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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Dizziness And Confusion?

My Dad is alert, but is having trouble expressing his thoughts in a completely coherent manner. He will start to express a thought, but the right word won t come to mind and makes math problems a little more convoluted than necessary. He feels well physically overall, but mind feels a little fuzzy. He has had these symptoms for a mo. or more-off & on. His BP is WNL, occ. very sl. dizziness. His eyes can follow the tracking of my finger and he has no prob. lifting both arms and holding position. He is somewhat dehydrated, but got him to drink lots of water and eat melon tonight. He knows everyone s name and birthdates.
posted on Sun, 3 Sep 2017
Twitter Sun, 19 Aug 2018 Answered on
Twitter Fri, 24 Aug 2018 Last reviewed on
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General Surgeon,  's  Response
Hello,

One possibility would be anemia, which commonly manifests with dizziness and tiredness. Heart rhythm and function abnormalities would also lead to insufficient blood supply to the brain and other organs so would also justify those symptoms. Another possibility would be metabolic alterations, like diabetes, altered kidney or liver function, electrolyte abnormalities. Hormonal causes like thyroid dysfunction or nutritional ones like vitamin B12 deficiencies must be considered as well. If the symptoms have appeared only very recently it might be a simple transitory viral infection which are generally transitory and need only rest and hydration. The list can go on for long, as I said those symptoms can be found in numerous conditions, only listed some of the most common ones. So I would start evaluation with some routine cheap tests to screen for anemia, infections and metabolic issues like complete blood count, erythrocyte sedimentation rate, glucose, liver and kidney function, electrolyte panel, thyroid function, vitamin B12 levels, EKG. I remain at your disposal for other questions.

Hope I have answered your query. Let me know if I can assist you further.
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What Causes Dizziness And Confusion?

Hello, One possibility would be anemia, which commonly manifests with dizziness and tiredness. Heart rhythm and function abnormalities would also lead to insufficient blood supply to the brain and other organs so would also justify those symptoms. Another possibility would be metabolic alterations, like diabetes, altered kidney or liver function, electrolyte abnormalities. Hormonal causes like thyroid dysfunction or nutritional ones like vitamin B12 deficiencies must be considered as well. If the symptoms have appeared only very recently it might be a simple transitory viral infection which are generally transitory and need only rest and hydration. The list can go on for long, as I said those symptoms can be found in numerous conditions, only listed some of the most common ones. So I would start evaluation with some routine cheap tests to screen for anemia, infections and metabolic issues like complete blood count, erythrocyte sedimentation rate, glucose, liver and kidney function, electrolyte panel, thyroid function, vitamin B12 levels, EKG. I remain at your disposal for other questions. Hope I have answered your query. Let me know if I can assist you further.