My husband sometimes is not sure where he is, especially in the morning or when I return from an errand. He also has very strange real dreams. Why?

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Has this been happening gradually or all at once? There could be so many conditions linked to this kind of behavoir. Could be a mild stroke, low blood pressure in the morning, Alzheimers/Dementia, drug interactions, infections, or diabetes or diet...hard to say.
Has he been evaluated? I would start with a complete physical and blood work and go from there. Be aware that doctors are so quick to label anything and everything as "alzheimers" so find a good specialist if you suspect that this is the case. Also, keep a log of behaviors and changes.

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