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Suggest Treatment For GERD, Lethargy, Confusion And Blood Pressure
Question: I am a RN, my husband is 52, Hx of GERD and HTN. He takes Nexium 40mg qd and Benicar 25/12.5 qd. BP 118/72. Sent to ER Saturday September 8. CT neg an labs WNL. he was lethargic, confused to situation and date. He was fine sunday and Monday. came home from work 4hrs early. Now again has new onset of confusion but not as bad as sunday. CT was of his brain. July 18 dx concussion and there is no changes since july per ct scan. What could I possible be missing. PCP appointment not until Thursday the 13th.
Brief Answer:
I would recommend as follows:
Detailed Answer:
Hello,
These episodes could be related to epilepsy seizures or TIA (transient ischemic attacks). For this reason, I would recommend performing an EEG to investigate for seizures and a Doppler ultrasound of the carotid arteries to investigate for possible blood vessels narrowing.
An ambulatory 24-48 hours ECG monitoring to investigate for possible cardiac arrhythmia is necessary too. You should discuss with his doctor on the above tests.
Hope you will find this answer helpful! Wishing you good health.
Regards,
Dr. Iliri
I would recommend as follows:
Detailed Answer:
Hello,
These episodes could be related to epilepsy seizures or TIA (transient ischemic attacks). For this reason, I would recommend performing an EEG to investigate for seizures and a Doppler ultrasound of the carotid arteries to investigate for possible blood vessels narrowing.
An ambulatory 24-48 hours ECG monitoring to investigate for possible cardiac arrhythmia is necessary too. You should discuss with his doctor on the above tests.
Hope you will find this answer helpful! Wishing you good health.
Regards,
Dr. Iliri
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Above answer was peer-reviewed by :
Dr. Raju A.T
Answered by
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