Recently Answered Questions
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After a stroke, my father sleeps 20 hours a day and has confused behavior. What should we do?
Query: Hello doctor, My father has been diabetic (type 2) for the past 25 years and has high blood pressure for the past seven to eight years. He had a paralytic stroke a few months back and had thrombolysis done. He started recovering with the help of physiotherapy. After 15 days of stroke, he was found t... Read Full »
Answer: Hello, Welcome to icliniq.com. Thank you for your query. I understand your concern. Sleeping for a long duration with intermittent confused behavior can be due to a few possibilities: Underlying forgetfulness or dementia, which may be compensated prior but getting worse due to febrile illness. ... Read Full »
My mother is unconscious with high BP and sugar. Is it possible to do MRI now?
Query: Hi doctor, My mother is 65 years old. She is suffering from high blood pressure and high sugar levels. As a result of this, she fell unconscious and her brain has some small blockages and damages. Please help. Read Full »
Answer: Hi, Welcome to icliniq.com. I examined the CT scan report (attachment removed to protect patient identity) and clinical assessment. My findings are: On CT scan, I noticed that your mother had 5x4 cm infarct (stroke). The reason for her to fall unconscious might be because of nonconvulsive stat... Read Full »
My 55-year-old father recovered from a heart attack and brain stroke but his BP levels are low. Why?
Query: Hi doctor,My father is 55 years old. He had a heart attack last month and the doctors did an angioplasty immediately. He got discharged a week later, and after four days, we met the doctor again for a check-up, and the doctor said his BP level was low so they needed to admit him again for Norad to c... Read Full »
Answer: Hello, Welcome to icliniq.com. I thoroughly read your query and understand your concern. I feel sorry for your father. He had had a major heart attack which made his heart so weak that it could not generate blood pressure. After primary angioplasty, BP (blood pressure) may recover in a few days. ... Read Full »
Why has my father suddenly become speechless?
Query: Hello doctor, My father aged 67 years old suddenly got speechless. When he woke up in the morning we went to throat specialist but there is no problem with the throat. We got CT scan of the brain done. Then we had referred to the neurologist. He then immediately admitted to the hospital and the tre... Read Full »
Answer: Hello, Welcome to icliniq.com. Your father's symptoms are compatible with a stroke. Coming to this point I would recommend performing a Doppler ultrasound of the carotid arteries to investigate for possible narrowing. It could be due to atherosclerosis. It is also important consulting with a speec... Read Full »
When will my grandmother come out of coma?
Query: Hi doctor, My 82 year old grandmother is in a coma from the past 15 days. The doctors are suspecting a brain stroke. I am attaching all her reports. When will she come out of the coma? Read Full »
Answer: Hello, Welcome to icliniq.com. I have seen all the attached reports (attachment removed to protect patient identity). Your grandmother has posterior circulation stroke, which has involved very compact structures of the brain (pons, midbrain, and thalamus). These structures of the brain have very... Read Full »
What are the chances of recovery and regaining consciousness after a coma?
Query: Hi doctor,I have attached a radiograph of a patient who has been in a coma for the past five days. Kindly assess the report and help us know better. Does this radiology report indicate a massive stroke? Any recommendations?Please help. Read Full »
Answer: Hello, Welcome to icliniq.com. I read the attached brain CT (computed tomography) scan report (attachments removed to protect the patient’s identity). Unfortunately, the report indicates a bilateral stroke in the occipital area (in the back of the brain). And the strokes have moderate size, but ... Read Full »
What is the risk of high triglycerides?
Query: Hi doctor, I am having high triglycerides around 250 to 500, but very low LDL around 30 to 45 for the last five years. Kindly help. What should I do? I swim five days a week for 20 minutes daily. I am currently on tablet vitamin B12 and Zinc supplement. I have also attached my laboratory reports. Read Full »
Answer: Hi, Welcome to icliniq.com. We are here to help you. Increase in triglycerides of this level should be treated with Fenofibrate. I would recommend to reduce potato, rice and sweets. In case you consume alcohol you should quit it. Continue with swimming and in winters do jogging. For f... Read Full »
What are the side effects of taking Adderall for a long time?
Query: Hi doctor, I have a 29 year old boyfriend, who weighs 190 lbs and 6 feet tall, he is a former athlete in college. He was diagnosed with idiopathic hypersomnia through the spinal tab, five years ago. He is now taking Adderall 60 mg a day total, spread over six times, and is using Flumazenil cream, wh... Read Full »
Answer: Hi, Welcome to icliniq.com. Idiopathic hypersomnia is a sleep disorder even less common than narcolepsy, a rare sleep disease. The biggest distinguishing characteristics include differences in REM (rapid eye movement) sleep, the absence of cataplexy (a sudden weakness in the muscles while fully co... Read Full »
Will anyone get recurrent stroke while on medications?
Query: Hello doctor, My mom had a stroke two years ago related to AFib. They put her on Eliquis, maximum dose. Last week she had another stroke, and they believe it is heart-related. They are still puzzled though and have added a baby Aspirin a day on top of the Eliquis. Has anyone heard of a recurrent st... Read Full »
Answer: Hello, Welcome to icliniq.com. Recurrent strokes are very common. As your mom have atrial fibrillation, she must be on regular anticoagulants for prevention of stroke. But as now she has developed new stroke while taking anticoagulants, Its right decision to add ecosprin for further prevention of st... Read Full »
Is my dad's heart weakening after having a stuttering stroke?
Query: Hello doctor, I have a question about my father. He is 75 years old, eats healthy, and drinks at least two liters of water daily. He has had atrial fibrillation for the past five years, and for that, he takes Xarelto 15 mg and Amlodipine accord 5 mg. He takes them in the morning, and that is always ... Read Full »
Answer: Hello, Welcome to icliniq.com. In atrial fibrillation, the heart beats can vary in frequency and height (amplitude). What is more important in these patients is that the rate needs to be controlled and not above 100 beats per minute. Also, one must make sure that no clot forms in the heart due to ... Read Full »