Stroke

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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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 icliniq.com. 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 N...  Read Full »

My father's a stroke survivor but since then he is depressed most of the times. Please help.

Query: Hi doctor, My father had a stroke, after which he is not interested in eating or drinking, lacks interest, and sleeps excessively in the daytime. His recovery seems extremely slow.  Read Full »


Dr. Hitesh Kumar

Answer: Hi, Welcome to icliniq.com. I understand your concern. There can be multiple factors (single or in combination) for such symptoms after a stroke at this age: 1. Stroke itself may be a reason if it affects the brain's thalamus. 2. Post-stroke depression is a widespread phenomenon. 3. Underlying...  Read Full »

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 »


Dr. Hitesh Kumar

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 »

After stroke, my left hand and leg are not functioning well. What to do?

Query: Hi doctor, I am 60 years old male. Before a year, I got a stroke. After recovering from it, my left side ear, hand, and leg are not functioning well. Please suggest.  Read Full »


Dr. Hitesh Kumar

Answer: Hi, Welcome to icliniq.com. After a stroke, usually, recovery is maximum in initial three to six months. After that, you can have a slight improvement up to one to one and a half years. Some residual weakness usually persists. You need to do regular physiotherapy. Few patients develop spasticity, ...  Read Full »

How long will it take for my grandmother to recover from a stroke?

Query: Hi doctor, My grandmother's right hand and right leg were affected recently, and she was unable to walk or lift the hand. We admitted her to a hospital where CT scan was taken. The doctors discharged her in three days with some prescriptions. She is doing physiotherapy at home daily. She has a hi...  Read Full »


Dr. Hitesh Kumar

Answer: Hi, Welcome to icliniq.com. It seems that your grandmother had an acute stroke. The recovery depends on the following factors: Size of stroke in the brain. The exact area involved in the brain by the stroke. Associated comorbidity like diabetes, hypertension, heart problem, etc. The age (lesser the ...  Read Full »

My mother got a brain stroke last month. Are home care and supervision enough?

Query: Hello doctor, My mother got a brain stroke last month. Since then, she has been hospitalized. She got another stroke on the first week this month. We immediately did an MRI and saw a bigger clot. The earlier clot had also increased in size. So within the window period, we gave her the Boehringer K...  Read Full »


Dr. Hitesh Kumar

Answer: Hello, Welcome to icliniq.com. I have seen the files provided by you (attachment removed to protect patient identity). It is unfortunate that your mother developed bleeding after Boehringer Knoll injection. It is documented to happen in 5 to 7 % of the patients to whom this injection is given for st...  Read Full »

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 icliniq.com. 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 »

My mother got a brain stroke. What is the treatment?

Query: Hi doctor, My mother, who is 65 years old, had a brain stroke. Could you help us with the treatment? I have attached the MRI report for your information.  Read Full »


Dr. Hitesh Kumar

Answer: Hello,Welcome to icliniq.com.By looking at the MRI report (attachment removed to protect patient identity), it seems that the patient had left PCA territory stroke (posterior cerebral artery).The treatment of stroke cannot be dictated just by seeing the MRI report. The doctor needs to see the patien...  Read Full »

How long does it take for a patient to recover from a stroke?

Query: Hi doctor, My wife has diabetes and hypertension. She suffered a CVA (left basal ganglia ICH) with right hemiparesis some months back. She is on Insulin (Novorapid and Lantus), Galvus Met 50 mg/500 mg (last 20 years), Telma 40 mg, Liofen, Statin 10 mg, and Felicita. Of late, she feels difficulty in...  Read Full »


Dr. Hitesh Kumar

Answer: Hi, Welcome to icliniq.com. Please tell me a few details. After ICH (intracerebral hemorrhage), did her power in the right leg improve to some extent in the last three months? Is it the same, or has it got worsened? In which portion is she having pain? And since when is that pain? Please give the...  Read Full »

What are the causes of stroke and how to prevent it?

Query: Hello doctor, I would like to know the causes of stroke and its prevention. What are some of the causes of stroke? What are some signs and symptoms? How can you prevent a stroke? Could a lack of sleep or stress cause a stroke? Please suggest.  Read Full »


Dr. Hitesh Kumar

Answer: Hi, Welcome to icliniq.com. There are major risk factors for stroke such as hypertension, diabetes mellitus, old age, smoking, alcohol, obesity, high cholesterol and family history of heart disease or stroke. Though there are many more rare causes of stroke. Common presentations are acute onset devi...  Read Full »

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