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 Uzair Your Own Question

Dr Uzair
Dr Uzair, Doctor
Category: Medical
Satisfied Customers: 3733
Experience:  MBBS, FCPS (R) General Surgery. Years of experience in Emergency Medicine.
27273415
Type Your Medical Question Here...
Dr Uzair is online now
A new question is answered every 9 seconds

my 92 year old mother is now sleeping all the time, even when

Resolved Question:

my 92 year old mother is now sleeping all the time, even when she is up in her wheelchair she falls asleep while visiting with you. she has health issues as well but I'm wondering if she is just trying to check out so to speak, I know she is tired of living with all her ailments mostly caused by old age. she has always been very sharp and very independant so this sleeping all the time and not so interested in her surroundings and happenings just makes me wonder if she is just tired and ready to see whats next..My botXXXXX XXXXXne question is; do people especially much older people who's body may be starting to give up develope this sleep issue of sleeping all day 12-14 hours and when you insist they get up and move a bit fall right back to sleep..it's almost like she just wants to drift off quietly and move on to whatever is next. what do you think, this is a big change for her, she has always been the matriarc(?), and very with it for her age with some age onset dementia with good days and bad but now this big change doesn,t seem to be a phase but more like "hey I'm just tired and ready to give up peacefully". thank you for you input. Mardi
Submitted: 3 years ago.
Category: Medical
Expert:  Dr Uzair replied 3 years ago.

Hi Mardi. Welcome to JustAnswer. I shall try my best to assist you while you are corresponding with me.

 

Q. What ailments does she have? Names please.

 

Q. What long term medication is she taking?

Customer: replied 3 years ago.
she is diabetic,since age 65 and has never followed correct diet for that. She has artritis throughout her body,bad shoulder (bone to bone), hip replacement at age 83. Some dementia not really to bad, excellent long term memory,poor short term memory. She has a pacemaker last 12 years.
She take insulin; she is given 30mg of morphine must be 3x a day because her script is qty 90 ER and 5mg oxycodone qty 90 . all this is for pain, she is in cronic pain from the arthritis and shoulder, I believe she has to ask for the percocet which she never does because she forgets.Oxycontin 10mg CR qty 60. she tales a vitamin tab-D-400 60 qty must be 2x a day, Lipitor 20mg 1x a day, metoprol tar tab 25mg 1x ady, Aricept 10mg 1x a day Ferrous sulf tab 325 qty 60 so 2 x a day Lantus inj 100/ml qty10 p/month, Furosemide tab 20mg qyt 30 so 1x day ,Certa-Vite tab/Lutein qty30 so 1x day and Lisinop/Hctz tab 10-12.5 qty 30 I think twice a day, Azopt Sus 1% OP qty 15, Aspir-Low 81mg qty 30(think thats in place of cumidine) she almost died from overdose of cumidine level was at 20 if you can beleive that yes she was hospitalized poor thing she has had a bout with her age and believe it or not I know this sounds like alot of meds, but she is in an assisted living facility for past 2 years and when she got there and the meds got straightened out she was awsome, mind sharp as a tack and doing great. Her meds were cut drastically and she really has done great with the once in while dementia...but as I mentioned now all she does in sleep and you can hardly hold conversation, she eats like a bird but has always liked her glass of wine, she doesn't even drink that anymore. She has always been tough as nails, thats why I wonder if she is just plain wore out and is tired. The sleep thing is just not like her, she has been doing this for about a month or month and a half. alot of info I know..I took the meds off her med invoice I hope this helps!
Expert:  Dr Uzair replied 3 years ago.

Thanks for the very detailed and informative reply, it is good to know that you care so much for her.

The sleepiness can be a sign of many conditions owing to her medical history and the medications she is on. To start off with - Age, tiredness, fatigue and sleeping throughout the day can be due to senility itself.

However, the medications she is on are mostly opiods in nature and can induce fatigue, lethargy, tiredness and sleepiness through out the day as well as a groggy feeling when she is not asleep.

Electrolyte imbalances as in her case because of Furosemide (a diuretic - water pill) can cause deficiency of sodium and potassium and this can cause sleepiness and fatigue and an altered mental status.

Encephalopathy - a far fetched cause but can be due to liver failure due to a lot of hepatotoxic drugs in her script.

Insufficient blood flow to the brain - in her case due to carotid artery stenosis and/or the paccemaker disorder.

At the end although she does not show any other features of Hypothyroidism but this should also be added to the differentials since at her age more or less the symptoms are less pronounced.

To evaluate all the causes, there are simple tests both blood work and clinical.

She should have her full blood count, thyroid function tests, a full metabolic panel (serum electrolytes), liver function tests, kidney function tests, Doppler ultrasound of the carotid arteries, ECHO and EKG for the pacemaker and heart.

A level of opiods can be checked in her blood using simple blood tests for opiate levels and can be interpreted to be in excess and if so the doses can be modified.

Other than that sleep studies, EEG will also help rule out organic and inorganic conditions related to the brain itself.

She needs to check in with her physician for all the above tests and a detailed clinical evaluation. These seem like a lot of things to go about but most of them will be done in the first visit and the remainder on a given date.

Again, the list of differentials is long and once a condition is identified, it can be eradicated successfully with the proper medical attention - increasing her quality of life in her age.

Hope this helps.
Please click ACCEPT to credit this assist.
A bonus and a positive feedback will be appreciated.

Best wishes.

Dr Uzair, Doctor
Category: Medical
Satisfied Customers: 3733
Experience: MBBS, FCPS (R) General Surgery. Years of experience in Emergency Medicine.
Dr Uzair and 6 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 Uzair
Dr Uzair
Doctor
3733 Satisfied Customers
MBBS, FCPS (R) General Surgery. Years of experience in Emergency Medicine.