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Dr. Andrew Rynne

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Exp 50 years

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What causes difficulty focusing, short term memory loss, finger numbness, confusion, loss of balance and incontinence?

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Dr. Seikhoo Bishnoi

Psychiatrist

Practicing since :2007

Answered : 5056 Questions

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Posted on Tue, 12 Feb 2019 in Mental Health
Question: Symptoms are difficulty focusing, consistent short term memory loss, intermittent numbness in finger tips, finger tremors both hands, intermittent bouts of confusion, loss of balance, mild incontinence, hyper reflexes, mild anomia, difficulty thinking, image and shape coding recognition deficiency
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Answered by Dr. Seikhoo Bishnoi 33 minutes later
Brief Answer:
Please elaborate on the problems in detail.

Detailed Answer:

Hello,

I can understand your concern. The symptoms like difficulty in focusing, short term memory loss, tremors in hands etc could be due to some underlying mood disturbance. Such symptoms are also seen commonly in depression.

Numbness in fingers, bouts of confusion, loss of balance, mild incontinence, hyper-reflexes etc. could be due to some underlying neurological issue and this should be evaluated properly. Though severe anxiety might also result in increased reflexes.

You are on Alprazolam and Cymbalta which are used commonly in anxiety and depression. These drugs should help you in coming out of anxiety. To rule out any neurological deficit an MRI scan of the brain should be done.

What kind of help you are expecting, please elaborate in detail.

Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Seikhoo Bishnoi 5 hours later
Please excuse me but I forgot to mention other important symptoms. I have chronic back pain in my low back (left side) with tingling, burning, numbness going down my legs (both sides).

I have just gotten an MRI prescription for my back but can you provide a prescription for a an you provi tha MRI for a brain MRI?
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Answered by Dr. Seikhoo Bishnoi 3 hours later
Brief Answer:
MRI lumbar spine should help in diagnosis.

Detailed Answer:

Hello again,

The chronic low back pain, tingling, burning and numbness etc could be due to disc dehiscence. This will be revealed on MRI. So you should get MRI lumbar spine done.

For the prescription of brain MRI, you have to visit a doctor in person. It's not possible to provide a prescription because of legal control.

Regards,
Dr. Seikhoo Bishnoi, Psychiatrist
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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