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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Delirium And Confusion Post A Back Surgery In An Elderly?

Hello, My name is Kyra Wingstad and I am writing in regards to my grandfather. He is 70, he had polio at 18 months and lived most of his life with leg braces. It wasn t until his 50s that he needed the wheelchair. He has a morphine pump implant, and has used prescription drugs to cope with the post- polio pain. Along with this he has heart issues, diabetes, he has limited function in his legs. The reason I am writing is because he had surgery back in December and since then he has progressively gotten more confused and delirious. He thinks that my grand mother and I are keeping him in some far away place away from his family, he thinks that people are here when they aren t, he docent know how to answer a phone or work a remote. The big issue is he constantly thinks that we are holding him hostage. Following his surgery he was admitted for a week or so due to the confusion and test results he had had 2 strokes a while ago.. Any idea on what this could be or how we could help? Thanks, Kyra Wingstad
Tue, 24 Oct 2017
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Psychiatrist 's  Response
Hello Kyra Wingstad,
The information you provided favours Organic Behavioural disorder /Delirium
* Post surgically The Anasthesia effect,longer duration of surgery, advanced age, fluid loss, dehydration,blood loss during surgery and many more factors can lead to a Acute confusional state..
*Get a Physician opinion
* look for Blood glucose,serum electrolytes, blood urea, serum creatinine levels and other investigation as prescribed by your physician
* If any treatable cause could be found out... Correction of that will improve the behavioural nchange

Thank you
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What Causes Delirium And Confusion Post A Back Surgery In An Elderly?

Hello Kyra Wingstad, The information you provided favours Organic Behavioural disorder /Delirium * Post surgically The Anasthesia effect,longer duration of surgery, advanced age, fluid loss, dehydration,blood loss during surgery and many more factors can lead to a Acute confusional state.. *Get a Physician opinion * look for Blood glucose,serum electrolytes, blood urea, serum creatinine levels and other investigation as prescribed by your physician * If any treatable cause could be found out... Correction of that will improve the behavioural nchange Thank you