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What Causes Lack Of Appetite, Diarrhea And Mood Swings?

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Posted on Fri, 26 Dec 2014
Question: My father is 84 years old and is on the following medication. Can you tell me which ones can have interactions with the other. Synthroid, Metforman, Atorvastatin, Ferrous Sulfate, Fosinopril,
furosemide, metprolol, mirtazapine, tamsulosin CR, and trajenta.
he has no appetite, has frequent loose stools, and is being very "mean" to his wife.
doctor
Answered by Dr. Prakash H Muddegowda (1 hour later)
Brief Answer:
diarrhea - diabetic complications

Detailed Answer:
Hi,
Thanks for asking.
I am Dr. Prakash HM and I will be answering your query.
Based on your query, my opinion is as follows:

1. There are too many medications being taken, however none are known to have significant adverse effects or interactions.
2. Diarrhea, occasionally could be secondary to diabetes induced autonomic neuropathy. Fiber rich diet will be helpful. Good sugar control necessary.
3. Numerous medications can induce gastritis. It needs to be taken as advised, if possible, avoid on empty stomach. This gastritis can cause diarrhea. Proton pump inhibitors like pantoprazole could be helpful.
4. Regarding psychiatric symptoms, he will require family counseling or specialist counseling, maybe with medications. If this is recent onset, XXXXXXX mental examination maybe necessary to assess cognition and memory to rule out dementia.

Hope it helps.
Any further queries, happy to help again.

Dr. Prakash HM

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Prakash H Muddegowda (49 minutes later)
If there are too many meds being taken, then how do I go about having them reduced?
doctor
Answered by Dr. Prakash H Muddegowda (4 hours later)
Brief Answer:
lifestyle modifications could help.

Detailed Answer:
Hi,
Thanks for asking again.

Numerous medications are being taken for both prevention and treatment.
Improving the overall health with a nutritional diet, weight reduction along with moderate exercises. Good sleep, relaxation and meditation will help in controlling or preventing further progress of diseases.
Once your cholesterol level comes within normal range, station can be withdrawn. Dosages and frequency of medications will reduce.
There is no blanket method to reduce medications and step by step reduction is necessary with non pharmacological therapy.

Hope it helps.
Any further queries, happy to help again.

Dr. Prakash HM
Note: Get a consultation booked to know more about aging related medical issues. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Prakash H Muddegowda

Geriatrics Specialist

Practicing since :2004

Answered : 2138 Questions

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What Causes Lack Of Appetite, Diarrhea And Mood Swings?

Brief Answer: diarrhea - diabetic complications Detailed Answer: Hi, Thanks for asking. I am Dr. Prakash HM and I will be answering your query. Based on your query, my opinion is as follows: 1. There are too many medications being taken, however none are known to have significant adverse effects or interactions. 2. Diarrhea, occasionally could be secondary to diabetes induced autonomic neuropathy. Fiber rich diet will be helpful. Good sugar control necessary. 3. Numerous medications can induce gastritis. It needs to be taken as advised, if possible, avoid on empty stomach. This gastritis can cause diarrhea. Proton pump inhibitors like pantoprazole could be helpful. 4. Regarding psychiatric symptoms, he will require family counseling or specialist counseling, maybe with medications. If this is recent onset, XXXXXXX mental examination maybe necessary to assess cognition and memory to rule out dementia. Hope it helps. Any further queries, happy to help again. Dr. Prakash HM