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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Multiple Myolema (Stage III) Coupled With End-stage Kidney Failure, Had Chemo, Regular Dialysis. Is Incoherent Speech A Side Effect ?

Hi my friend s mom has multiple myolema (Stage III) coupled with end-stage kidney failure. She is 62 years old and weighs about 48 kg. She has undergone 5 rounds of chemo and is on regular dialysis . Her oncologist says her cancer is in remission. She is suffering from a bunch of side effects...diarrhoea, severe pain in the legs, etc. For the past two days, she has been rambling and speaking incoherently. If someone asks a question, she can give a coherent reply, but goes back to rambling. i) Can incoherent speech be a side effect of medication? What could possible reasons be? ii) Also, what would the estimated survival time for such a patient?
posted on Fri, 1 Mar 2013
Twitter Sun, 23 Jun 2013 Answered on
Twitter Mon, 24 Jun 2013 Last reviewed on
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Oncologist, Radiation,  's  Response
Hi there,
She seems to be delirious. It can be because of side effects of medications, but also can be a sign of electrolyte imbalance (salt levels in blood), or high level of toxins (like urea/ creatinine) or even infection. I would recommend you to see the oncologist or nephrologist as early as possible as many times these conditions can be easily corrected by doing blood tests and treating accordingly or with change in medications as the case may be. Regards
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Multiple Myolema (Stage III) Coupled With End-stage Kidney Failure, Had Chemo, Regular Dialysis. Is Incoherent Speech A Side Effect ?

Hi there, She seems to be delirious. It can be because of side effects of medications, but also can be a sign of electrolyte imbalance (salt levels in blood), or high level of toxins (like urea/ creatinine) or even infection. I would recommend you to see the oncologist or nephrologist as early as possible as many times these conditions can be easily corrected by doing blood tests and treating accordingly or with change in medications as the case may be. Regards