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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Unusual Behaviour After Having Bypass Surgery?

My mother suffered x2 heart attacks in 24 hours followed by a double bypass. Her personality has changed so that she has become mean to her caregivers, her youngest daughter and grand daughter. She has also Ben hallucinating. The only pain med she is taking is Tramadol. She has also started cursing which is unusual.
Wed, 16 Apr 2014
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Psychiatrist,  's  Response
Hello,
More like delirium or psychosis.

If there is no disorientation to time/ place and person, then one can safely rule out delirium.

For psychosis- this is also quite common under such conditions and can be managed effectively in short time. There is no need to be scared or loose heart.

She should be put on anti psychotics- haloperidol 0.25-2mg at night is usually sufficient.
Or
olanzapine 2.5-5mg.
Both are preffrably given at night.

So, check if she has delirium or psychoais and start meds. response comes in two to three days.

I hope this helps
Please feel free to ask more queries for clarification.

Dr. Manisha Gopal
MD psychiatry
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What Causes Unusual Behaviour After Having Bypass Surgery?

Hello, More like delirium or psychosis. If there is no disorientation to time/ place and person, then one can safely rule out delirium. For psychosis- this is also quite common under such conditions and can be managed effectively in short time. There is no need to be scared or loose heart. She should be put on anti psychotics- haloperidol 0.25-2mg at night is usually sufficient. Or olanzapine 2.5-5mg. Both are preffrably given at night. So, check if she has delirium or psychoais and start meds. response comes in two to three days. I hope this helps Please feel free to ask more queries for clarification. Dr. Manisha Gopal MD psychiatry