Dr. Somesh Sharma (General Practice) needs a second opinion on this medical case.
*Chief complaint* A 68 y/o male complaints of sleep-talking. Most of the time it's quite loud. This happens like 4-5 times a week and sometimes twice in a night but mostly once a night. He said he saws dreams that someone is running after him and tries to fight with him so he tries to save himself and starts speaking loudly. 1-2 times he even falls from while dreaming like this. After his family member wakes him up at night he stops mumbling. *History* He is a well-educated person and is retired from his job 10 years back. He is staying at home with his family. He has a history of bypass heart surgery around 15 years back and is on allopathic medication for that. He also has an ear infection and taking homeopathic medicine for that. No personal or family history of any psychotic disease. He is a little stressed because of financial issues like every other person, but it's not like he is depressed. *Examination* He is a normal build male but looks a little weak. He was talking normally while taking history. *Diagnosis* What could be the cause of his sleep talking? *Treatment* What should be advised? Feel free to ask any question.
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