Can stroke cause nausea, vomiting, and abdominal pain?

Question

Hello doctor,

Recently, my mother was admitted to the emergency room due to nausea, vomiting, and stomach pain. Her blood pressure was 140/86 mm Hg. Also, she had a weakness in her legs. She underwent a CT scan a few days back. The report is as follows: Small hypodensities in the left periventricular frontal lobe - acute lacunar infarcts, diffuse cortical atrophy, periventricular small vessel ischemic changes, and minimal bilateral ethmoid sinusitis. I am worried about the report. Please advise on the treatment plan for my mother.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

I have reviewed your reports (attachment removed to protect the patient's identity). The CT (computed tomography) scan findings indicate a small new stroke and repeated small old strokes. There is also a mild sinus infection. I suggest the below treatment plan:

Baby Aspirin daily to prevent future strokes.
Antibiotic therapy for a week for sinus infection.
Perform regular physical activity to help reinforce her leg muscles.
Tablet Nootropil (Piracetam) to help improve her brain and leg function.

(Consult a specialist doctor, talk to him or her, and start the treatment with their consent).

I also suggest performing a doppler ultrasound of the carotid arteries to exclude possible narrowing.

I hope this helps.

Thank you.