How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr Brims Your Own Question

Dr Brims
Dr Brims, U.S. Licensed Physician
Category: Medical
Satisfied Customers: 9206
Experience:  MD
14307416
Type Your Medical Question Here...
Dr Brims is online now
A new question is answered every 9 seconds

Could chronic urinary tract infections cause mood swings, hallucinations,

Resolved Question:

Could chronic urinary tract infections cause mood swings, hallucinations, delusional behaviour, etc.? My mother who is over 90 years old recently was diagnosed with a bacterial infection in the urinary tract which had advanced toward pyelonephritis. Fortunately there does not appear to be a major damage to the kidneys, but I am wondering if her recent changes in behaviour and confusion could have been precipitated by a chronic urinary tract problem. She has always been very urine retentive, going very infrequently. We call her the "camel" because of this, but I am just wondering if perhaps this could be some of the cause of her confusion recently and sudden mood changes and anxiety. Also, after she has been cleared of the acute infection how can I keep this from happening again. I would prefer a more alternative approach than conventional meds because of her age. Thank you in advance.
Submitted: 3 years ago.
Category: Medical
Expert:  Dr Brims replied 3 years ago.

Dr B :

Hello, welcome to Justanswer, I will try to assist you with your medical question, and any medical information you seek

Dr B :

Bacterial infections in the elderly, especially UTI's may cause delirium, which in turn causes hallucinations, delusions and behavior changes. Sometimes these symptoms last, and sometimes they are temporary

JACUSTOMER-icnq9jdb- :

Dr B,

Dr B :

Yes, I am here

JACUSTOMER-icnq9jdb- :

Dr. B, do you have an opinion about my supposition that my mother's confusion, delusional behaviour, etc. MAY have come in part from a chronic situation, perhaps a low-grade continuous infection in her system. I have wondered for some time if the GBS experience had long-term effect with her immune system and perhaps she would be more vulnerable to such infections.

Dr B :

These symptoms rarely occur from chronic infections, until they become serious , so it is unlikely

Dr B :

It is usually a significant insult, and chronic infections rarely cause this until they have progressed

JACUSTOMER-icnq9jdb- :

All right, how about the supposition that the GBS experience has caused some dementia type symptoms for her OR TIAs causing delusional behaviour and mood swings that extremely sudden.

Dr B :

The GBS is less likely, but TIA's may definitely cause this

JACUSTOMER-icnq9jdb- :

TIAs may occur without any obvious physical signs such as other symptoms of major strokes, correct?

Dr B :

Yes

JACUSTOMER-icnq9jdb- :

So in some cases, a person may have TIAs which cause dementia type confusion or delusional behaviour which may occur suddenly, but there may not be obvious lasting signs, perhaps?

Dr B :

Yes, that is correct

JACUSTOMER-icnq9jdb- :

Dr. B. I am very grateful for your answers and consideration of my questions. I only have one more. How do I help my mother avoid further UTIs when she is so elderly and frail?

Dr B :

Honestly, there is not much you can do, elderly women are prone to UTI's. Some people use macrobid, (an antibiotic) to prevent them, but only when they develop UTI's very often, otherwise, I would not advocate it

JACUSTOMER-icnq9jdb- :

OK, so good diet, good hygiene, just stay as healthy as possible and watch for symptoms, right? If there are symptoms, then seek conventional treatment as needed. Thank you, XXXXX XXXXX I do appreciate your chat.

Dr B :

That is correct

Dr B :

You're welcome
Let me know if you have any other questions or concerns, or need more information

If you are satisfied, please click ACCEPT to end this chat session

Dr Brims, U.S. Licensed Physician
Category: Medical
Satisfied Customers: 9206
Experience: MD
Dr Brims and 2 other Medical Specialists are ready to help you
Customer: replied 3 years ago.
Dr. B, Sorry to bother you, but I have a follow up question about my mom's condition. She is leaving the hospital within the next day or two, but she has still not been able to urinate on her own. They have had to use a straight cath to get the bladder emptied. Should I ask for a urology consult before she leaves the hospital or a neurological workup because I really have no idea why she cannot void on her own. All of the tests for TIAs, menningitis, GBS, etc. have come back clean. There is no sign of chronic infection anywhere. I need advice on how to proceed. I don't want her coming home with a Foley because of the UTI dangers. Any info would be gratefully accepted. Thank you. RJ Holmes
Expert:  Dr Brims replied 3 years ago.
Hello, no bother at all
I think she would benefit from a urology consult before she goes home, it may help diagnose what the reasons are for her voiding problems, especially with her history of UTI's. They should also make sure she is well hydrated
Customer: replied 3 years ago.
She has been well hydrated in hospital. I will ask for the urology consult today. IF I have to take her home today without the consult results, any suggestions about getting her void without a cath? There does not appear to be any reason for the hestitation and she does have the "urge" or reflex to urinate. She is aware of the need, but does not release. She has no "history" of UTIs, this is her first one. Thanks.
Expert:  Dr Brims replied 3 years ago.
There is nothing you can do to get her to void if she goes home without a catheter, and it is dangerous because she may go into urinary retention, which you want to avoid. You would have to straight cath her, which is more likely to cause an infection than leaving the catheter in for a few days. There may be an obstruction that is causing these symptoms, so a urology consult would be recommended
Dr Brims, U.S. Licensed Physician
Category: Medical
Satisfied Customers: 9206
Experience: MD
Dr Brims and 2 other Medical Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/DrThomasMd/2012-7-25_134438_Imagess1.64x64.jpg Dr. Thomas, MD's Avatar

    Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
  • http://ww2.justanswer.com/uploads/MY/mysticdoc/2012-6-8_15615_mysticdoc3.64x64.jpg Dr. D.J.'s Avatar

    Dr. D.J.

    Board Certified Physician

    Satisfied Customers:

    14679
    MD
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2562
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/DrDLove/2009-08-12_141522_DrDLove.jpg Dr. D. Love's Avatar

    Dr. D. Love

    Doctor

    Satisfied Customers:

    11961
    Family Physician for 10 years; Hospital Medical Director for 10 years.
  • http://ww2.justanswer.com/uploads/CO/commissure/2011-4-15_192514_REISD20080926JR1090.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    10667
    Experienced Physician trained in New York City. I'm ready to help.
 
 
 

Related Medical Questions

Chat Now With A Doctor
Dr Brims
Dr Brims
Doctor
9206 Satisfied Customers
MD