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Suggest Remedy For Loss Of Orientation And General Coordination In Late Night
My mother is 85 years old. weight 60kg. height 5' 3". BP: 140/80. Never smoked. Never taken alcohol. Detected cirrhosis of liver since 30 days. Initially she was treated for symptoms of moderate Ascites, edema & abdo. distension. Now edema in control. SGPT:42 U/L. TOTAL BILIRUBIN 1.8 (direct: 0.8). RBC 3.13 m/cmm. Since last three days she is given BETACAP TR40 Extended release. (1 Tab. At 8:00 pm Hours only). She looses orientation & general co-orination during late night - early morning hours. During day time she is well oriented. What should be done about this?
Wed, 4 Mar 2015
good morning
I am sorry for the ill health of your dear mother
the disorientation and loss of coordination at night can be related to her cirrhosis
Patients with cirrhosis of liver are known to develop encephalopathy (brain dysfunction) which in her case looks like in mild stage or in minimal encephalopathy stage
People suffering with this condition can have fluctuations in their disorientation in a given day
Before starting treatment for this its very important to check her diuretic (medication to reduce edema and ascites) dosage and sodium levels in the body.
The other common reason is increase in blood ammonia levels due to liver disease.
I if were your doctor I would review the dosage and prescription of her diuretics and would like to start on a laxative syrup called lactulose to make her pass free stools atleast 3 times a day and would like to add an antibiotic called rifaximin three times daily
These measures would really help in the recovery of her disorientation
as a sideline i am interested in
I hope this would answer your question
I would be happy to answer your future queries
Wish her a speedy recovery
I am sorry for the ill health of your dear mother
the disorientation and loss of coordination at night can be related to her cirrhosis
Patients with cirrhosis of liver are known to develop encephalopathy (brain dysfunction) which in her case looks like in mild stage or in minimal encephalopathy stage
People suffering with this condition can have fluctuations in their disorientation in a given day
Before starting treatment for this its very important to check her diuretic (medication to reduce edema and ascites) dosage and sodium levels in the body.
The other common reason is increase in blood ammonia levels due to liver disease.
I if were your doctor I would review the dosage and prescription of her diuretics and would like to start on a laxative syrup called lactulose to make her pass free stools atleast 3 times a day and would like to add an antibiotic called rifaximin three times daily
These measures would really help in the recovery of her disorientation
as a sideline i am interested in
I hope this would answer your question
I would be happy to answer your future queries
Wish her a speedy recovery
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