I would be concerned that she recently had a bigger stroke that affected a part of her brain related to sight and thinking, and not controlling muscles, and would consider during an MRI. Hope this helps.
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What Makes A Person Think Of Worms Coming Out Of Head, Mouth And Skin?

This sounds like a psychotic episode to me. It could be that she has had brain damage from the seizures and strokes, and this is what is causing the hallucinations. Side effects from medicines might also do this, although your doctors seem to feel that is not the problem and they know what medicines she is on. If she has recently been in the hospital and this started during that time, it is possible she is delirious. This is a not uncommon problem among elderly people with significant chronic disease who are stressed out from the hospitalization. It generally clears up pretty quickly, so if you say it s been going on 2 weeks, it s probably not delirium. I would be concerned that she recently had a bigger stroke that affected a part of her brain related to sight and thinking, and not controlling muscles, and would consider during an MRI. Hope this helps.