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DrRussMD
DrRussMD, Board Certified MD
Category: Medical
Satisfied Customers: 64051
Experience:  Board certified Internal medicine and Integrative medicine. Many years of experience all areas.
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My mum is 64 years, she had an intestinal obstruction (small

Resolved Question:

My mum is 64 years, she had an intestinal obstruction (small intestine). After her surgery she's been acting very confused and difficult with some irrational behaviour.
Prior to the surgery, she lost about 10kg, she looks very underweight. Please advise on what to do
Thanks
Amaka
Submitted: 10 months ago.
Category: Medical
Expert:  DrRussMD replied 10 months ago.

Hello

Confusion is not normal.

She needs to be examined immediately.

Even if in the ER.

Possibilities

mini stroke

B12 deficiency

anemia

depression

many other possible causes.

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Customer: replied 10 months ago.
She had a surgery which worsened the irrational behaviour, she complains about dizziness, the weight loss bothers me a lot as she lost about 10kg and looks very unhealthy. Could it be dementia?
This weight loss has been over 3 years. Before the surgery she complained about constipation alot. Please what do I do? As I am confused .
Expert:  DrRussMD replied 10 months ago.

Many dementia patients who were not so bad are bad after surgery and this is common.

You take here to a doctor.

Then a neurologist if there are no physical findings that make sense.

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Customer: replied 10 months ago.
She is currently on risperdal 0.5mg bd, but noticed that this reduces her blood pressure drastically. I give her only at night.
Expert:  DrRussMD replied 10 months ago.

Please read my last answer.

Customer: replied 10 months ago.
Talking is at additional cost right ?
Expert:  DrRussMD replied 10 months ago.

I do not do phone calls.

Yes it would be an added cost, but I do not do them.

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Customer: replied 10 months ago.
What could be the cause of the weight loss and frequent urination. She had Uti and has been treated
Expert:  DrRussMD replied 10 months ago.

Dementia can cause both as it advances.

To get to an actual cause, her doctor needs to run more tests than apparently has been done.

She should also see a neurologist.

please click a positive rating [hopefully excellent—that’s how we are paid, per rating]. If you forgot something, just use reply and come back. I am here

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Customer: replied 10 months ago.
What tests do you recommend, what could have caused the intestinal constriction the surgeon suspects it was congenital. Never heard of that. I will surely take her to a neurologist. Any need for a CT scan?
Expert:  DrRussMD replied 10 months ago.

MRI of the head

B12 levels

Thyroid levels.

All routine labs

neurological exam.

please click a positive rating [hopefully excellent—that’s how we are paid, per rating]. If you forgot something, just use reply and come back. I am here

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Customer: replied 10 months ago.
What could be the cause of severe weight loss? Can constricted intestine be congenital?
Expert:  DrRussMD replied 10 months ago.

I have mentioned the weight loss already.

An obstruction can be congenital.

It can be from bad bowel that develops.

Mass/tumor...

They would have seen the cause when they did the surgery.

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DrRussMD, Board Certified MD
Category: Medical
Satisfied Customers: 64051
Experience: Board certified Internal medicine and Integrative medicine. Many years of experience all areas.
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