Thank you for choosing DoctorSpring.
I have analysed your fathers symptoms and there are two obvious concerns here :
1. Hypotension , possibly drug induced - which now corrected.
2. A set of neurological symptoms which includes confusion, intermittent loss of consciousness & possible leg weakness.
The neurological symptoms are not due to low blood pressure. Even though certain symptoms can overlap there is a significant set of neuro-symptoms which has to be evaluated. A CT scan of the head is strongly recommended along with a thorough neurological examination to be safe. Possibilities are a stoke (or a mini stroke) which could be in the vertebral artery / a blood clot inside or ourside covering of the brain SDH.
Regarding the blood pressure you might need to better titrate the medication to get adequate control. HOWEVER I would strongly suggest you to get the neuro evaluation and not to attempt tiration of the medications by yourself.
I would like to know whether he has any urinary symptoms . Any history of nausea or vomiting recently ?
You can reply as a followup
Patient replied :
>I would like to know whether he has any urinary symptoms . Any history of nausea or vomiting recently ?
No urinary symptoms; slight nausea in one of the recent episodes. BTW episodes are not spread evenly: sometimes 2 weeks without any problem, sometimes every other day
Is this time sensitive, e.g. should I wait for neurologist appointment or bring him to ER?
If a Neurologist appointment is going take time, consider checking with your GP - he/she can do a quick assesment (clinical examination) which can rule out a stroke. It is better if your father gets an appoinment in less than 1-2 days. If the delay is more and the symptoms recurr you should go the ER.
Absece of a urinary symptoms is a good sign. But again as I mentioned he had "clots" in his hear blood vessels, that means there is a risk that he can have "blood clots" in his cerebral blood vessels too.
Take care. Feel free to ask followups.