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Question: I've notices a number of behavioral changes in my husband 68 yr old male. He recently told me it took him 3 1\2 hrs to get home because he was lost. Couldn't find north south, east and west. He's started going to bed at 7:30 or 8 pm. He won't bathe more than once every week to 2weeks.
Brief Answer:
Needs neurological examination/Dementia-work up.
Detailed Answer:
Hi XXXX,
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.
Your husband is having clinical history,which suggests to the possible diagnosis of Dementia.
Further tell a few details-
1)Since when he is having these complaints?
2)Were these symptoms acute in onset or gradual?
3)Is he having memory loss-If yes,what all he forgets?
4)Is his behavior has turned aggressive or abusive,recently?
5)Are there any symptoms of social inhibition-like passing urine in the living room,coming nude out of bathroom?
6)Any history of hallucinations or delusions?
7)Any other past medical history-Stroke,Diabetes,Thyroid disorder,High blood pressure?
8)History of any addictions-like chronic alcohol intake?
Waiting for your follow-up with above details.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Needs neurological examination/Dementia-work up.
Detailed Answer:
Hi XXXX,
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.
Your husband is having clinical history,which suggests to the possible diagnosis of Dementia.
Further tell a few details-
1)Since when he is having these complaints?
2)Were these symptoms acute in onset or gradual?
3)Is he having memory loss-If yes,what all he forgets?
4)Is his behavior has turned aggressive or abusive,recently?
5)Are there any symptoms of social inhibition-like passing urine in the living room,coming nude out of bathroom?
6)Any history of hallucinations or delusions?
7)Any other past medical history-Stroke,Diabetes,Thyroid disorder,High blood pressure?
8)History of any addictions-like chronic alcohol intake?
Waiting for your follow-up with above details.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
He had several episodes of "getting lost" over the past 2 - 3 years. He thought it was caused by Lipitor which was, at that time a new medication. He was dizzy, fell couple of times. Got lost in the house. At night especially, ran into wall, couldn't make it from bathroom to bedroom one night. After getting off Lipitor it seemed to clear up. Now the problem is back.
Gradual onset I would say.
He rarely leaves the house, declining to go out to diner or visit relatives.
He delays before answering a simple question, as if trying to think how to answer.
He has stopped usual activity - cooking, mowing yard, any housework. He will pick up "1" item at the store, but will not pick up a list of say 6 items.
He is a heavy beer drinker. 12 or more per day over 35+yrs.
I appreciate your opinion.
Gradual onset I would say.
He rarely leaves the house, declining to go out to diner or visit relatives.
He delays before answering a simple question, as if trying to think how to answer.
He has stopped usual activity - cooking, mowing yard, any housework. He will pick up "1" item at the store, but will not pick up a list of say 6 items.
He is a heavy beer drinker. 12 or more per day over 35+yrs.
I appreciate your opinion.
Brief Answer:
Needs neurological examination.
Detailed Answer:
Hi XXXX,
Thanks for being in follow-up.
I have gone through the detailed clinical history provided by you.If it would have been because of Lipitor,it should not have returned back.
He needs to undergo a physical examination by a Neurologist for evaluating higher mental functions.He is probably having Dementia.Long term alcohol intake may be the cause.
He will probably have to undergo a brain MRI.
If you have any further questions,I shall be glad to answer else please close the thread,rate it and write a review as your rating will be of help to me.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Needs neurological examination.
Detailed Answer:
Hi XXXX,
Thanks for being in follow-up.
I have gone through the detailed clinical history provided by you.If it would have been because of Lipitor,it should not have returned back.
He needs to undergo a physical examination by a Neurologist for evaluating higher mental functions.He is probably having Dementia.Long term alcohol intake may be the cause.
He will probably have to undergo a brain MRI.
If you have any further questions,I shall be glad to answer else please close the thread,rate it and write a review as your rating will be of help to me.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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