A stroke is caused when the blood supply to the brain is interrupted, causing a deprivation of oxygen and nutrients to the brain tissues. It can happen when the blood vessels in the brain rupture or if there is a blockage. The symptoms include paralysis, confusion, slurred speech, blurred vision, dizziness, confusion, and loss of balance.

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How is cerebral infarction due to an emotional event treated?

Query: Hi doctor, My 21-year-old sister got cerebral infarction because she talked to her father after 15 years, and big emotions were involved. One of her eye pupils became larger, and she could not see correctly. The doctor has done CT and confirmed it was cerebral infarction. She is already fine for th...  Read Full »

Dr. Hitesh Kumar

Answer: Hello, Welcome to As you mention that your 21-year-old sister had cerebral infarction, she needs a complete evaluation to know the etiology of a stroke at the young age of 21 (young stroke). As you say, her pupil became large, and she could not see properly; such symptoms may sugg...  Read Full »

What are chances of movement in my bedridden mother who had stroke on the left side of her brain?

Query: Hello doctor, My mother had been diagnosed with hydrocephalus which required immediate surgery. She always has high blood pressure. She had the operation and recovered in terms of better speech skills for just a couple of days. Later she got worse, and the progress stopped suddenly. We tested the d...  Read Full »

Dr. Seyedaidin Sajedi

Answer: Hello, Welcome to I can understand your anxiety as it is evident that you have tried to help your mother, but her unexpected stroke has complicated the situation. To give some predictions about the outcome, I need more data. For example, I need to know her physician's diagnosis about...  Read Full »

Am I a possible candidate for stroke?

Query: Hi doctor, I recently lost partial vision in my left eye. I was diagnosed with retinal ischemia by an eye specialist. After an angiogram, he suspects a small crystal of plaque blocking the blood supply to a portion of my retina. He told me I should see a cardiologist fairly soon, as he has worries ...  Read Full »

Dr. Prashant Valecha

Answer: Hi, Welcome to There are chances of cardioembolic stroke (some clot or infected vegetation) particle that your ophthalmologist is suspecting. Your cardiologist will do echocardio and see if any source of that in your heart. To prevent stroke, I suggest taking one high dose of Aspir...  Read Full »

Why does an 80 year old behave like a 20 year old after hemiparalysis attack?

Query: Hi doctor, My mother is 80 years old, and she had got a hemiparalysis attack last week. She has developed a mental disorder. She feels and talks as if she were in her twenties. Kindly help.   Read Full »

Dr. Ananth S

Answer: Hi, Welcome to Stroke in elderly people, especially resulting in residual weakness, paralysis or other motor sensory deficits, invariably leads to a major depressive episode that may not improve on its own. Silliness, childishness, and immature behaviors are consistent with mental reg...  Read Full »

Do my mother's symptoms indicate stroke?

Query: Hi doctor, My 58 years old mother is under treatment for hypothyroidism, hypertension, osteoarthritis of knee joints, and mild anemia. Her hemoglobin is 10.5 to 11.0 g/dL. She is currently on the following medicines, Eltroxin 50 mcg, Olmezest 20 mg, Gemcal D3, Uprise XT, and Folvite. Six months back...  Read Full »

Dr. Shivam Om Mittal

Answer: Hi, Welcome to Thank you for your question. You have described your mother's symptoms very well. The "reeling in the head and shaking" with change is position or posture is a typical symptom of orthostatic hypotension. There is an easy bedside test that you could also perfo...  Read Full »

What is the reason for my father's weight loss from 55 kg to 38 kg after a heart bypass surgery?

Query: Hello doctor, My father underwent heart bypass surgery due to a heart attack and heart block three years ago. Then he suddenly got a stroke and came back to normal after medications. Now he cannot walk, feels very tired always, has dizziness, headaches, poor appetite, and dyspnea. His weight is red...  Read Full »

Dr. Sugreev Singh

Answer: Hi, Welcome to Thank you for writing, and I can understand your concern. In such cases, severe weakness can be due to recurrent infection, decreased appetite, nutritional deficiencies such as vitamin D3, Calcium, vitamin B12, and dehydration. This dehydration becomes the leadin...  Read Full »

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 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. S D Sinha

Answer: Hi, Welcome back to 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 »

My mother had uterus removal, and now the blood supply to her brain is blocked. Kindly help.

Query: Hello doctor,My mother was diagnosed with an infection in the uterus. It was removed after surgery. She also had surgery for appendicitis. Now, the doctor says that the blood supply to the brain is blocked. And they said the only option is to give pressure medicine which may help to improve the bloo...  Read Full »

Dr. Abhaya Kant Tewari

Answer: Hello, Welcome to The MRI (magnetic resonance imaging) suggests multiple infarcts (attachments removed to protect the patient’s identity). There is a need to give her blood thinners, and antihypertensives are needed in addition if she has hypertension. I guess the doctors ar...  Read Full »

Do I have a tumor or multiple sclerosis if my leg feels dead for less than a minute?

Query: Hello doctor, I had a scary incident last night. I woke up from sleep and found my left leg to be completely dead. I tried to get up to pee, but my left leg collapsed completely, and I fell. When I tried to get up again, the same happened. Within a minute, all the symptoms were reversed, and ever...  Read Full »

Dr. Florilyn Joyce Bentrez-cabanilla

Answer: Hello, Welcome back to Thank you for the query. 1) Was it just weakness or did you have any sensory loss? 2) Was the left side of the face involved? 3) Do you have backpain? 4) Is this the first time? For tumors of the spine and multiple sclerosis, the classic history wo...  Read Full »

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