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What Causes One To Make Howling And Growling Noises While Slapping Hands?

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Posted on Mon, 7 Mar 2016
Question: my brother is wide awake, making howling noises and groaning, slapping his hands together while awake
doctor
Answered by Dr. Dr. Erion Spaho (23 minutes later)
Brief Answer:
Acute confusional state ( Delirium). Get your brother to ER.

Detailed Answer:
Hello and thanks for your query here at HCM.

I have read your query and understand your concerns.

The condition that you are referring about your brother's state is most likely an acute confusional state, or delirium.

It is a condition predisposed by several factors such age, dementia and previous substances abuse.

There is need for promt medical evaluation, so, I suggest you to get your brother to nearest medical facility (ER).

Hope you found the answer helpful.

Let me know if I can assist you further.

Take care.
Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
doctor
Answered by Dr. Dr. Erion Spaho (39 minutes later)
Brief Answer:
There seems to be acute confusion.

Detailed Answer:
Welcome back.

Delirium criteria (features) vary a lot, and the diagnosis is only clinical, not by tests.

However, regarding to your previous post, there seems to be acute confusional state and this condition needs a medical evaluation too.

Greetings.
Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Dr. Erion Spaho (1 minute later)
He is not delirious

He is not confused, disoriented or delilusional. He is just groaning, clinching his teeth and slapping/clapping his hands. Seem very tired

Thanks
doctor
Answered by Dr. Dr. Erion Spaho (10 hours later)
Brief Answer:
Probably he used some substances again.

Detailed Answer:
Welcome back.

In this case, it is necessary to know if your brother used or not any medications or any substances last days previous to this episode.

Also, can you please explain when was the last time that he used opiates?

Awaiting...
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Dr. Erion Spaho (13 hours later)
I got him to admit he was high on opiates

Thanks
doctor
Answered by Dr. Dr. Erion Spaho (2 minutes later)
Brief Answer:
You are welcome.

Detailed Answer:
Hello again.

Glad to hear that your brother's case is resolved.

Greetings.
Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Answered by
Dr.
Dr. Dr. Erion Spaho

Neurologist, Surgical

Practicing since :2004

Answered : 4493 Questions

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What Causes One To Make Howling And Growling Noises While Slapping Hands?

Brief Answer: Acute confusional state ( Delirium). Get your brother to ER. Detailed Answer: Hello and thanks for your query here at HCM. I have read your query and understand your concerns. The condition that you are referring about your brother's state is most likely an acute confusional state, or delirium. It is a condition predisposed by several factors such age, dementia and previous substances abuse. There is need for promt medical evaluation, so, I suggest you to get your brother to nearest medical facility (ER). Hope you found the answer helpful. Let me know if I can assist you further. Take care.