Doctor insights on:
Night Confusion Mayo Clinic
92 yo discharged from 2-day hospital obs at 5pm. Disoriented to place. Now confusing people and events. Pleasant but juvenile. Delerium or sundowning?
Both: Can be both. Delerium is a reversible, acute change in mental status. Sundowning occurs when folks with dementia or delirium get tired towards the later part of day and have a change in mentation. In this case it could be both. Treat underlying cause of delirium and give it time. If they are in danger of hurting themselves, get medical help. ...Read moreSee 1 more doctor answer
Does Mayo, Cleveland Clinic offer higher/more comprehensive level of care than Brigham and Womens or MGH? Have POTS and migraines needs treatment.
No Difference: In my professional opinion all institutions you mentioned are outstanding. The most important aspect, again in my opinion, no matter what institution, is to find a knowledgeable, caring physician, that will partner with you, be your advocate, and identify at all costs your medical problem and make an accurate, timely diagnosis in order to treat the condition you are seeking relief from properl. ...Read more
Severe h/a & nausea exiting camper. 8 hr later (slept at home) -slurred speech, unbalanced, blurred vision, facial flushing, fuzzy thinking. Dx?
Frequent night sweats did have swollen neck nodes onto insomnia chest flutters appetite loss etc diag depression cita 20mg all good part from sweats?
Night sweat: Your question is not clear but I am guessing your are asking about why you have " swollen lymph node , night sweat, insomnia, loss of appetite"; depression can explain insomnia, loss of appetite, but it does not explain, night sweat and enlarged lymph nodes. Enlarged nodes and night sweat can be from hiv, tb, lymphoma etc.., see your doctor for further evaluation. ...Read more
Can NMDA receptor encephalitis have debilitating symptoms along with peripheral neuropathy pain? I'm going to mayo clinic in september. I feel awful
encephalitis sequel: Sequel of encephalitis of any kind can include symptoms of neuropathic pain, especially arising from the central and less commonly from the peripheral nervous stem. Loss of neuronal placidity may impede natural healing thereby creating a chronic problem. Treatment is largely based on small research data and on anecdotal expert pinion. ...Read more
Throbbing headache at night, tired feeling, trouble sleeping, blurry vision at times, high bp, no interest in anythg. Diagnosed with DCIS in 2012.
Depression, Anxiety: I understand your distress. “Throbbing headache, tired feeling, blurry vision at times” are likely due to High B.P. which can increase further with stress.. “trouble sleeping, no interest in anything” are likely due to anxiety and depression. See your Physician for High B.P and DCIS. See Psychiatrist for Therapy for stresses of relationships, separation, loneliness, insomnia and medical illness. ...Read more
14y.o. daughter blacked out, followed by confusion and lethargy. ER dr. diangosis w/ sinusitis following CT scan, but no symptoms at all. Should I seek 2nd ?
Yes: There are many reasons this could have occurred. There should be a report on the CT. The most important causes for these symptoms could be related to her neurological system such as seizures or a problem related to the electricity pathway in her heart. There may be other explanations. Follow up with your doctor for ongoing concerns or ask for another opinion. ...Read moreSee 1 more doctor answer
Bad withdrawal symptoms amitriptyline for neuralgia.Tapered from 75mg - 65.First 2 nights, ok. 3rd night - panic, nausea, faint. Can diazepam help?
Daily desipramine 150mg, lorazepam 0.5mg (as need) & oxycodone-acetami 325mg (as need). Feeling nausea, ear pain/ringing, sweating, dizzy - from meds?
Can Parkinson's cause sleep apnea and pots? I am at the mayo clinic but, they ccan't find my, cause for, two weeks...
33/m, constant tiredness, difficulty waking, using fire alarm to wake me.75 min+ of fire alarm and wife shaking me.Sleep intertia.No narcolepsy/apnea.
Low grade fever, fatigue for 5 months. Rf 54, +ana, +blood in urine (comes and go. Rheumy ruled out lupus, ra, etc. Have appt. With urologist. Ideas?
Infec, stone, growth: It could be an infection, a stone or a growth. Nothing to do but walk it through. Sorry for the trouble, but get it done. You're on the right track. ...Read more
CommonOTC Stim landed me ER w 217/117 BP,docs didn't treat,discharge @170/80,hours later screaming-headache-roaring tinnitus.Ct/LP norm.TIA possible?
Need neuro symptoms: You are right in that a blood pressure that high could lead to TIA- transient ischemic attack, or "mini-stroke". But a TIA usually involves neurologic symptoms - paralysis, numbness, inability to talk, that sort of thing. Ur symptoms are more consistent with accelerated hypertension. I think u should be on meds to keep ur blood pressure low, but that is up to u & ur primary doc. Get an appt soon! ...Read more
Can clinical depression cause all day fatigue, drowsiness and general weakness even after waking up until bed time? I fear MS for extreme fatigue. F 32
Clinical depression: Can manifest in extreme fatigue. Difficult to get out of bed, on the couch all day, etc. However, there are others conditions that can cause these symptoms. Please visit you doc and perhaps he/she can check your thyroid and other hormones, blood sugar, etc. Please put ms at the bottom of your list and try not to let your mind run away with problems that may not exist. Called "catastrophizing. ...Read more
Dehydration diagnosis, double vision, walking drunk with slurred speech. Er doc said dehydrated. Came on sudden, effects hours after. Could be more?
Friend:58, healthy, not immune compromised-4 d h/o pm fever, chills, sweats, myalgia, fatigue;works in nj wetlands. No rash. Start empiric doxycycline?
Zoonoses?: Looks like you're concerned patient may have zoonoses. Tick born ds' in nj can be lyme, anaplasma, erlichia, babesia or even rocky mt spotted fever. Certainly this presentation could be anything from bacterial, viral, parasitic or fungal infection. Would do basic fever w/u (good pe; cultures blood, urine; ua; cbc; liver panel; cxr; esr/crp); check thick/thin blood smear. Treat based on findings. ...Read moreSee 1 more doctor answer