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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Should Symptoms Of Worsening Bedwetting, Frequent Urinary Incontinence, Appetite Loss, Slurred Speech And Sweet Cravings Be Treated?

55 yr old nephew with neurological problems for a number of years; symptoms seemingly worsening; bed wetting and very frequent uncontrollable urination to clothing; falling; no more than 1-2 bites of food at mealtime; smoker who also craves sweets; slurred speech at times; family situation non-ideal. is it possible his body has decided to started shutting down? as far as known, he is on a med for seizures and a b vitamin. a neurologist s assistance will be appreciated
Mon, 4 Dec 2023
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Cardiologist,  's  Response
Hellol,

I recommend consulting with a neurologist for a physical exam. He may suffer from focal seizures, which may lead to urinary incontinence and the other symptoms. Another possible option, would be dementia or depression. For this reason, it is necessary performing a brain MRI, an EEG and some other blood lab tests (thyroid hormone levels, blood electrolytes, vitamin B12 plasma levels, vitamin E and vitamin B1 plasma levels for possible deficiency).

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Ilir Sharka, Cardiologist
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Cardiologist,  Dr. Ilir Sharka's  Response
Hello,

Based on your description, his situation could be related to dementia, possible depression, possible seizures or diabetes. For this reason, it is necessary consulting with a neurologist for a physical exam and some tests: a brain MRI, an EEG and some blood lab tests (complete blood count, PCR, thyroid hormone levels, HbA1C, fasting glucose, vitamin B1 plasma levels, vitamin E and vitamin B12 plasma levels.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Ilir Sharka, Cardiologist
I find this answer helpful
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How Should Symptoms Of Worsening Bedwetting, Frequent Urinary Incontinence, Appetite Loss, Slurred Speech And Sweet Cravings Be Treated?

Hellol, I recommend consulting with a neurologist for a physical exam. He may suffer from focal seizures, which may lead to urinary incontinence and the other symptoms. Another possible option, would be dementia or depression. For this reason, it is necessary performing a brain MRI, an EEG and some other blood lab tests (thyroid hormone levels, blood electrolytes, vitamin B12 plasma levels, vitamin E and vitamin B1 plasma levels for possible deficiency). Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist