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An 85 year old woman who has been independently living

Customer Question
An 85 year old...

An 85 year old woman who has been independently living alone, running her own errands, riding a mower to mow several acres, bathing, etc., suddenly in 2 months time, after extreme worrying over various things concerning her property and the approaching winter, is now in assisted living, unable to concentrate, very confused, shakes continually, dizzy continuously, depressed and anxious (this was all before the assisted living); doctors and ER have found not physical issues. the anxiety has driven the ability to eat or sleep, which makes the shaking, confusion, dizziness much worse, vicious circle; at wit's end on how to help or what is going on

Doctor's Assistant: How long have you been dealing with this? Is there anything in particular that seems to make the symptoms better or worse?

Approximately 2 months with the extreme worrying. the past month, symptoms have steadily gotten worse so that she could not be left to live alone; past 3 weeks eating is almost non-existent and has lost over 7 lbs. seems almost delusional at times and very confused; already had minor short term memory/dementia but this confusion came on very quickly with the worrying/anxiety. doctors want to prescribe Prozac so that maybe if patient calms down, eating & sleeping will resume, and some of the nervous dizzy anxiety will dissipate

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

Pacemaker, heart stents, high blood pressure since 2007; meds for high blood, blood thinner, cholesterol

Submitted: 8 months ago.Category: Medical
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Answered in 1 minute by:
11/28/2017
Doctor: Dr. Arun Phophalia, Doctor replied 8 months ago
Dr. Arun Phophalia
Category: Medical
Satisfied Customers: 39,108
Experience: MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
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Welcome to Just Answer.
Answers here are for education and information.
I will respond shortly with an answer, or further information request.

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Doctor: Dr. Arun Phophalia, Doctor replied 8 months ago

What did her MRI show?

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Customer reply replied 8 months ago
It was clear. MRI was of abdomen and brain, and they were checking for kidney stones.
Doctor: Dr. Arun Phophalia, Doctor replied 8 months ago

She may get MRI with Gadolinium contrast and an MRA (magnetic resonance arteriography). This may reveal the cause. Serum electrolytes especially low levels of sodium can cause these symptoms. So if not assessed may be evaluated with blood urea and liver function tests.

Low blood sugar (hypoglycemia) too may cause these symptoms.

Please feel free for your follow up questions.

I would be happy to assist you further, if you need any more information.

Thanks for using Just Answer.

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Doctor: Dr. Arun Phophalia, Doctor replied 8 months ago

Brain scanning with SPECT or PET may also be considered for her symptoms.

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