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Doctor insights on: Causes Of Confusion In Dialysis Patients

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What cultures are the less likely to come? Does miss translation cause confusion with your patients?

What cultures are the less likely to come? Does miss translation cause confusion with your patients?

Depends on area: I have all nationalities and cultures come into my office. Most of the time the the patients children do the intrepreting for me. Sometimes the patient will bring in a friend as a translater.

And yes, there are some patients that do not speak any english and this is very difficult situation for me. ...Read more

Dr. Quresh Khairullah
520 Doctors shared insights

Dialysis (Definition)

Simple answer is that it is a medical technology used primarily to provide an artificial replacement for lost kidney function in people with renal failure. Hemodialysis remove wastes and excess water from the blood by circulating blood outside the body through an external filter, called a dialyzer. Blood and dialysate flow through in opposite directions and the ...Read more


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Does bedside manner effect how much patients come in? Does miss translation cause confusion with your patients?

Does bedside manner effect how much patients come in? Does miss translation cause confusion with your patients?

Yes, Indeed.: A doctor is not only a medical professional he is also a salesman. He has to sell himself to all his patients in order to keep them and to attract new ones. You can be very good at what you do but if your patient does not like your bedside manner they may not return nor refer you to other friends who would become patients. ...Read more

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Does bedside manner effect how much patients come in? Does miss translation cause confusion with your patients?

Does bedside manner effect how much patients come in? Does miss translation cause confusion with your patients?

Yes: Bedside manner can influence follow up care. If you like the doctor and feel like he/she listens to you then you are more likely to follow advice and return for future visits. Good communication is also a factor. If one can't understand the doctor that will have a negative influence on compliance. ...Read more

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Will Lorazepam cause confusion, sleeplessness and agitation in a brain tumor patient?

Will Lorazepam cause confusion, sleeplessness and agitation in a brain tumor patient?

Good chance!: Lorazepam can cause confusion which can cause agitation and sleeplessness (even though it is normally sedating). A good thing to stop using by a lot of people! But it has to be tapered slowly and carefully if a person has been on it for a long time or withdrawal can cause confusion, agitation, sleeplessness and seizures! The are other causes of confusion as well. See doc to sort out. ...Read more

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What causes dementia patients to behave crazy, aggressive, confused?

What causes dementia patients to behave crazy, aggressive, confused?

Causes of dementia: Lewy body disease is a leading cause of dementia in the elderly. With this condition people have abnormal protein structures in certain areas of the brain. Many small strokes can cause vascular dementia. Abnormal brain functioning is associated with these conditions. ...Read more

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What causes dialysis patients urine to be so dark? Why do they stop making urine after long term dialysis?

What causes dialysis patients urine to be so dark? Why do they stop making urine after long term dialysis?

Dialysis dark urine: 34 F asks why do dialysis pats have dark urine and why do they stop making urine. ANS: urine is the remains of the fluid filtered at the glomerulus. As glomeruli are destroyed by the disease colored chemicals that normally go out in the urine build up in blood-thus the funny skin color. This color stays in the urine so dark. Eventually all glomeruli die from the cause and no urine Is formed. ...Read more

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My friend is an dialysis patient and vomited during dialysis! This is the second time. Will it cause any problems?

My friend is an dialysis patient and vomited during dialysis! This is the second time. Will it cause any problems?

Discuss with nephrol: We can not answer your question as we do not have enough information about your friend. I will suggest your friend discuss with his/her doctor as to what is causing the vomiting and if it needs any therapy. ...Read more

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What are the cause of bleeding in the urine of a dialysis patient?

Possible:: Hmorrhagic cystis, acquired cystic kidney disease seen in some patients on chronic dialysis, kidney or bladder tumor, vasculitis or vascular malformation, kidney stone or polycystic kidney disease which caused renal failure in the first place. ...Read more

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What causes dialysis patients to have sweet taste in their mouth?

What causes dialysis patients to have sweet taste in their mouth?

Ketosis: I am thinking you might be a diabetic. If I am wrong, I apologize. I have searched for causes of a sweet taste in the mouth and have come up with two possible reasons - high blood sugar and high ketones (usually seen in diabetes). See your doctor and tell her/him what you are experiencing. ...Read more

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What cause shoulder pain in patient on peritoneal dialysis with turbid color fluid and peritoneal pain?

What cause shoulder pain in patient on peritoneal dialysis with turbid color fluid and peritoneal pain?

Pain on PD: This question is clearer - turbid fluid indicates infection. Infection will cause these symptoms. Call your doctor and PD nurse. ...Read more

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What causes severe leg cramps in a dialysis patient. Especially at night or during dialysis.?

What causes severe leg cramps in a dialysis patient. Especially at night or during dialysis.?

Fluid shifts: Most attribute leg muscle cramps during or after dialysis to the shifting of fluid out of the muscle cells as excess fluid is removed during dialysis and the body re-equillabrates. ...Read more

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I woke up with red spots on my legs, and they are swollen. I am a diabetic and I am a dialysis patient. What cause the spots?? and what can be done??

I woke up with red spots on my legs, and they are swollen. I am a diabetic and I am a dialysis patient. What cause the spots?? and what can be done??

Send a pic,: In focus and brightly lit without glare. Red spots of unknown origin in renal failure must show the very next doc (tomorrow's dialysis)and get a hands on assessment. Imperative to start medical management of these worrisome spots. ...Read more

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What causes constant bowel movement in a dialysis pattient?

What causes constant bowel movement in a dialysis pattient?

Not dialysis, usually: Wonder if your cause is diabetic related enteropathy. I see this problem in about 3 or 4 every 100 dialysis patients. Usually due to diabetes. Of course infectious diarrhea is possible. See gastroenterology. ...Read more

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What is the connection between UTI and confusion? Because 90%of patient I have come across with UTI has signs of confusion too. Thank you.

What is the connection between UTI and confusion? Because 90%of patient I have come across with UTI has signs of confusion too. Thank you.

Uti, sepsis: If uti leads to blood stream infection called sepsis it can lead to confusion especially in elderly. Some times infections like utis can lead to high blood sugars in diabetics and it can also give rise to confusion.

Some pain medications used to treat bladder spasms can also lead to confusion in older patients ...Read more

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Do doctors prescribe Aricept (donepezil) "just in case a patient has alzhiemer's? " no formal diagnosis of her confusion had been made.

Do doctors prescribe Aricept (donepezil) "just in case a patient has alzhiemer's? " no formal diagnosis of her confusion had been made.

Complex: Not so simple, as memory enhancing agents do not really affect the disease process per se, and are only useful for some symptom control. May be employed for a variety of "off-label" cognitive issues associated with non-alzheimer's conditions. Meet with your doctor if you have questions or concerns and get items clarified. ...Read more

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Is delusion/confusion a symptom of pneumonia in a cancer patient? Please advise!

Is delusion/confusion a symptom of pneumonia in a cancer patient? Please advise!

Delirium: Confusion in a cancer patient could indicate delirium, a life-threatening condition that affects the brain. Such symptoms require an immediate physician evaluation. ...Read more

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Patient withdrawing from abrupt dose change of pain medication, is in extreme pain, confusion, racing thoughts, palpitations, weak breathing...ER?

Opioid withdraw: Please go to ER to exclude other courses of your sx. You might need to be admitted to hospital to assist with detox. Than find doc who can prescribe suboxon to help with your course of recovery. ...Read more

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Confused by research. Should patients with rosacea aim for a lower 25-hydroxy Vit D level? My level is now healthy. Will this exacerbate rosacea?

Confused by research. Should patients with rosacea aim for a lower 25-hydroxy Vit D level? My level is now healthy. Will this exacerbate rosacea?

I say "No": There are a lot of rosacea patients and it's easy and cheap to test vitamin D levels. There are contradictory results about vitamin levels and the results of therapy, as I'd suspect if in fact there wasn't any real relationship. Further, rosacea is very manageable and vitamin D deficiency is really bad for the rest of your body. Ignore any "pop" source recommending you make yourself deficient. ...Read more

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Patient got up immediately after a balloon angioplasty, started to get dressed (patient was confused), what complications could we be looking at?

Patient got up immediately after a balloon angioplasty, started to get dressed (patient was confused), what complications could we be looking at?

Probably none: The only problem would be bleeding from the puncture site or a pseudoaneurysm. If the surgeon used a closure device at the puncture site then probably no problem. ...Read more

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I'm confused about air embolia witch patients can get from unprimed iv infusions in hospital. Some doctors says it will happen immediately and some not?

I'm confused about air embolia witch patients can get from unprimed iv infusions in hospital. Some doctors says it will happen immediately and some not?

Although it is: Possible to inject some air bubbles and perhaps a significant amount of air if the entire tubing is unprimed, this is an unlikely event all the same. It would take a considerable volume of air to compromise cardiac function and the adverse event would be evident very quickly. ...Read more

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Patient is weak, dizzy, falls, confused, vomits. After 2 days patient seem to be stable but appear to be in a state of delirium. What is the diagnosis?

Concerning: I can't tell if this is you or someone else, so I'm not sure about the age of the patient, etc., but the following things concern me: I'd be wanting to rule out something going on in the brain with a CT scan or MRI immediately, and simultaneously check for persistent problems in the blood with basic lab work. I believe the emergency department is the right place for this to happen quickly. ...Read more

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Would employees of emergency room pepper spray a wildly confused patient?

Would employees of emergency room pepper spray a wildly confused patient?

No: Usually such an effort would not be needed in an emergency room. Er staff are well trained in ways to safely and effectively deal with patients whose behavior is confused, violent, or belligerent. If needed, several staff could approach the person together, and subdue him/her without harm. If the patient were armed, though, security would be called -- and more drastic measures could be needed. ...Read more

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Long-time gp and rheumatologist do not agree. Gp says condition is fibro, rheum. Says I should start on dmards. What does the confused patient do?

Long-time gp and rheumatologist do not agree. Gp says condition is fibro, rheum. Says I should start on dmards. What does the confused patient do?

See another Rheum: Not sure what the rheumatology diagnosis is but more likely both could be right. We see a lot of people with both fibromyalgia and an additional diagnosis. You did not say what diagnosis you have been given by rheumatology. Again I need to know what data each physician is using. ...Read more

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What is the implication of cocci being found in the lungs of someone with severe copd? The patient is extremely confused & agitated most of the time

Quite concerning: Could well be pneumonia, but confusion and agitation could well be due to hypoxia, and this needs immediate attention. The confusion could be due to other causes such as medication rxtns, or alzheimer's. See your doctor today! ...Read more

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Docs say lightheadedness isn't a SX of my idiopathic Intercranial hypertension. But other patients & IIH forums suggest it could be? I'm confused why?

Docs say lightheadedness isn't a SX of my idiopathic Intercranial hypertension. But other patients & IIH forums suggest it could be? I'm confused why?

Pseudotumor cerebri: A diagnosis of idiopathic intracranial hypertension (pseudotumor cerebri) requires a good headache history, physical examination, lumbar puncture, and possibly imaging. Symptoms usually include a headache that is worse when lying flat as well as visual disturbances. See a neurologist for further evaluation. Http://www. Nlm. Nih. Gov/medlineplus/ency/article/000351.htm ...Read more

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Hi. I am neetu and want to ask some pregnancy symptoms. Because I am PCOD patient having irregular periods. Ans nw dis tym I am confused..

Feel free to ask: I'm sure doctors here would be happy to help out, but you have to be a bit more clear about your questions. I know English may not be your first language, but you may be better served by finding someone who can help you better phrase your particular questions. Best of luck. ...Read more

Dr. Carlos Satulovsky
806 Doctors shared insights

Confusion (Definition)

Confusion = bewilderment. Term is ...Read more