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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Fatigue And Fuzzy Thinking After Stroke

My father had a stroke oct 28, 2010 is on a lot of medication his urine is a dark orange no energy not really interested in anything I don't think his train of thought is all their. He is on an antidepressive for his stroke and vitamins. He is 83 years old never any medication until now.
Wed, 30 Dec 2015
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Cardiologist 's  Response
Hello!

Thank you for asking on HCM!

I understand your concern and would like to explain that these symptoms seem to be related to depression.

You should know that stroke is associated with a high percentage of depression and cognitive dysfunction, related to the brain cells damage and the motor deficits, leading to a decrease of the life quality.

I recommend performing some lab tests (complete blood count, kidney and liver function tests, thyroid hormone levels, cortisol plasma levels, blood electrolytes, fasting glucose, urine analysis, etc.) to exclude possible metabolic disorders, related to this symptomatology.

If all the above test result normal, I advise to consult with his psychiatrist, to consider the possibility of making some changes to antidepressant therapy (increase the dose or try a different antidepressant).

Psychotherapy would be helpful in this situation.

If he has motor deficits, physiotherapy would also be helpful for the body and mind (it helps increase the activity of brain cells and increase the neurotransmitters levels in the brain, like antidepressant therapy).

Hope to have been of help!

Best regards,

Dr. Iliri
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Emergency Medicine Specialist Dr. Jared J Marcucci's  Response
hi, your father may have some confusion from a number of different possibilities. He could be suffering from a urinary tract infection which can cause delerium (confusion / fuzziness). these symptoms could also be related to side effects from his medications. The orange urine could be from his medications or dehydration or urinary tract infection or kidney infection. I see patients in the ER with these symptoms I get a urinalysis to see if there is an infection and I also order labs to see if there are any underlying abnormalities. I would have him see his doctor or possibly seek medical attention immediately if his symptoms worsen or don't improve.

thank you
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Suggest Treatment For Fatigue And Fuzzy Thinking After Stroke

Hello! Thank you for asking on HCM! I understand your concern and would like to explain that these symptoms seem to be related to depression. You should know that stroke is associated with a high percentage of depression and cognitive dysfunction, related to the brain cells damage and the motor deficits, leading to a decrease of the life quality. I recommend performing some lab tests (complete blood count, kidney and liver function tests, thyroid hormone levels, cortisol plasma levels, blood electrolytes, fasting glucose, urine analysis, etc.) to exclude possible metabolic disorders, related to this symptomatology. If all the above test result normal, I advise to consult with his psychiatrist, to consider the possibility of making some changes to antidepressant therapy (increase the dose or try a different antidepressant). Psychotherapy would be helpful in this situation. If he has motor deficits, physiotherapy would also be helpful for the body and mind (it helps increase the activity of brain cells and increase the neurotransmitters levels in the brain, like antidepressant therapy). Hope to have been of help! Best regards, Dr. Iliri