• question-icon

    Suggest treatment for severe fatigue and unsteady gait

default
Posted on Thu, 10 Aug 2017 in Brain and Spine
Question: On XXXXXXX 7, my husband started having problems with his gait--sudden onset, progressive weakness. On XXXXXXX 27 he contracted pneumonia and was hospitalized for six days, and then discharged to a rehab facility, where is is now. He is 90 years old and was able bodied before XXXXXXX 7. He has overwhelming fatigue with rehab. Beginning on July 18 he has developed a total body shaking with exertion. He has had essential tremor for over 30 years. He has been examined by three neurologists and had an MRI. He has an L5-S1 pinched nerve, which is why he is in rehab. During and after his hospital stay he had a spike in his liver enzymes which was suspicious for autoimmunie hepatitis. His liver enzymes have now returned to normal.
doctor
Answered by Dr. Neeraj Kumar 3 hours later
Brief Answer:
Upload reports and video

Detailed Answer:
Hello,
I have gone through your question and understand your concerns.
Sudden onset gait abnormality and weakness may be due to stroke or myelitis.
What was diagnosed at that time ? Upload investigations and prescriptions.
The total body shaking can be myoclonus or movement disorder like ballismus, chorea or tremors.
You need to send a video for more clarification.
Are these movements present in Sleep?
Are these movements persistent in resting or supine position.
Get a serum ammonia done as raised ammonia levels in liver disease may cause negative myoclonus causing shaking movements.
Visit and consult a movement disorder specialist.
Hope you found the answer helpful.
Do get back to me for further queries.
Regards
Dr N Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Neeraj Kumar

Neurologist

Practicing since :2006

Answered : 2263 Questions

premium_optimized

The User accepted the expert's answer

Share on

Recent questions on  Pneumonia

doctor1 MD

My daughter and has had delayed milestones. She is six years now. walked at 4 years, is not able to speak, she is asthmatic, she had an enlarged...

doctor1 MD

I am 12 weeks post discharge from the hospital with pneumonia. I was given levaquin upon discharge and within two days developed serious pain in...

doctor1 MD

my dughter is 7 and was just sent home from school with a 101.0 fever and her heart rate was 148. she was diagnosed with pnuemonia 2 weeks ago and...

doctor1 MD

I have a three year old son who was admitted to the hospital last week with a bad cough and fever. pre-pneumonia can not be ruled out at this time...

doctor1 MD

I am having sinus pressure and I recently had pneumonia . I do use salt water rinse. Today I kept falling asleep. I got up and ate dinner but...

doctor1 MD

Hi Doctor, My daughter is 2.5yrs old and is having persistent cough . She coughs every hour or so for few seconds and then it atops and she coughs...

doctor1 MD

I have been told I have a chest infection I was given a dose of amoxycillian. Iam on day 5 is the course and have a tight chest, random coughing...

Get personalised answers from verified doctor in minutes across 80+ specialties

191 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Questions Answered By Dr. Neeraj Kumar
  • Q - What causes recurrent painful sensation over one side of lower face?

  • Q - What does my blood test report indicate?

  • Q - What causes constant dizziness?

  • Q - Suggest treatment for weight gain, coldness and constipation

  • Q - What causes facial pain and leg numbness in a patient with diabetes?

  • Q - Suggest treatment for recurring optic neuritis in right eye

  • Q - What causes trouble thinking clearly while recovering form sepsis?

  • Q - How long should medication be continued after suffering partial paralysis?

  • Q - Suggest treatment for constant pain due to neuropathy

  • Q - What causes burning sensation in buttocks of a person with spinal problems?

backtotop2