Request for consultation advice?
My father is 63 years old and was previously in good health without any chronic illnesses.
About a month ago, he sought medical attention for sudden hearing loss, which was diagnosed as a viral infection likely caused by a cold.
He was treated with steroids for two weeks, during which his hearing improved slightly (but has not fully returned).
The steroids have since been discontinued, but he soon developed cold symptoms again (such as a sore throat) and visited the doctor for medication.
However, over the past week, his condition has become very concerning; he is extremely fatigued, has a poor appetite, and lacks the strength to climb stairs.
Our family is very worried and wants to take him for further evaluation, but we are unsure where the problem might lie.
We would appreciate any advice from a physician on which specialty to prioritize for this situation, as the large hospitals have very specific departments.
This matter is somewhat urgent, so please advise us on how to proceed immediately.
Thank you.
yao, 30~39 year old female. Ask Date: 2008/12/29
Dr. Chen Junwei reply Internal Medicine
Hello: The main symptoms currently are poor mental state, lack of appetite, and general weakness.
However, many internal medical conditions can present with similar symptoms, such as electrolyte imbalance, dehydration, adrenal insufficiency, hyperglycemia or hypoglycemia, and liver dysfunction, among others.
It is recommended that if the situation is urgent, please go to our hospital (or a nearby hospital) for an initial examination (such as an electrocardiogram, blood tests, etc.); if the condition is manageable, you may consider consulting with a specialist in metabolism, geriatrics, or family medicine.
Thank you!
Reply Date: 2008/12/29
More Info
I'm sorry to hear about your father's health issues. Given the symptoms you've described, it's crucial to approach this situation with urgency and care. Your father, at 63 years old, has recently experienced a series of concerning health changes, including a previous ear stroke (likely a form of sudden sensorineural hearing loss), ongoing respiratory symptoms, and a significant decline in energy and appetite.
Immediate Steps to Take
1. Seek Immediate Medical Attention: Given the combination of symptoms—fatigue, lack of appetite, and weakness—it's essential to take your father to a healthcare facility as soon as possible. These could be signs of a more serious underlying condition, such as an infection, metabolic imbalance, or even a cardiovascular issue.
2. Emergency Room Visit: If his condition seems to worsen or if he experiences any acute symptoms (such as chest pain, severe shortness of breath, or confusion), do not hesitate to take him to the emergency room. The ER can provide immediate assessments and interventions.
3. Primary Care Physician: If his condition is stable but still concerning, consider scheduling an appointment with his primary care physician. They can perform a comprehensive evaluation and may refer him to a specialist based on their findings.
Potential Specialists to Consider
- Internal Medicine: This is often a good starting point for adults with multiple symptoms. An internist can evaluate his overall health and manage various conditions.
- Otolaryngology (ENT): Since he has a history of ear issues, an ENT specialist can assess any lingering effects from the ear stroke and related symptoms.
- Pulmonology: If respiratory symptoms persist, a pulmonologist can evaluate for any underlying lung issues, especially if he has had recent cold-like symptoms.
- Infectious Disease: If there is suspicion of an infection, especially given the recent cold symptoms and ongoing malaise, an infectious disease specialist may be warranted.
Important Symptoms to Monitor
While waiting for medical attention, keep an eye on the following symptoms:
- Fever: Any persistent fever could indicate an infection.
- Breathing Difficulty: If he experiences shortness of breath or wheezing, this requires immediate medical evaluation.
- Changes in Mental Status: Confusion, lethargy, or disorientation can be signs of serious conditions, including infections or metabolic disturbances.
- Chest Pain: Any chest discomfort should be treated as a potential emergency.
Additional Considerations
- Hydration and Nutrition: Encourage him to stay hydrated and eat small, nutritious meals if possible. If he is unable to eat or drink, this should be communicated to the healthcare provider.
- Medication Review: Make a list of all medications he has been taking, including the steroids for his ear condition. This information will be helpful for any healthcare provider assessing his situation.
- Family Support: Ensure that he has family support during this time, as emotional and physical support can significantly impact recovery.
Conclusion
In summary, your father's recent health changes warrant immediate medical evaluation. Start with an emergency room visit if his condition is urgent, or schedule an appointment with his primary care physician if he is stable but still concerning. Be proactive in monitoring his symptoms and communicating any changes to healthcare providers. Your attentiveness to his health is crucial in ensuring he receives the appropriate care.
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