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Combative 5 weeks after ischemic stroke

Question: My dad had an ischemic stroke 5 weeks ago now today he is combative and doesn't know who I am. We're at a facility now and an ambulance is coming. What has or could have happened? I appreciate any help. Sorry to bother you, I feel helpless.


Answer: Of course he will need to be examined by a physician to see what is going on. Some things that could change mental status in a stroke patient would include another stroke or mini strokes, some type of infection (many stroke patients with urinary problems are put on catheters, so UTIs are not uncommon and can cause serious mental changes especially in the elderly), effects of medication (always monitor cognition after starting any new medicine), and dehydration to name a few. Getting your father to the hospital for a thorough examination will help you determine the cause of his change in mental status.

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