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Dr. Phil, MD
Dr. Phil, MD, Board Certified Physician
Category: Medical
Satisfied Customers: 56605
Experience:  GP in the United States
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I keep dropping things, Have a problem with short term memory,

Resolved Question:

I keep dropping things, Have a problem with short term memory, spelling is a problem, I
losse things on a daily basis
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. Phil, MD replied 2 years ago.
Hello. I'm Dr. Phil, licensed and practicing internist. Excellent service is my goal.
Thanks for this question.
To try and piece this together, we need to look at all the symptoms. The fact that you are dropping things indicates weakness. This can be inside or outside the brain.
Short term memory issues and spelling indicates that it is something inside the brain or something body wide.
To me, this constellation of symptoms indicates something inside the brain or something wrong metabolically.
I would start my workup there. If you were my patient, in my office, with these symptoms, I would do the following
1)Get some blood work to screen for overall issues. My focus would be on blood counts, thyroid and metabolic. I would get a complete blood count, thyroid labs and comprehensive metabolic. CBC, TSH and CMP to be specific. That would screen for a variety of problems
I would also get Vitamin D and B12 to be thorough.
2)I would absolutely get an MRI of the brain. Things like early onset Parkinson's disease, early onset dementia and multiple sclerosis can present like this.
So that is what I would do. If all of this is normal then I would look for more benign things like sleep issues, anxiety, depression, etc.
Customer: replied 2 years ago.

I have chronic fatigue syndome and Achalasia, sleep is a problem

could eiher of these diseases be the prblem?

Expert:  Dr. Phil, MD replied 2 years ago.
Absolutely. Chronic fatigue was one thought I had. Definitely could be.
However I never just attribute things like that without a good workup
Expert:  Dr. Phil, MD replied 2 years ago.
please don't forget a positive rating. I appreciate it
Customer: replied 2 years ago.

I am on a lot of medication Amitriptyline 200mg for trating pain, sleep problems. Tramadol, Domperidon, Omeprazol, for helping the problems I have already mentined. Is there anyhing else you would advise me to take - or stp me taking

Expert:  Dr. Phil, MD replied 2 years ago.
I think you need to reduce the amitriptyline
50 mg max
That could be causing a lot of issues
Dr. Phil, MD and 3 other Medical Specialists are ready to help you
Expert:  Dr. Phil, MD replied 2 years ago.
I appreciate the excellent rating.

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