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Suggest Treatment For Confusion Wile On Anti-depressents
Question: Dad going under confusion, earlier was on alcohol deaddiction and depression.
He is on 40 day with current medication with few dose decrements.
His anger, agigation are cured but confusion hasn't improved .
May be it will take more time.
But one thing I observed is he is not blinking eyes at all.
Just constantly staring at any random point.
Just His eyeball flicker horizontally very little. Otherwise he is not blinking.
What is this behaviour and what may be causing it.
He is on 40 day with current medication with few dose decrements.
His anger, agigation are cured but confusion hasn't improved .
May be it will take more time.
But one thing I observed is he is not blinking eyes at all.
Just constantly staring at any random point.
Just His eyeball flicker horizontally very little. Otherwise he is not blinking.
What is this behaviour and what may be causing it.
Brief Answer:
I think these are features of werrnicke's encephalopathy
Detailed Answer:
Dear XXXXXXX
Thanks for using Healthcaremagic again.
As we discussed in the past the current features are indicative of wernicke's encephalopathy. Although we have not discussed the features in the past but I like to inform you that confusion, ataxia (difficulty in walking) and ophthalmologia (paralysis of internal muscles of eyes and restricted movement).
So the confusion and little movement of eyeball horizontally is indicative of wernicke's encephalopathy.
Regarding causation alcohol withdrawal itself is the cause with thiamine deficiency. Although I may sound repetitive but please continue the thiamine for at least next three months or if do not respond two years.
I hope this helps you.
If you have more questions feel free to write back to me.
Thanks and regards.
I think these are features of werrnicke's encephalopathy
Detailed Answer:
Dear XXXXXXX
Thanks for using Healthcaremagic again.
As we discussed in the past the current features are indicative of wernicke's encephalopathy. Although we have not discussed the features in the past but I like to inform you that confusion, ataxia (difficulty in walking) and ophthalmologia (paralysis of internal muscles of eyes and restricted movement).
So the confusion and little movement of eyeball horizontally is indicative of wernicke's encephalopathy.
Regarding causation alcohol withdrawal itself is the cause with thiamine deficiency. Although I may sound repetitive but please continue the thiamine for at least next three months or if do not respond two years.
I hope this helps you.
If you have more questions feel free to write back to me.
Thanks and regards.
Above answer was peer-reviewed by :
Dr. Priyanka G Raj
Thanks for replying again.
So are we good at treatment. Now we are having both benfotiamine (felicita) and thiamine.
So are we good at treatment. Now we are having both benfotiamine (felicita) and thiamine.
Brief Answer:
Yes we are
Detailed Answer:
Dear XXXXXXX
Thanks for reverting back to me.
Regarding the treatment your doctor is at right track and there is no doubt about that.
But regarding response although I may be somewhat pessimistic, the response is hardly great and patients suffer with at least some long term sequele.
I hope this answers you.
If you have future questions please write back to me without hesitation.
In case you wish to contact again please post direct query using my friendly URL so I we can maintain the continuity of care.
Thanks again.
Yes we are
Detailed Answer:
Dear XXXXXXX
Thanks for reverting back to me.
Regarding the treatment your doctor is at right track and there is no doubt about that.
But regarding response although I may be somewhat pessimistic, the response is hardly great and patients suffer with at least some long term sequele.
I hope this answers you.
If you have future questions please write back to me without hesitation.
In case you wish to contact again please post direct query using my friendly URL so I we can maintain the continuity of care.
Thanks again.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Thanks for answering again.
Nowdays he is unable to control stool.
As per him till he gets to know it's coming and he gets to the washroom , it's already out.
What may be the cause and what should we do about it?
Nowdays he is unable to control stool.
As per him till he gets to know it's coming and he gets to the washroom , it's already out.
What may be the cause and what should we do about it?
Brief Answer:
A neurological opinion is required
Detailed Answer:
Dear XXXXXXX
Thanks for reverting back to me.
Although stool incontinence can be part of advanced wernickes encephalopathy but I think a neurologist opinion is warranted as there may be some other coincidental condition responsible for incontinence of stool.
For management we can prevent it by scheduling his activities. For example asking him to visit bathroom before his usual time. In extreme case there is option of using Diaper which can be applied so he does not soil his clothes.
Und=fortunately the option of medications are limited unless we know the exact cause of problem.
I hope this assists you further.
Thanks and regards.
A neurological opinion is required
Detailed Answer:
Dear XXXXXXX
Thanks for reverting back to me.
Although stool incontinence can be part of advanced wernickes encephalopathy but I think a neurologist opinion is warranted as there may be some other coincidental condition responsible for incontinence of stool.
For management we can prevent it by scheduling his activities. For example asking him to visit bathroom before his usual time. In extreme case there is option of using Diaper which can be applied so he does not soil his clothes.
Und=fortunately the option of medications are limited unless we know the exact cause of problem.
I hope this assists you further.
Thanks and regards.
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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