[54M] Experiencing brain fog, vision changes, and other symptoms

Patient Description

A 54-year-old male presents with a 6-month history of brain fog described as difficulty thinking clearly and remembering things, which worsens after nights of binge drinking (approximately 10 drinks in one session, twice a week). He also reports new onset of streaky blurred vision without identified alleviating factors. Additionally, he has been experiencing balance problems, anxiety, and depression. The patient notes a 2-year history of hairline recession with bald patches and a 5-year history of low libido and difficulty maintaining an erection, describing the sensation as 'inflamed.' Furthermore, he reports frequent diarrhea with loose, green stools for the past 2 years, occurring twice daily without relation to food intake. The patient denies any pre-existing conditions, chronic illnesses, allergies, adverse reactions to medications, and is not currently on any medications.

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Arora's Assessment

What might be happening

Based on your symptoms, here are some possible conditions:

  • Alcohol-related liver disease: Your symptoms of brain fog, balance problems, and liver pain, especially after drinking alcohol, could be signs of alcohol-related liver disease. This condition occurs from damage to the liver due to excessive alcohol consumption. Over time, this can lead to inflammation (alcoholic hepatitis), and eventually scarring (cirrhosis), which can cause serious complications.

  • Male pattern baldness: Hair loss at the hairline and the formation of bald patches are common signs of male pattern baldness, a genetic condition that typically begins in middle age.

  • Erectile dysfunction: Difficulty maintaining an erection and decreased sexual desire could be signs of erectile dysfunction. This can be caused by a variety of factors, including physical conditions like heart disease, diabetes, and alcohol abuse, as well as psychological conditions like stress, anxiety, and depression.

  • Depression: Your symptoms of brain fog, changes in mood, decreased sexual desire, and balance problems could be signs of depression. Depression is a mood disorder that causes a persistent feeling of sadness and loss of interest, and can affect how you feel, think, and handle daily activities.

  • Irritable Bowel Syndrome (IBS): Your symptoms of frequent loose stools and green stools could be signs of IBS. This is a common disorder that affects the large intestine and can cause cramping, abdominal pain, bloating, gas, and diarrhea.

Please note that these are potential explanations for your symptoms based on the information you provided, and not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

Here are some steps you can take:

  1. Reduce alcohol consumption: Given your symptoms and the amount of alcohol you consume, it would be beneficial to reduce your alcohol intake. This can help alleviate your symptoms and prevent further damage to your liver.

  2. Seek medical attention: Given the severity and duration of your symptoms, it's important to seek medical attention as soon as possible. A healthcare provider can conduct a thorough evaluation and provide an accurate diagnosis.

  3. Mental health support: If you're feeling anxious or depressed, consider seeking support from a mental health professional. They can provide strategies to manage these feelings and improve your overall well-being.

  4. Healthy lifestyle: Maintaining a balanced diet, getting regular exercise, and ensuring you get enough sleep can help improve your overall health and potentially alleviate some of your symptoms.

What you should look out for

If you experience any of the following symptoms, seek medical attention immediately:

  • Severe abdominal pain
  • Blood in your stool
  • Yellowing of your skin or the whites of your eyes (jaundice)
  • A high fever or severe chills
  • Sudden, severe headache
  • Difficulty breathing or chest pain
  • Sudden weakness or numbness on one side of your body

Remember, while I strive to provide accurate information, I'm an AI and not a doctor. Always consult with a healthcare provider for an accurate diagnosis and treatment.

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11 mo ago

Top picked over-the-counter products for Irritable Bowel Syndrome: American College of Gastroenterology Guidelines

People Also Ask


How does alcohol consumption affect brain fog and memory issues?

Alcohol consumption, especially in large amounts, can impair brain function, leading to symptoms like brain fog and memory issues. It affects neurotransmitter balance and can cause inflammation in the brain, which may worsen cognitive functions.


What are the common causes of erectile dysfunction in middle-aged men?

Erectile dysfunction in middle-aged men can be caused by a variety of factors including cardiovascular diseases, diabetes, hormonal imbalances, psychological issues like stress and depression, and lifestyle factors such as excessive alcohol consumption.


Can frequent diarrhea with green stools be a sign of a serious condition?

Frequent diarrhea with green stools can be a sign of conditions like Irritable Bowel Syndrome (IBS) or infections. However, if it persists or is accompanied by other symptoms like severe pain or blood in stools, it is important to seek medical evaluation to rule out more serious conditions.


What lifestyle changes can help manage symptoms of depression and anxiety?

Lifestyle changes that can help manage symptoms of depression and anxiety include regular physical activity, a balanced diet, adequate sleep, stress management techniques like meditation or yoga, and reducing alcohol and caffeine intake. Seeking support from mental health professionals can also be beneficial.


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