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48 Possible Causes for Confusion, Fecal Impaction, Slow Speech

  • Acute Intermittent Porphyria

    Acute attacks present with episodes of severe abdominal pain, nausea, confusion and severe life-threatening seizures.[ncbi.nlm.nih.gov] The highly variable symptomatic presentation of AIP causes confusion with other diseases and results in a high misdiagnosis rate (68% in China) and delayed effective treatments[ncbi.nlm.nih.gov] The disease is clinically manifested with severe abdominal pain, confusion, and seizures which may be life threatening.[ncbi.nlm.nih.gov]

  • Acute Hepatic Porphyria

    RESULTS: All patients identified prodromal symptoms that began days prior to acute severe pain; the most common included confusion ("brain fog"), irritability, and fatigue[ncbi.nlm.nih.gov] […] weeks, neurological symptoms (muscular weakness, sensory loss or convulsions) and psychological symptoms (irritability, anxiety, auditory or visual hallucinations, mental confusion[orpha.net] Additional signs include head, neck and chest pain, hypertension, seizures, mental changes (restlessness, anxiety, confusion, insomnia, disorientation), and neuropathies that[symptoma.com]

  • Transient Ischemic Attack

    Bowel management to avoid constipation and fecal impaction or diarrhea also is a component of ancillary care. 631 Some feedings administered via a PEG or nasogastric tube[doi.org] They happen suddenly, and include Numbness or weakness, especially on one side of the body Confusion or trouble speaking or understanding speech Trouble seeing in one or both[nlm.nih.gov] Compared with neurologists, GPs considered "confusion" and "unexplained fall" more often compatible with TIA and "lower facial palsy" and "monocular blindness" less often[ncbi.nlm.nih.gov]

  • Dementia

    In motor retardation the patient presents with slowed movements and speech, reduced body tone, and decreased number of spontaneous body movements, whereas motor hyperactivity[doi.org] Treating conditions that can lead to confusion often greatly improve mental function.[medlineplus.gov] These include restlessness and agitation, depression, anxiety, forgetfulness and confusion.[symptoma.com]

  • Hypoxia

    When production increases in an ecosystem, organic matter, such as algal cells and fecal pellets, increases.[serc.carleton.edu] Severe symptoms include: The inability to communicate Confusion Possible coma or death Other associated symptoms also may be present.[medicinenet.com] Moderate hypoxia slows speech comprehension ( Lieberman 1995 ).[anesthesiaweb.org]

  • Multiple Sclerosis

    Bowel problems : Constipation can lead to fecal impaction, and this can lead to bowel incontinence.[medicalnewstoday.com] Speech may become slow, slurred, and hesitant. People with multiple sclerosis may become unable to control emotional responses and may laugh or cry inappropriately.[merckmanuals.com] In this review we describe conditions that may be confused with MS because they can present as lesions disseminated in time, space, or both.[ncbi.nlm.nih.gov]

  • Thrombotic Thrombocytopenic Purpura

    Acute episodes almost always were precipitated by some factor such as a minor infection, surgical procedure, pregnancy, fecal impaction, or pancreatitis.[doi.org] Symptoms may include large bruises, fever, weakness, shortness of breath, confusion, and headache.[en.wikipedia.org] Complications may include neurological problems (such as personality changes, headaches, confusion, and slurred speech), fever, abnormal kidney function, abdominal pain, and[rarediseases.info.nih.gov]

  • Tetanus

    CONCLUSIONS: The differential diagnosis of tetanus may be confusing, and survival depends on the rapidity of treatment with antitoxin, as well as adequate supportive care.[ncbi.nlm.nih.gov] Finally, some people confuse DTaP and TB "shots."[emedicinehealth.com]

  • Myxedema

    Gastrointestinal System Patients with myxedema may have abdominal distension due to ascites, paralytic ileus, or fecal impaction.[emjournal.net] A 43-year-old woman with a huge portal-systemic shunt accompanied by myxedema showed slow speech and behavior.[ncbi.nlm.nih.gov] A 56-year-old woman, who had not received medical care for 30 years, presented to the emergency department with progressively worsening fatigue and confusion.[nejm.org]

  • Delirium

    impaction, hypertensive encephalopathy, liver failure, long stays in an ICU, mental disorders, postoperative states, sensory deprivation, sleep deprivation, toxins that affect[msdmanuals.com] Confusion, introduced by French workers during the second half of the century, referred to a syndrome wider than (but including) delirium.[ncbi.nlm.nih.gov] speech and/or movements Change in sleep (for example, may be more awake at night and asleep during the day) Any other change in behavior or personality that is not normal[uihc.org]

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