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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pancrytis With Mental Disorder, Kindly Help

hello sir, I m anurag from India. My mother is suffering from pancrytis,first she seems to suffer a lot ,but after a few days of treatment she seems to progress.but yesterday she behaves aggresively with the doctors and nurses.once she said that she liked the doctors,but yesterday she said they are going to kill her.the doctor consulted with a psychiatrist .i dont knw what they are doing.doctor said that it may be a regular behaviour of a patient living in ICU for long time,or if the infection reached to brain the patient donot survive.what should I do ?please help me.
Mon, 8 Jul 2013
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Psychiatrist 's  Response
HI,
your mother is in delirium mostly, it is very common in old age, bed ridden, seriously ill, post surgical etc.

your mother is required monitoring of -tem/pulse/BP/respiration
also electrolyte testing needed.

on treatment part low dose antipsychotic (haloperidol or olanzapine) and benzodiazepine (lorazepam- 1mg or 2 mg ) dose adjustment depend on patient's requirement.

delirium is a emergency so it require treatment by physician and psychiatrist.

yes, in delirium mortality is also high.

follow advise of your doctor.
thanks.

dr ramashanker yadav
md psychiatry
yadavramashanker@gmail.com
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Psychiatrist Dr. Dr.Nehal's  Response
Hi,
Thanks for using healthcare magic.

It seems that your mother is having delirium or ICU psychosis which is common condition for patients in ICU.
The causes might be electrolyte disturbance, infection, disturbed sleep pattern, ICU stress etc.

Psychiatrist may prescribe anti psychotic agent for a time being till his aggression and paranoia is under control.

I hope It will help you.

Thanks.
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General & Family Physician Dr. Bharath HS's  Response

Hi,

Did you mean Pancreatitis? And more over coming to the problem with her mental health yes such changes are seen in patients being hospitalized for extended period of time. As they loose their social life, it shall have an impact on them which makes them depressed, frustrated and behave in such violent manner. This can be handled by allowing the patient to move around(if advised medically) and also with proper counselling. If both are not possible, then medications are also available for the same.

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Pancrytis With Mental Disorder, Kindly Help

HI, your mother is in delirium mostly, it is very common in old age, bed ridden, seriously ill, post surgical etc. your mother is required monitoring of -tem/pulse/BP/respiration also electrolyte testing needed. on treatment part low dose antipsychotic (haloperidol or olanzapine) and benzodiazepine (lorazepam- 1mg or 2 mg ) dose adjustment depend on patient s requirement. delirium is a emergency so it require treatment by physician and psychiatrist. yes, in delirium mortality is also high. follow advise of your doctor. thanks. dr ramashanker yadav md psychiatry yadavramashanker@gmail.com