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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Dizziness Along With Confusion And Fatigue?

I have a friend in the nursing home who several times has had to be hospitalized. Her symptoms begin with giddiness, then move to confusion and lethargy. After a couple of days of confusion her mind clears up but she will be exhausted and unable to sleep and at times hallucinating. After a couple of more days she is able to rest and slowly return to normal. She is a paraplegic and has a super-pubic catheter and has reoccurring UTIs which at times cause confusion but are rarely preceded by giddiness or the inability to sleep or hallucinations and are generally accompanied by a fever. In these latest episodes there has been no fever. I have long suspected a drug interaction or a mix up in her medication.
Thu, 4 Oct 2018
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General & Family Physician 's  Response
Hi,

The issue is through the definite central nervous system problem with involvement of spinal cord nerve roots as there is supra pubic catheter in situ, the bladder control is gone.

However, for the type of lesion and pathology underlying; one requires physical examination, elicitation of neurology signs and co-relation of supportive findings of MRI and other parameters.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Purva Patel,
General & Family Physician
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What Causes Dizziness Along With Confusion And Fatigue?

Hi, The issue is through the definite central nervous system problem with involvement of spinal cord nerve roots as there is supra pubic catheter in situ, the bladder control is gone. However, for the type of lesion and pathology underlying; one requires physical examination, elicitation of neurology signs and co-relation of supportive findings of MRI and other parameters. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Purva Patel, General & Family Physician