Husband is 62 w/o Caucasian male with DX. of Chronic Progressive MS x 17 years. Today he is very confused, says he can t distinguish reality from dreams. Has been sleeping very poorly for past several weeks due to severe muscle spasms in shoulders, legs. Medications; Low-dose Naltrexone, Tramadol (never together), Magnesium, Curcumin. This confusion is very about normal for him, and has lasted the entire day. He does know date/day of week/ current President, etc., no drooping of face, can stick out tongue, smile widely. TIA?
Hello, But this is probably not due to TIA as it lasted the whole day. However it could be due undiagnosed diabetes, electrolyte imbalances and kidney dysfunction.  So I would recommend that he gets a blood test for blood glucose levels both fasting and postprandial, kidney functions test including urea and creatinine and blood gases test. Hope I have answered your query. Let me know if I can assist you further.  Take care