Q. After recovery from ischemic stroke, I experience exhaustion, tiredness, ED, etc. Why?

Answered by
Dr. Ashaq Hussain Parrey
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Feb 09, 2020 and last reviewed on: Feb 11, 2020

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 very high. The left gauges are 20%. Better thanks to physiotherapy, I returned as before. Except in the legs the pelvis and purse, erection problem and the rest constipated.

For 100 meters of walking, I am exhausted and tired. At the level of the purse, I have burning sensations. At the level of the pelvis, it hurts if I try to sit on the floor or to turn on the bed. The pains are rather nocturnal than at rest. Same also at the level of the left arms when I press or turn in rotation.


Insulin humalogu mix 25, Insulin lispro mix 25% insulin lispro and 75% insulin lispro protamine suspension.

Approvasac 300 mg/ 5mg 1-0-0.

Fludex (Indapamide) 0-0-1.

Avas-20 (Atorvastatin 20mg) 0-0-1.

Ultracet (Paracetamol 325 mg) 1-0-1.



Welcome to

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 half tablet twice daily, and neurotropic medicines like a combination of Methylcobalamine with Pregabalin which will improve neuropathic symptoms. Good control of your blood sugar is important to decrease or slow the progression of diabetic complications. Evaluation of cardiac status is important as it may cause easy exhaustion. The x-ray does not show any gross abnormality.

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