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Have impaired renal function, irrelevant talking, screams. Why? Schizophrenia?

hi doctor, one of my colleague have impaired renal function ( Serum Creatinine: 4.1 mg/dl) and simultaneously undergoing Koch s ATT for past 3 months. Now she is behaving bizaare way, sometime screaming, talking irrelevantly and so., Is this schizoprenia or because of his impaired renal function he is behaving in that way?
Asked On : Sun, 10 Mar 2013
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Psychiatrist 's  Response
Dec 2014
Hello rachelgunraj
Welcome to Health Care Magic

Her creatinine clearance is 4.1 which is high and most probably she is having severe renal impairment. She is also in ATT for 3 months. She is having history of screaming and irrelevant talking.
First of all I would like to tell you that it is not Schizophrenia.
With available information she might be having some electrolyte abnormality. Her sodium levels may be in abnormal range and this may cause symptoms of confusion, lathery, screaming and irrelevant talking. So I would advise you to get her Electrolytes level (Blood Urea, Serum electrolytes) checked as it is very common in renal impairment.
Second thing is that due to multiple stresses she might be showing Acute Stress Reaction. When individual fails to cope with situation he/she may develop severe anxiety and abnormal behavior. So I would like to advise you to take her to a Psychiatrist after investigations come normal.

Dr. Seikhoo Bishnoi
Answered: Wed, 13 Mar 2013
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