HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Suggest Treatment For GERD And Excessive Flatulence

Posted on Thu, 8 Jun 2017

Question: My father's medical record:

1978: Removal of stones form the gall bladder

2000: Total prostate gland removal because of appearance of cancer

2008: Invasive surgery to fixed asymptomatic abdominal aorta aneyrism

2011: MRI BRAIN scan revealed 2-3 deteriorate cells due to age. He took aricept 5mil for some months.Due to vivid dreams and other symptoms the neurologist diagnosed Lewy body dementia. However my father was fully functional and independent. He walked every day. he was able to drive, and he was 100% sane in conversation, and fully functional.

2013:July 2013 my father had a big shock after losing most of his money in bank bankruptcy.He fell down and broke his left hip. He was operated with total sedation (not epidural).

When he came out of the surgery room he was in complete confusion for many months and since then he has mobility problems like parkisonian shuffle and stiff joints. He was sen by a neurologist who said that the post surgery cognitive decline was probably due to worsening of Lewy body dementia.Was it the sedation that cause this damage??????????

Since then my father is taking the following medications:

Seroquel 25

Cretanil 1mg

Aricept 10

Clonotril 0.5 twice a day

2016: In May 2016 my father fell and broke his other hip flexor. He was operated with epidural sedation this time. Since then he has not recovered. He cannot walk,he has very low understanding of his suroundings, does not eat and apparently he is very aggressive. Very often he punches/hits caregivers something that he did not do before 2016. He has also GERD AND RECENTLY HE HAS BeeN BURBING A LOT ACCOMPANIED WITH PHLEGMS.

I would appreciate if you could advise us on how to help my father improve!

Regards XXXX

Answered by Dr. Dr. U N Sahoo (2 hours later)

Brief Answer:
Neurological disorder

Detailed Answer:
Hi,

Thanks for your question on HealthcareMagic

I do understand your concern

"As" per your clinical history is concerned you want to know that whether sedation given to him caused his problem or not but it is not due to sedation rather it is due to his neurological problem as per his MRI scan report. His present problem is due to depression and to attest and transmute medication [Seroquel 25] you require to consult with his primary care doctor. He may start medication SSRI like SERTRALINE as first choice with less side effects. Rest of medications he can take as customary without any problem at all.

Hope that helps

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Dr. U N Sahoo (1 hour later)

Can you please explain you detailed answer in simpler English.

Answered by Dr. Dr. U N Sahoo (9 hours later)

Brief Answer:
medication details

Detailed Answer:
Hi,

Thanks for your follow up query

1) As per your first question, his problem seems to be due to worsening of Lewy body dementia which tends to happen after general anesthesia.

2) Secondly, after 2016 his behavior has been changed following the trauma, so it's better to stop the anti-psychotic medications (i.e. Seroquel 250. Please discuss with his treating doctor regarding another antidepressant medication in place of it, as depression is a symptom of his illness and his present behavior mostly indicates towards it.

3) Rest of the medications can be given as usual.

Hope it is clear
Let me know if I can assist you further.
Regards

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Dr. U N Sahoo (16 hours later)

Thanks. Clear answer. One last thing before I close the discussion i observed that my father CRP (BLOOD TEST 3) IS 2.7 WHICH IS HIGHER than normal values.

1)What does this indicate?
2) What should we do about it.

Thanks for your time!

Answered by Dr. Dr. U N Sahoo (21 minutes later)

Brief Answer:
CRP test result

Detailed Answer:
Hi,

Thanks for your follow up question

As per your doubt I may say that [CRP] is a non-specific test and we correlate it with clinical findings and it can come in many chronic conditions as well as trauma cases, even patient recovered from illness it still presents and gradually returned to negative range. In his case it may be his trauma and surgery only. So nothing to be worried about it and it will be normal and nothing to be done for it.

Thanks

Above answer was peer-reviewed by : Dr. Nagamani Ng