Suddenly feeling fear with discomfort.

Please attach his previous prescription as it would be helpful to make a diagnosis (it’s not available). He should be treated cautiously. These symptoms can sometimes be due to something relatively minor such as anxiety, dehydration, poor sleep, loneliness/sundowning, or musculoskeletal pain — but in this age group they can also be an atypical presentation of a serious medical problem, especially: * Heart problem / atypical cardiac ischemia * Delirium from infection, dehydration, electrolyte imbalance, urinary infection, low oxygen, etc. * Early neurological event (TIA/stroke) * Medication side effect * Hypoglycemia The arm pain being previously labeled “bone pain” does not completely rule out a cardiac cause, especially if the symptoms are new or worsening.

He should ideally be further evaluated soon, particularly if symptoms are recurring or worsening. Go to the ER / seek urgent medical care immediately if any of these occur: * Chest discomfort or pressure * Sweating * Shortness of breath * Increasing confusion * Slurred speech * Facial deviation or weakness * Fainting * Palpitations * Severe agitation * Reduced responsiveness Following investigations may be considered * ECG * Troponin * Blood tests (CBC, electrolytes, sugar, thyroid, kidney function) * Urine test for infection * Medication review

What you can do at home right now * Do not leave him alone if possible. * Check: * Blood pressure * Pulse * Temperature * Oxygen saturation * Blood sugar (if available) * Ensure hydration and regular meals. * Review recent medicines for sedatives or new drugs. * Observe whether confusion is only after waking or persists through the day.