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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Parasitic Worms

Hello Doctor,

My aunt was unwell for the past week with a possible cause of parasitic worms. She had a stay for about 3 days in the hospital which resulted in her being very week. This week when she was home she felt giddy and hit her head to the floor. The various tests conducted have all Thankfully been Fine. She though is very weak and cannot even sit down on the bed. She is currently recuperating in the hospital and the blood, stool tests were norma. The liver tests were having figures on a slightly higher side and are awaiting the cortisol results in a couple of days. The practioners are trying to find the actual cause of the weakness. The ammonia levels were high and sodium was less. She was on a saline 3 concentration sodium. Can you please advise what may be the trigger for this weakness.
Mon, 26 Nov 2018
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Internal Medicine Specialist 's  Response
Hi,

Hyponatraemia (low sodium level) which is quite common in elderly can cause weakness.

Addison's disease/ adrenal insufficiency (awaiting serum cortisol levels) can also cause undue weakness and hyponatraemia.

Intestinal worm infestation cannot cause weakness unless she is anemic (due to Hookworm or Diphyllobothrium latum infestation) or infestation causing diarrhea leading to electrolyte disturbances (Hyponatraemia).


Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Tushar Kanti Biswas,
Internal Medicine Specialist
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Suggest Treatment For Parasitic Worms

Hi, Hyponatraemia (low sodium level) which is quite common in elderly can cause weakness. Addison s disease/ adrenal insufficiency (awaiting serum cortisol levels) can also cause undue weakness and hyponatraemia. Intestinal worm infestation cannot cause weakness unless she is anemic (due to Hookworm or Diphyllobothrium latum infestation) or infestation causing diarrhea leading to electrolyte disturbances (Hyponatraemia). Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Tushar Kanti Biswas, Internal Medicine Specialist