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

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

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Vinodhini J.

Published At February 10, 2020
Reviewed AtJuly 17, 2023

Patient's Query

Hello doctor,

I am a 54-year-old. I have been diabetic for long years and under insulin. I also suffer from diabetic retinopathy for two years. I did more Avastin injections 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, the erection problems, and the rest are constipated. After 100 meters of walking, I feel 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 turn on the bed. The pains are rather nocturnal than at rest. Same also at the level of the left arm when I press or turn in rotation.

I take the following drugs:

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

Approvasac 300 mg per 5 mg once in the morning.

Fludex (Indapamide) once at night.

Avas-20 (Atorvastatin 20 mg) once at night.

Ultracet (Paracetamol 325 mg) one tablet in the morning and one at night.

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 a sustained-release form like XT Para 1 g half tablet twice daily, and neurotropic medicines like a combination of Methylcobalamin 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.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Ashaq Hussain Parrey
Dr. Ashaq Hussain Parrey

Rheumatology

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