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Dr. Andrew Rynne

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Feeling tired, dizzy, shortness of breath, body pain and having diarrhea. What is the cause and cure?

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Dr. Anantharamakrishnan

Cardiologist

Practicing since :1966

Answered : 4506 Questions

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Posted on Fri, 14 Dec 2012 in General Health
Question: Hello. My 70 year old mother got sick yesterday. It started with legs aching very bad. Then went to hips onto ribs then to shoulders and neck. She laid down. When she got up, she was confused, very tired, dizzy, short of breath. I thought she may have a combo of flu and dehydration, so I started giving her home made water, sugar and salt recipe. I had her drinking a bit every minute for about 2 or 3 hours. She was increasingly getting better. I was also taking her blood pressure and pulse. I could not get any reading yesterday. Today, she is very coherent. The dizziness is gone. The body aches are gone. She has a little diarrhea. I have been checking her urine. It is not dark. Her blood pressure this morning was around 100 over 55. It increased as the say went on. I believe that it got up to around 117 over low 60's. But her heart rate has continually staryed at around 97. She now only complains of being very very sleepy and has alot of phlegm, which you can hear when she lies down, but not so much while sitting up. The last blood pressure reading was 90 over 50. Do you think that she has a combination of flu and dehydration going on?
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Answered by Dr. Anantharamakrishnan 2 hours later
Hi friend,
Welcome to Health Care Magic

You must TAKE YOUR MOTHER TO THE HOSPITAL EMERGENCY IMMEDIATELY.
She needs admission and investigation.

She is in shock – fast heart rate and low blood pressure.
Dehydration is part of the picture – not the whole picture.
She probably has infection – at this age, symptoms may be absent or atypical. For example, Pneumonia and urinary sepsis can often present like this
Confusion can also be from Myxedema (Hypothyroid)

DO NOT DELAY – it could be XXXXXXX
CALL FOR HELP

Take care
Wishing speedy recovery
God bless
Good luck

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Anantharamakrishnan 15 minutes later
Thank you for responding. She is under doctor care for hypothyrodism, and currently taking medicine for it. She has been doing well. Whatever she has "caught?" started yesterday morning. Her last blood pressure reading was 93/60, at 8pm. She is not confused or anything like that. Just very sleepy. And she has a lot of phlegm. Do you think that this could be the flu or Pneumonia? Her temperature is 97.6. She is urinating and has some diarrhea. Thank you
doctor
Answered by Dr. Anantharamakrishnan 15 minutes later
Hi

Confusion in the elderly is often a sign of infection. They even overshadow the primary event. Pneumonia is very highly likely and has to be investigated.
Confusion is also likely from shock - low pressure and low brain perfusion.
Of course there could be other causes, like cerebro vascular or cardiovascular events, like stroke in evolution.
Loose stools may a part of infection or even the prime source of trouble.

Her blood pressure is still low - Beware! It may end up in kidney failure. Urine output of more than 30 ml/hour will be comforting.

She needs further assessment and assistance

Regards
All the best
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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