Suggest Treatment For Bed-wetting And Confusion In A Person With Depression
Question: was under treatment for alcoholism and depression since last 1 year. was good after initial 3 months for the next 3-4 months. after that he drank few days while on desulfiram . after few days he got severe reaction. he was very much fearful. reaction was gone after few days.
after some time (dont remember how many weeks after this incident), he got confusion. we didnt knew it is confusion. he is introvert so we didn't knew his mind. 1 month back he got severe delirium and agitation. and when we taken him to psychiatrist , then we came to know it was delirium all these days. then he was given medicines mentioned in current. but after 25 days also his confusion did not improved.
his SGOT,SGPT and CT scan were normal. we dont know what is the reason. before this, he was taking baclofen 10,stablon 12.5 stressnil 0.5 and amizep 12.5mg 4 tablets day. but at the later phase he reduced his doses of baclofen and stablon to 2 and then 1. now its been 30 days on current medication.
what can be the causes for his continuos confusion ?
his symptoms are -
1. not able to speak and understand clearly.
2. also doing bed-wetting nowadays
3. having illogical and out of place fears in his mind
4. says things which are weird and out of place.
5.remember and says thing after taking lot of time to think
6. may go outside in whatever clothes he was wearing. so as per your understanding
7.says like you will find my dead body at that place.
after some time (dont remember how many weeks after this incident), he got confusion. we didnt knew it is confusion. he is introvert so we didn't knew his mind. 1 month back he got severe delirium and agitation. and when we taken him to psychiatrist , then we came to know it was delirium all these days. then he was given medicines mentioned in current. but after 25 days also his confusion did not improved.
his SGOT,SGPT and CT scan were normal. we dont know what is the reason. before this, he was taking baclofen 10,stablon 12.5 stressnil 0.5 and amizep 12.5mg 4 tablets day. but at the later phase he reduced his doses of baclofen and stablon to 2 and then 1. now its been 30 days on current medication.
what can be the causes for his continuos confusion ?
his symptoms are -
1. not able to speak and understand clearly.
2. also doing bed-wetting nowadays
3. having illogical and out of place fears in his mind
4. says things which are weird and out of place.
5.remember and says thing after taking lot of time to think
6. may go outside in whatever clothes he was wearing. so as per your understanding
7.says like you will find my dead body at that place.
Brief Answer:
Alcohol related brain damage, Continue treatment
Detailed Answer:
Hello,
I have gone through your question and understand your concerns.
Due to alcohol intake thiamine and other deficiency occurs which may lead to korsakoff's psychosis or wernickes encephalopathy.
CT may not be able to pick mild changes and Mri may be required.
Get vitamin B 12, Thyroid profile done.
The medication should be continued as it may take time to recover completely.
Most of the symptoms are involvement of frontal lobe and temporal lobe.
Hope you found the answer helpful.
Do get back to me for further queries.
Regards
Dr N Kumar
Neurologist
Alcohol related brain damage, Continue treatment
Detailed Answer:
Hello,
I have gone through your question and understand your concerns.
Due to alcohol intake thiamine and other deficiency occurs which may lead to korsakoff's psychosis or wernickes encephalopathy.
CT may not be able to pick mild changes and Mri may be required.
Get vitamin B 12, Thyroid profile done.
The medication should be continued as it may take time to recover completely.
Most of the symptoms are involvement of frontal lobe and temporal lobe.
Hope you found the answer helpful.
Do get back to me for further queries.
Regards
Dr N Kumar
Neurologist
Above answer was peer-reviewed by :
Dr. Prasad