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What causes violent behaviour post prostate surgery? - Online Doctor Chats

Date : 21-Jun-2014
User rating for this question
Very Good Posted in: Men's Health
Answered by

General & Family Physician
Practicing since : 2009
Answered : 983 Questions
User:Hello Doctor
Please proceed with your query father had a prostate endoscopic surgery on 3rd XXXXXXX
User:on 3rd XXXXXXX night he slept well for some time and then later he started talking about various things
User:we thought its due to the drug effect
User:last night he got very violent
User:and not at all listening and trying to remove the catherter
User:and saying I wil not stay at hospital
User:after much restrain from doctor and family members we were able to control him
User:duty doc was saying they were planning to remove the catherter today and making him walk
User:but due to this situation they cannot do it
User:if by any chance he pulls out the catherter he will bleed and situation will be out of control
User:please suggest
Doctor:Have you discussed with the doctor about the cause of this delirium?
User:they are saying need to consult a psychiatrist
Doctor:Is he running fever?
User:he had a seizure few months back..he is on medication for that..but after that incident he dint have a seizure again
User:and he was very normal fever
Doctor:Do you have any idea about the urine output he has in a day?
User:no..i do not
User:actually am at home wid my mom who needs assiatnce
User:and my sister is at hospital wid him
Doctor:This condition is definitely concerning. However as a physician without complete information about the symptoms and lab investigations
Doctor:it would be extremely hard to understand the reasons for the state.
Doctor:My suggestion it let the psychiatrist evaluate him.
Doctor:They would be able to predict if the cause is an organic one or psychological.
Doctor:Once that is done, other plan of action can be undertaken.
User:but does this occur for elder patients after surgery
User:he is over 75 yrs
User:and this happens at night only
User:day time he is normal
Doctor:Besides that, I also recommend you meet the treating doctor and verify if all his latest lab reports including metabolic work up are normal.
Doctor:Generally speaking most individuals have uneventful post operative period after prostate procedures.
Doctor:But honestly without an opportunity to examine the patient and with no knowledge of reports,
Doctor:I am unable to comment whether this is normal or abnormal.
User:but did this kind of situation arise with other patients
Doctor:As i said, generally not.
User:ok doctor..thank you
Doctor:But post surgery delirium could have been the effects of anaesthesia or metabolite disturbances.
Doctor:Infection should also be ruled out.
Doctor:You should discuss with the treating doctor.
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