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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Weakness, Fatigue, Slurred Speech And Dementia?

My father-in-law is 67 and showing many signs that a stroke might like weakness fatigue slurred speech and mutulled thinking but had a cat scan and showed no sign of stroke. He is still struggling with symptoms and almost pasted out today. Any thoughts?
Fri, 31 Jan 2020
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General Surgeon 's  Response
Hello,

Being exhausted and tiring is difficult. Since you are now free of cancer and your blood work is fine, we can rule out certain common conditions.

1. Anemia - but I assume your hemoglobin is good as its commonly included in the blood work.

2. Hypothyroidism - A thyroid profile with TSH and free T4 will confirm it.

3. Heart condition - certain cancer medications cause sligjt weakening of the heart muscles - called cardiomyopathies. This holds true if you get breathless on walking certain distances or climbing up the stairs or have swelling of the feet. Do get an Echocardiogram if not already done.

4. Chronic fatigue syndrome - it is quite common. It is not a psychiatric condition, but a physical one.

The exact cause and how it works are not known but cognitive behavioural therapy has shown promising results. Also, alternative medicine and acupuncture claim to have treatment.

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

Take care

Regards,
Dr Iven Romic Rommstein, General Surgeon
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What Causes Weakness, Fatigue, Slurred Speech And Dementia?

Hello, Being exhausted and tiring is difficult. Since you are now free of cancer and your blood work is fine, we can rule out certain common conditions. 1. Anemia - but I assume your hemoglobin is good as its commonly included in the blood work. 2. Hypothyroidism - A thyroid profile with TSH and free T4 will confirm it. 3. Heart condition - certain cancer medications cause sligjt weakening of the heart muscles - called cardiomyopathies. This holds true if you get breathless on walking certain distances or climbing up the stairs or have swelling of the feet. Do get an Echocardiogram if not already done. 4. Chronic fatigue syndrome - it is quite common. It is not a psychiatric condition, but a physical one. The exact cause and how it works are not known but cognitive behavioural therapy has shown promising results. Also, alternative medicine and acupuncture claim to have treatment. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Iven Romic Rommstein, General Surgeon