• question-icon

    Suggest treatment for the left arm

default
Posted on Wed, 5 Jul 2017 in Hypertension and Heart Disease
Question: I have an 87 year old female friend who has recently been rushed to the hospital with pain in her left arm. Had stint in artery 4 weeks ago and they put another stint in 40% blocked artery 2 days ago. She seemed to be fine until yesterday after 3 days in hospital. She is hallucinating and talking out of her head. She thinks she's home and wants to clean, etc.. I spoke with a friend who said her father was perfectly fine and within 24 hours was talking out of his head. She said he had a UTI; after treating the UTI he was his old self. She isn't drinking water because she doesn't want to go to bathroom. Could this happen?
doctor
Answered by Dr. Ilir Sharka 1 hour later
Brief Answer:
I would explain as follows:

Detailed Answer:
Hello!

Welcome and thank you for asking on HCM!

I would explain that her situation could be related to a metabolic disorder.

You should know that the brain sometimes in old persons may not function properly in cases of metabolic disorders, dehydration or an infection and fever.

This is because the brain ability to maintain it's own balance decreases with again and it is very easy to fall into confusion and even hallucinations.

But, considering her past medical history, a stroke can not be excluded either.

For this reason,vI would recommend performing some tests to investigate for the possible underlying causes:

- a resting ECG
- a chest x-ray study
- complete blood count for anemia
- kidney and liver function tests
- fasting glucose
- blood electrolytes.

A brain CT scan is necessary to exclude any possible stroke.

An EEG may be needed too.

If all the above tests result normal, I would recommend consulting with a psychiatrist.

You should discuss with her doctor on the above issues.

Kind regards,

Dr.Iliri
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 7433 Questions

premium_optimized

The User accepted the expert's answer

Share on

Recent questions on  Ct scan

doctor1 MD

I am experiencing a partial vision loss - probably a TIA - what will happen when I go to the emergency room?? YYYY@YYYY

doctor1 MD

My father undergone Electrical cardioversion treatment due to having severe Atrial Fibrilation (AF). Needless to say the treatment did not work...

doctor1 MD

I got real dizzy and kinda lost tempory balance and experienced double vision but only for 30 seconds, twice yesterday. I am in good health at 78...

doctor1 MD

Sir, My right side floating rib hits somewhere and I am having pain while moving side to side when I sleep. Feels like the rib is hitting some...

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

188 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. Ilir Sharka
  • Q - What do the following stress tests, echo and holter monitor test result...

  • Q - Suggest alternative treatment for congestive heart failure

  • Q - Suggest treatment for hypertension and GERD

  • Q - Suggest treatment for high BP and tingling in arms

  • Q - What causes sharp pain in chest area relieved by burping?

  • Q - Suggest treatment for afib, severe sleep apnea and high heart rate?

  • Q - What causes shortness of breath with normal chest X-ray?

  • Q - What causes severe pain in my calf muscle in Tietze syndrome?

  • Q - What causes altered sense of smell when diagnosed with sinus tachycardia?

  • Q - Does page syndrome increase the risk of heart attack?

backtotop2