
Hi My Sister Is 65 Years Old And 5 Years

Thank you, XXXXXXX
Counseling is essential.
Detailed Answer:
Thanks for using the Ask a Doctor service.
I understand your apprehension, especially with the losses in the family. Meningiomas are non-cancerous brain tumors which occur both in adults and children. Due to my knowledge on the subject I would like to guide you in this regard. I would need to ask for a few details:
* How long ago has the diagnosis of meningioma been made?
* How long has her aggressiveness appeared?
* When was the last MRI done?
The answers to the above queries would determine whether an MRI needs to be repeated. However, irrespective of whether the meningioma is contributory a psychiatric evaluation is essential. Based on the evaluation she might be given medicines like escitalopram or fluoxetine which might be of help. She also needs cognitive behavioral therapy from a clinical psychologist. It is possible that the stress of a brain tumor and/or perception of threat to life might be freaking her out. She would definitely need to be guided about how to deal with the stressors. De-stressing her is very important (also for her colitis). The entire family needs to be supportive and you need to convince her for the above.
A gastroenterologist consultation is also essential. I need to know whether a colonoscopy has been done. Depending on the severity a colonoscopy might be essential. Supportive treatment needs to be administered based on the findings. Medication is likely to be required. Steroids might be needed. Steroids will also help in case the meningioma is causing inflammatory encroachment of the brain.
Feel free to write back.
Regards

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