Hemorrhagic Stroke

A rupture in the brain's blood vessel causes bleeding, leading to hemorrhagic stroke. High blood pressure, trauma, high cholesterol levels, smoking, alcoholism, excessive waist to hip ratio, bleeding disorders, blood thinning agents, aneurysm, stress, cardiovascular disease, lack of exercise and sleep, genetic predisposition, etc., are some of the risk factors. Symptoms of stroke include paralysis on one side of the body or face, one-sided numbness or weakness, dizziness, unconsciousness, confusion, slurred speech, blurred vision, headache, etc. Immediate medical attention is advised.

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My friend suffered a mild stroke which has made his left side numb. Please check his reports and suggest your opinion.

Query: Hello doctor, My friend had a mild stroke, and his left side is numb. He is admitted to the ICU currently. Please check the attached report and suggest your opinion.   Read Full »

Dr. Prakashkumar P Bhatt

Answer: Hello, Welcome to icliniq.com. I read your query and can understand your concern. Inspecting the report (attachments removed to protect the patient's identity), the patient suffers from a hemorrhagic stroke. The hemorrhage on the right side of the brain is very big, around 6 x 3 x 3 cm in size, a...  Read Full »

A patient with a history of hypertension and taking anticoagulants shows early signs of brain stroke. What to do?

Query: Hello doctor, A patient has a history of high blood pressure and is on anticoagulant medication (blood thinner Coumadin) because of congestive heart failure. What blood tests or other tests are required by the patient if he is showing early signs and symptoms of a brain stroke? After the tests, is a...  Read Full »

Dr. Arun Tungaria

Answer: Hello, welcome to icliniq.com. I went through your query and understand your concern. The following are the answers to your questions. 1. Yes, the following tests can be performed to know the future risk of stroke- lipid profile, serum homocysteine levels, and color doppler test of neck vessels....  Read Full »

My father has been suffering from bleeding bladder and enlarged prostate. Can it be due to taking medications like Aspirin and Plavix?

Query: Hello doctor, I am writing on behalf of my sick father. Last year, he suffered a brain stroke on the right side of the brain, which caused paralysis on his left side of the body. A week after that, he was diagnosed with heart blockage, which needed a bypass procedure. After treatment, he started rec...  Read Full »

Dr. Ashok Kumar

Answer: Hello, Welcome to icliniq.com. I read your query and understand your concerns. If you ask me with the formed conclusion that the bladder bleeding is resulting from the use of blood thinners, I would say yes there is need to stop Aspirin. This is a straight forward answer, as the risk of bleeding is...  Read Full »

Kindly review my father's brain images and reports and help me know about his health condition.

Query: Hello doctor, My 72-year-old father had numbness in the left side of his body with palsy in the left corner of his mouth. We went to the emergency, and his BP was 130/78 mmHg. He was admitted for one week and was given antihypertensive and antidiabetic. When he was in the hospital, he developed r...  Read Full »

Dr. Hitesh Kumar

Answer: Hello, Welcome to icliniq.com. The attached images show hemorrhage in the right basal ganglia region (attachments removed to protect the patient’s identity). Hemorrhage in this area is commonly due to high BP (blood pressure). As per your description, he had a BP of 130/78 mmHg at the time of t...  Read Full »

I fell twice with high BP. Am I at risk of having a stroke?

Query: Hi doctor, I had a stroke two weeks ago. Today morning, when I got up off the table, I nearly fell twice and had trouble speaking. My BP was 220/110 mmHg. They took me to ER and the telemetry unit. I got an MRI with contrast this morning. Am I having a stroke?  Read Full »

Dr. Ashok Kumar

Answer: Hi, Welcome to icliniq.com. I read your query with keen interest and understand your concerns. The onset of problems in the early morning, blood pressure in a range which can cause stroke and difficulty in speaking along with two falls point towards the high possibility of stroke. The ...  Read Full »

What is hypertensive urgency?

Query: Hi doctor, I am a 55 year old male. I am diabetic for the past 15 years and I also have high BP. Before 20 to 25 days, while walking I felt like dizziness and I could not climb the staircase. Before my BP was 240/140 mmHg, but now it is 160/100 mmHg. Later on the creatinine and blood urea was also ...  Read Full »

Dr. Amit Kumar

Answer: Hi, Welcome to icliniq.com. It seems that you have accelerated hypertension (attachment removed to protect patient identity). Blood pressure (BP) shoots around 250/140 mmHg, this we called as hypertensive urgency. It could lead to hemorrhagic stroke which could be fatal. Anyway, you are lucky. You...  Read Full »

My friend is suffering from neuropathic pain after a thalamic stroke. Please help.

Query: Hi doctor, My friend, who is a 48 years old female, suffered a CVA three years back. She was diagnosed with a right thalamic hemorrhagic stroke with pericardial effusion, left hemiparesis, autoimmune thyroiditis, hypertrophic cardiomyopathy, ischemic unstable angina, grade 3 obesity, altered glucose...  Read Full »

Dr. Hitesh Kumar

Answer: Hello, Welcome to icliniq.com. Thalamus is the part of the brain, through which all sensory information is relayed. After a stroke involving the thalamus, many times, the patient develops thalamic pain syndrome, which is very poorly responsive to medications. But as you told that it was relieved ...  Read Full »

My mother suffered a hemorrhagic stroke, and she is in a coma. Can she recover?

Query: Hello doctor, My mother suffered a hemorrhagic stroke a couple of months back. They had to put a tube in her head to drain the fluid, and also put her in a coma. I was told that she would have a slim chance of coming out of this coma. My mom eventually had a shunt put in her head, because the fluid ...  Read Full »

Dr. Hitesh Kumar

Answer: Hello, Welcome to icliniq.com. The neurological deficit in a patient who suffered from hemorrhagic stroke depends on the areas of the brain affected and the pressure from the edema. The tube in the brain (external ventricular drain or ventriculoperitoneal shunt) are management for that edema press...  Read Full »

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