Ischemic Stroke

An interrupted blood supply to the brain due to a blocked vessel causes the brain cells to die, leading to a medical emergency called a stroke. They can be due to ischemia or hemorrhage. In an ischemic stroke, the blood supply is altered due to a blocked artery. The ischemia can also be due to narrowing arteries in atherosclerosis. Transient ischemic stroke or mini-stroke occurs due to a brief interruption of blood supply. It is not as serious as a stroke but is an indication of the risk of future stroke. Symptoms include one-sided numbness and weakness, blurry vision, slurred speech, confusion, dizziness, altered gait, imbalance, and headache. Blood thinners are used to dissolve the blood clots while they are forming. Hence an immediate treatment is necessitated to prevent further complications.

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What does it mean to have a sudden onset of slurred speech?

Query: Hi doctor, My 70 year old father has developed slurred speech from two days. He has diabetes, benign prostate hypertrophy, and history of vascular dementia. He does not have weakness, paralysis, or numbness. He does not have hypertension or any cardiac disease. He refused to do a CT scan in the ER....  Read Full »


Dr. Hitesh Kumar

Answer: Hello, Welcome to icliniq.com. In a patient, having risk factors, like diabetes mellitus and acute onset slurring of speech, it raises the possibility of developing an acute stroke. Though there may be other causes too. I would suggest undergoing the following tests: MRI of the brain or NCCT (non-...  Read Full »

My mother is throwing up every time she has Metformin. What is the correct dosage for that?

Query: Hi doctor, My mom had three strokes five days ago. While in the hospital, they said that she has diabetes, plagues in her artery, and some damage in her liver from taking too much Aleve (Naproxen). She is home now, and they advised her to take Amlodipine Besylate 10 mg, Atorvastatin 80 mg, Clopidog...  Read Full »


Dr. Shubadeep Debabrata Sinha

Answer: Hi, Welcome back to icliniq.com. Please share her reports for stroke episodes. Are you talking of myocardial infarction (MI) with coronary artery blockage or a neurological stroke comprising ischemia in the brain due to cerebrovascular-related blockage? It appears that the medicines she is presc...  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 Choudhary

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 the survival rate of a person with ischemic brain disease?

Query: Hello doctor, My neurologist has told me that I have a moderately severe ischaemic brain disease. What can I do apart from taking medication to control the blood pressure and cholesterol? I experience many different symptoms, including constant head pressure, especially when I feel distressed, weak...  Read Full »


Dr. Muhammad Zubayer Alam

Answer: Hello, Welcome to icliniq.com. According to your statement, you have been suffering from an ischemic stroke. Ischemic stroke is better than hemorrhagic stroke. The hemorrhagic stroke becomes rapidly worsen or better quickly. But ischemic stroke takes time to improve, but the outcome is better...  Read Full »

How to manage blood clots in the brain?

Query: Hi doctor, Three months back, my father had a problem in balance, always even while sleeping. We consulted a doctor, and he asked for BMD, where he diagnosed a problem in the bones of the neck and back. A few days back, suddenly, while morning walk, the right leg turned numb, and my father could no...  Read Full »


Dr. Rahul Pramod Patil

Answer: Hi, Welcome to icliniq.com. I feel sorry for all the pain your father is going through. 1) As from your history I come to a conclusion that you father had TIA (a type of stroke, that is temporary obstruction to the blood flow to a specific part of brain). MRI (magnetic resonance imaging) brain (s...  Read Full »

Are diabets and high blood pressure risk factors of stroke?

Query: Hi doctor, My father is 63 years old. He suffered from a mild stroke yesterday and we would like to seek the second opinion on the proper treatment for his case. He was given Catapres to lower his blood pressure and was asked to continue taking his maintenance medicines for hypertension (Losartan)....  Read Full »


Dr. Aida Abaz Quka

Answer: Hello, Welcome to icliniq.com. Regarding your concern, I would like to explain that his blood pressure values are normal. I would like to know his symptoms. Did he perform a brain CT scan? As he suffers from diabetes, the most probable cause would be an ischemic stroke (blood clot). For this re...  Read Full »

I have diabetic retinopathy and get nocturnal body pain after ischemic stroke. Please help.

Query: Hello doctor, I am 54 years old. I have been diabetic for long years and under insulin. I also suffer from diabetic retinopathy for two years. I did more Avastin injection and laser sessions. Eight months ago, I had an ischemic stroke just a few months after the injections. My blood pressure was v...  Read Full »


Dr. Ashaq Hussain Parrey

Answer: Hello, Welcome to icliniq.com. I went through your post, you seem to have diabetic neuropathy which is the cause of your erectile dysfunction and easy fatiguability. In addition, there are features of osteoarthritis. Instead of Paracetamol 325 I would suggest sustained-release form like XT Para 1g...  Read Full »

Please interpret my mother's MRI report.

Query: Hi doctor, My mom is 55 years old. We met with a car accident. She got hit near eyebrows and so far she is on the safer side. She does not have any symptoms such as headache, paralysis, etc. Our doctor suggested a CT scan of her head. In the report they found some white matter which is not clear wi...  Read Full »


Dr. Anshul Varshney

Answer: Hi, Welcome to icliniq.com. We are here to help you. This report (attachment removed to protect patient identity) is suggestive of ischemic changes. These findings are incidental and not related to the head injury she had. She needs to be evaluated for the possible causes like high blood p...  Read Full »

Is there a chance for an ischemic stroke attack after ankle surgery?

Query: Hello doctor, I am a 49-year-old male. Is it possible to suffer from an ischemic stroke as a result of ankle surgery? The stroke is on the left side of the brain causing paralysis in my right side. I am healthy otherwise.  Read Full »


Dr. Ashok Kumar Choudhary

Answer: Hello, Welcome to icliniq.com. If you were immobilized for a few days after the surgery there is a possibility in the development of deep vein thrombosis in a male above 40 years of age. If suppose that thrombus got dislodged, it may traveled to the brain resulting in ischemic stroke. The possibi...  Read Full »

Is surgery necessary for a blood clot in the brain?

Query: Hi doctor, My father is in ICU since 48 to 50 hours. Blood clot has formed in vein of the brain. His right side of the body is not functioning. Doctors are saying that he is recovering, but very slowly. Please give your opinion.  Read Full »


Dr. Geetha Priyadarsini Kamminana

Answer: Hello, Welcome to icliniq.com. A stroke is an abrupt deprivation of the blood flow to the brain due to a blockage or the rupture of a blood vessel in the brain. Acute ischemic stroke is caused by thrombotic or embolic occlusion of a cerebral artery and is more common than hemorrhagic stroke. In your...  Read Full »

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