This is on behalf of my mother, aged 82. She does not have sugar, BO, or cholestrol, and takes food normally. Four years ago, she underwent a major surgery SLEEVE RESECTION for GIST in the stomach. The operation was a success and the tumour was removed. The post operative pathology report showed some traces of not-so-malignant Carcinoma. The surgeon sent her to the a Regional Cancer Center for review. The RCC advised her to take tablet IMITAB for one and a half years. After that she is visiting the RCC for periodic checks once in three months. Nothing unusual has been found so far.
Now my mother is experiencing certain other problems. She is restless always. She never lies down or sleep in daytime. During night she is very reluctant to lie down or sleep. She walks all night and talks to persons who are not present as if in a hallucination. The Doctor said it can be early dementia and has advised an evaluation to R/o infracramel pathology O/E hyperpigmentation generalised.
For the past couple of days her restlessness and hallucinative visions and talk increased alarmingly. She even started climbing the windows at night. We shall be much obliged to you if you please recommend some medication to control these behaviour temporarily till the test is taken and regular treatment started?
hi... sorry for the delay... according to your explanation of the symptoms... to me it is more like delirium due to some underlying pathology..she is 82 yrs old.. so already her memory has been weaken by ageing...i dont know about her cognition and memory... whether she is able to identify and recognize family members.?..particularly when there is hallucination, restlessness and agitation... whether she talks to persons that are not present?...is her sleep wake cycle has been reversed?..whether she tries to search something in bed, picking clothes and bedsheets? whether she sees insects and snakes in surrounding?... i dont know but if these are present then delirium is confirmed...u shud go for routine investigations like... serum Na,K,Ca..s.urea, s.creat, HB, total leucocyte count, RBS, URINE ROUTINE AND MICROSCOPIC EXAMINATION AND ALSO CULTURE SENSITIVITY REPORT.... keep that in mind that constipation also causes delirium in old age...and why there is delay in investigation? u shud go for investigation for intracranial pathology as soon as possible....u shud go for CT SCAN HEAD PLAIN OR MRI BRAIN .... these both will help... MRI is preffered...first of all u shud gof or routine checkup i have just mentioned...then for imaging... u can give her tablet Qutan 25-50 mg at night for her behavior disturbance... but unless u identify her pathology it wont resolve completely...
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