When the blood supply to a part of the brain gets interrupted, a stroke happens. The brain cells become devoid of oxygen and begin to die. Warning initial signs of stroke include sudden fainting, dizziness, numbness or weakness on one side of the face or limbs (paralysis), drooping of one side of the face, slurred speech, imbalance, headache, difficulty walking, confusion, blurred or double vision, etc. It is important to act quickly and call an emergency number or seek medical help nearby as soon as the early signs of stroke appear.
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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 »
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 »
May I know the reason for slurred speech in a paralyzed person?
Query: Hi doctor,My dad has been paralyzed for three years now. He was fine, but suddenly his speech is not clear. We cannot understand what he says. May I know why this has happened? Read Full »
Answer: Hello, Welcome to icliniq.com. Paralyzed patients have a tendency to get stroke when they have already had it. This could be a recurrence of stroke and the patient should be taken to a hospital as a CT scan without contrast needs to be done to know if he has again developed a stroke. If he... Read Full »
A patient with a history of hypertension and taking anticoagulants shows early signs of brain stroke. What to do?
Query: Hello doctor, A patient has a history of high blood pressure and is on anticoagulant medication (blood thinner Coumadin) because of congestive heart failure. What blood tests or other tests are required by the patient if he is showing early signs and symptoms of a brain stroke? After the tests, is a... Read Full »
Answer: Hello, welcome to icliniq.com. I went through your query and understand your concern. The following are the answers to your questions. 1. Yes, the following tests can be performed to know the future risk of stroke- lipid profile, serum homocysteine levels, and color doppler test of neck vessels.... Read Full »
My mother was admitted to the emergency room for nausea, vomiting, and stomach pain. What do her CT scan reports mean?
Query: 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 periventricul... Read Full »
Answer: 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... Read Full »
Kindly suggest treatment for someone who had TIA for two hours.
Query: Hello doctor, My father had a TIA for two hours nearly four months ago where he could not understand what was going around him and had some difficulties with walking. He was released from the hospital after five days. Before this, he had a fever. His CRP level was also 2.328 and he was taking Atorva... Read Full »
Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Answer: Hello, Welcome to icliniq.com. TIA (transient ischemic attack) for more than 60 minutes in a hypertensive and diabetic patient is a very serious sign that could lead to a stroke. I suggest you control your blood pressure andblood glucose with medications with regular followup. I suggest you takeCl... 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 »
Answer: Hi, Welcome to icliniq.com. 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 »
I fell twice with high BP. Am I at risk of having a stroke?
Query: Hi doctor, I had a stroke two weeks ago. Today morning, when I got up off the table, I nearly fell twice and had trouble speaking. My BP was 220/110 mmHg. They took me to ER and the telemetry unit. I got an MRI with contrast this morning. Am I having a stroke? Read Full »
Answer: Hi, Welcome to icliniq.com. I read your query with keen interest and understand your concerns. The onset of problems in the early morning, blood pressure in a range which can cause stroke and difficulty in speaking along with two falls point towards the high possibility of stroke. The ... Read Full »
Can Right-Sided Facial Numbness Be Due To A Stroke On The Left Side Of The Brain?
Query: Hello doctor, If the stroke has occurred in the left side of the brain, we know the patient's right side of the body would be weak and numb. But when the patient's right side of the face is also numb, is this also because of the stroke on the left side of the brain? Read Full »
Answer: Hello, Welcome to icliniq.com. Strokes on the left side of the brain will cause weakness in the right side of the body and right facial weakness. Please let me know if you have any other questions. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-on... Read Full »